《Chinese Journal of Rehabilitation Theory and Practice》 ›› 2019, Vol. 25 ›› Issue (9): 1089-1093.doi: 10.3969/j.issn.1006-9771.2019.09.019

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Consistency between Arm Circumference and Water Drainage Volume in Measurements of Breast Cancer Related Lymphedema

LI Zhen-sheng, GENG Wen-hui, YIN Jun-pu, ZHANG Jun, ZHANG Yuan-yuan, LI Shan-shan   

  1. Department of Radiation Oncology, the Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei 050035, China
  • Received:2018-12-17 Revised:2019-04-09 Published:2019-09-25 Online:2019-09-25
  • Contact: LI Zhen-sheng, E-mail: ZhenshengL@hotmail.com E-mail:ZhenshengL@hotmail.com
  • Supported by:
    Supported by Hebei Health Planning Commission Medical Science Research Key Project (No. 1020140251)

Abstract: Objective To compare arm circumference (AC) and upper limb volume (ULV) in assessment of breast cancer related lymphedema (BCRL). Methods From November, 2013 to February, 2015, 281 women with one-sided breast cancer accepting radiotherapy were consecutively enrolled. AC was measured as the means of circumference 10 cm above and 5 cm below the most eminent midpoint of olecranon. ULV was measured as the water displacement volume when the water surface reached at 15 cm above the midpoint of olecranon. Univariate and multivariable linear regressions were used between AC and ULV. Results All the correlated coefficients between AC and In(ULV) were above 0.959 (P < 0.001). For linear equations, the R2 > 0.90. The consistency of diagnoses of BCRL with AC and ULV were above 90% (Kappa > 0.492, P < 0.001). Conclusions AC and ULV are consistent in measurement of BCRL. AC is reliable and easier.

Key words: breast cancer related lymphedema, arm circumference, upper limb volume, diagnosis, evaluation

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