The influence of non-cancer-related risk factors on the development of cancer-related lymphedema: a rapid review.


Journal

Medical oncology (Northwood, London, England)
ISSN: 1559-131X
Titre abrégé: Med Oncol
Pays: United States
ID NLM: 9435512

Informations de publication

Date de publication:
14 Oct 2024
Historique:
received: 25 06 2024
accepted: 09 08 2024
medline: 14 10 2024
pubmed: 14 10 2024
entrez: 14 10 2024
Statut: epublish

Résumé

Extensive research supports an evidence-base for cancer treatment-related risk factors, including extent of lymph node dissection and use of radiotherapy, as contributing to secondary lymphedema. Additionally, comorbidities, such as higher body mass index, and vascular-related conditions are identified to further augment risk. While social determinants of health (SDOH) and socioeconomic factors are widely regarded as influencing an individual's healthcare outcomes, including cancer risk and survival, these factors have not been explored as risk factors for developing secondary lymphedema. A rapid literature review explored the current evidence for SDOH as risk factors for lymphedema. Studies that were published over the last 10 years and that specifically analyzed social factors as variables associated with lymphedema were included. Studies that only characterized the social determinants of the study population were not included. Forty-nine studies were identified through a rapid literature review, and 13 studies that expressly analyzed social determinants as risk factors for secondary lymphedema were reviewed and extracted. All studies were conducted in patients with breast cancer-related lymphedema. Social risk factors included race, educational level, insurance type, and income level. These are consistent with the socioeconomic inequalities related to cancer survival. SDOH may influence the risk of developing cancer treatment-related health conditions like secondary lymphedema. Research trials studying cancer treatment-related conditions should collect consistent and robust data across social, behavioral, environmental, and economic domains and should analyze these variables to understand their contribution to study endpoints. Risk prediction modeling could be a future pathway to better incorporate social determinants, along with medical and co-morbidity data, to holistically understand lymphedema risk.

Identifiants

pubmed: 39400761
doi: 10.1007/s12032-024-02474-7
pii: 10.1007/s12032-024-02474-7
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

274

Informations de copyright

© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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Auteurs

Nicole L Stout (NL)

Department of Cancer Prevention and Control, School of Medicine, West Virginia University, Morgantown, WV, USA. Nicole.stout@hsc.wvu.edu.
Department of Health Policy, Management, and Leadership, School of Public Health, West Virginia University, Morgantown, WV, USA. Nicole.stout@hsc.wvu.edu.
Department of Hematology and Oncology, School of Medicine, West Virginia University Cancer Institute, PO Box 9350, Morgantown, WV, 26506, USA. Nicole.stout@hsc.wvu.edu.

McKinzey Dierkes (M)

Department of Cancer Prevention and Control, School of Medicine, West Virginia University, Morgantown, WV, USA.

Jill M Oliveri (JM)

College of Medicine and Comprehensive Cancer Center, The Ohio State University, Columbus, OH, USA.

Stanley Rockson (S)

Division of Cardiovascular Medicine, Stanford Center for Lymphatic and Venous Disorders, Stanford University School of Medicine, Stanford, CA, USA.

Electra D Paskett (ED)

College of Medicine and Comprehensive Cancer Center, The Ohio State University, Columbus, OH, USA.
College of Public Health, The Ohio State University, Columbus, OH, USA.

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