Cochrane · systematic review · CD011433
Surgical interventions for the prevention or treatment of lymphoedema after breast cancer treatment
Markkula, SP, Leung, N, Allen, VB, et al. · Cochrane Database of Systematic Reviews · 2019 · 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
6
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 5 · 83.3%Low 1 · 16.7%Moderate 0 · 0%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
Lymphaticovenular anastomosis compared to standard care for prevention of lymphoedema development
Population: prevention of lymphoedema development
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Development of LE Lymphaticovenular anastomosis vs standard care | RR 0.2 [0.06, 0.63] | 2 studies · 95 participants | Low |
Vascularised lymph node transfer compared to standard care for treatment of arm lymphoedema
Population: treatment of arm lymphoedema
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Reduction of LE (%) Vascularised lymph node transfer vs standard care | MD 39 | 1 study · 36 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Number of infections per year Vascularised lymph node transfer vs standard care | MD 1.22 | 1 study · 36 participants | Very low Downgraded: risk of bias, indirectness |
Pain score (1‐10; where 1 = no pain; 10 = extreme pain) Vascularised lymph node transfer vs standard care | MD 4.16 | 1 study · 36 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Heaviness score (1‐10; where 1 = no heaviness; 10 = extreme heaviness) Vascularised lymph node transfer vs standard care | MD 4.27 | 1 study · 36 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Function score (1‐10; where 1 = good function; 10 = poor function) Vascularised lymph node transfer vs standard care | MD 3.77 | 1 study · 36 participants | Very low Downgraded: risk of bias, imprecision, indirectness |