Cochrane · systematic review · CD009765
Conservative interventions for preventing clinically detectable upper‐limb lymphoedema in patients who are at risk of developing lymphoedema after breast cancer therapy
Stuiver, MM, ten Tusscher, MR, Agasi‐Idenburg, CS, et al. · Cochrane Database of Systematic Reviews · 2015 · Cochrane Library
Breast CancerAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
15
current version
GRADE rated
15
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 10 · 66.7%Low 4 · 26.7%Moderate 1 · 6.7%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Early physiotherapy including MLD for patients at risk for secondary upper limb lymphoedema after breast cancer treatment
Population: patients at risk for secondary upper limb lymphoedema after breast cancer treatment
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Time to event (Lymphoedema) volumetry | no estimate extracted | 2 studies · 270 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Lymphoedema ‐ short term | no estimate extracted | 2 studies · 226 participants | Very low Downgraded: risk of bias, imprecision |
Lymphoedema ‐ medium term | no estimate extracted | 4 studies · 385 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Shoulder range of motion for abduction ‐ short term | no estimate extracted | 2 studies · 183 participants | Low Downgraded: risk of bias, imprecision |
Shoulder range of motion for forward flexion ‐ short term | no estimate extracted | 3 studies · 183 participants | Low Downgraded: risk of bias, imprecision |
Shoulder range of motion for abduction ‐ medium term | no estimate extracted | 3 studies · 183 participants | Very low Downgraded: risk of bias, imprecision |
Shoulder range of motion for forward flexion ‐ medium term | no estimate extracted | 3 studies · 183 participants | Very low Downgraded: risk of bias, imprecision |
Early shoulder mobilising exercises compared to delayed shoulder mobilising exercises for patient surgically treated for breast cancer
Population: patients at risk for secondary upper limb lymphoedema after breast cancer treatment
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Lymphoedema ‐ medium term Early shoulder mobilising exercises vs delayed shoulder mobilising exercises | RR 1.69 [0.94, 3.01] | 3 studies · 378 participants | Very low Downgraded: risk of bias, imprecision |
Shoulder range of motion for abduction ‐ short term Early shoulder mobilising exercises vs delayed shoulder mobilising exercises | no estimate extracted | 2 studies · 262 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Shoulder range of motion for abduction ‐ medium term Early shoulder mobilising exercises vs delayed shoulder mobilising exercises | no estimate extracted | 3 studies · 378 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Shoulder range of motion for forward flexion ‐ short term Early shoulder mobilising exercises vs delayed shoulder mobilising exercises | no estimate extracted | 2 studies · 262 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Shoulder range of motion for forward flexion ‐ medium term Early shoulder mobilising exercises vs delayed shoulder mobilising exercises | no estimate extracted | 3 studies · 321 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Shoulder range of motion for external rotation ‐ medium term Early shoulder mobilising exercises vs delayed shoulder mobilising exercises | no estimate extracted | 3 studies · 378 participants | Very low Downgraded: risk of bias, imprecision |
Shoulder range of motion for internal rotation ‐ medium term Early shoulder mobilising exercises vs delayed shoulder mobilising exercises | no estimate extracted | 3 studies · 378 participants | Low Downgraded: risk of bias, imprecision |
Progressive resistance exercise for patients at risk for secondary upper limb lymphoedema after breast cancer treatment
Population: patients at risk for secondary upper limb lymphoedema after breast cancer treatment
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Lymphoedema Volumetry | RR 0.58 [0.3, 1.13] | 2 studies · 351 participants | Moderate Downgraded: risk of bias, imprecision |