Supportive Care in Cancer

, Volume 13, Issue 11, pp 904–911

Quality of life and a symptom cluster associated with breast cancer treatment-related lymphedema

Authors

    • Vanderbilt University School of Nursing
Original Article

DOI: 10.1007/s00520-005-0810-y

Cite this article as:
Ridner, S.H. Support Care Cancer (2005) 13: 904. doi:10.1007/s00520-005-0810-y

Abstract

Objectives

The aim of this study was to compare quality of life and symptoms between breast cancer survivors who have developed and undergone treatment for chronic lymphedema with those who have not developed lymphedema.

Patients and methods

The cross-sectional, mixed-methods design included 64 breast cancer survivors with lymphedema and 64 breast cancer survivors without lymphedema. Variables assessed quantitatively included sociodemographic information, medical data, body mass index (BMI), arm extracellular fluid volume, quality of life (QOL), and physical and emotional symptoms. For the qualitative component, individuals with lymphedema responded in writing to the question: During the past week what other difficulties have you experienced because of your lymphedema?

Results

Compared with those without lymphedema, breast cancer survivors with lymphedema reported poorer QOL. A symptom cluster that included alteration in limb sensation, loss of confidence in body, decreased physical activity, fatigue, and psychological distress was identified. Perception of limb size influenced the cumulative symptom experience more than objective arm volume. Qualitative data revealed multiple QOL, physical health, and psychological concerns. BMI correlated with multiple outcomes.

Conclusions

Findings suggest that current lymphedema treatments, although beneficial, may not provide complete relief of symptoms associated with lymphedema and complementary interventions are needed. The poorer QOL in breast cancer survivors with lymphedema may relate to the presence of an untreated symptom cluster.

Keywords

Breast cancerBody mass indexLymphedemaQuality of lifeSymptom cluster

Copyright information

© Springer-Verlag 2005