Lymphedema Prevention in Breast Cancer

NCT ID: NCT04112966

Last Updated: 2019-10-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-05-31

Study Completion Date

2016-10-31

Brief Summary

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OBJECTIVE: To find out the effectiveness of early application of Manual Lymph Drainage in the prevention of upper limb lymphedema after breast surgery and axillary lymphadenectomy in women with breast cancer.

DESIGN: Randomized, controlled and single blinded clinical trial. Five years duration. Patients were randomly assigned to one of these groups: Experimental group: Manual Lymph Drainage + training in means of prevention; Control group: just training in means of prevention. In both groups several physical therapy assessments were undertaken: 1st before surgery; 2nd 3 month after surgery; 4th, 5th, 6th, 7th, 8th and 9th after 6, 12, 24, 36, 48 and 60 months.

SUBJECTS: Women with breast cancer treated with breast surgery including axillary lymphadenectomy in Provincial Hospital of Toledo, provided that there is no contraindication for manual lymph drainage, and after reading, understanding and freely signing an informed consent form.

SAMPLE SIZE: A total of 150 subjects were included in the study (57 subjects in experimental group and 93 in control group), assuming a 20% of drop-outs and at least 25% reduction, with a statistical power of 75%.

DATA ANALYSIS: To find out the effectiveness of intervention the investigators will compare the rate of lymphedema in both groups by means of a logistic regression analysis, in which the main factor is the intervention group. Other factors aimed to control the effect of the intervention will also be included. In order to compare the rate of appearance of lymphedema in both groups, a survival analysis will also be included.

Detailed Description

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Conditions

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Breast Cancer Lymphedema

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Early Manual Lymph Drainage

14 sessions of manual lymphatic drainage technique in the three months following surgery and received health education on the prevention of lymphedema.

Group Type EXPERIMENTAL

14 sessions of manual lymphatic drainage technique

Intervention Type PROCEDURE

Early manual lymph drainage including 14 sessions of manual lymphatic drainage technique in the three months following surgery and health education for lymphedema prevention including verbal instructions and written materials.

the health education

Intervention Type OTHER

The health education for lymphedema prevention.

Health education for lymphedema prevention

Only the health education for lymphedema prevention.

Group Type OTHER

the health education

Intervention Type OTHER

The health education for lymphedema prevention.

Interventions

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14 sessions of manual lymphatic drainage technique

Early manual lymph drainage including 14 sessions of manual lymphatic drainage technique in the three months following surgery and health education for lymphedema prevention including verbal instructions and written materials.

Intervention Type PROCEDURE

the health education

The health education for lymphedema prevention.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Clinical diagnosis of breast cancer.
* Undergoing unilateral surgery with axillary lymph-node dissection.

Exclusion Criteria

* Bilateral breast cancer.
* Systemic disease.
* Locoregional recurrence.
* Any contraindication to physical therapy.
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Castilla-La Mancha Health Service

OTHER

Sponsor Role collaborator

University of Castilla-La Mancha

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Helena Romay Barrero, Prof. PhD.

Role: PRINCIPAL_INVESTIGATOR

University of Castilla-La Mancha

Locations

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Provincial Hospital

Toledo, , Spain

Site Status

Countries

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Spain

Other Identifiers

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ECA-DLM-5

Identifier Type: -

Identifier Source: org_study_id

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