Resources

Share this article

Implementation of a BCRL management programme

Chad Ermis, Chirag Shah, Frank Vicini, Justin Riutta, Nayana Dekhne
14 February 2014

<p>Background: Breast cancer-related lymphoedema (BCRL) is a growing concern with the increased survival rate following breast cancer (Smith et al, 2011). However, limited data is available on prospective management designed to reduce the morbidity of BCRL.</p>n<p>Aims: To evaluate the impact of the development of a BCRL programme on the management of women with breast cancer.</p>n<p>Methods: In 2004, a BCRL programme was developed at William Beaumont Hospital (WBH) to increase awareness regarding BCRL and to have more patients evaluated by a BCRL expert prospectively. Indications for patient referral and therapies recommended were evaluated and compared during a five-year time period.</p>n<p>Results: At inception, the majority of cases seen in the clinic focused on existing BCRL (86%), with no patients seen electively (91% of all patients presented with clinically evident lymphoedema). Five years after inception, 25% of all new breast cancers diagnosed at WBH were seen electively in the clinic and significantly more were seen for elective evaluation (18.9% v. 0%, p<0.001).</p>n<p>Conclusions: Five years following the inception of a BCRL clinic, significant increases in elective BCRL visits were seen. Declaration of interest: None.</p>

Free for all healthcare professionals

Sign up to the Wounds Group journals





By clicking ‘Subscribe’, you are agreeing that the Wounds Group are able to email you periodic newsletters. You may unsubscribe from these at any time. Your info is safe with us and we will never sell or trade your details. For information please review our privacy policy.

Are you a healthcare professional? This website is for healthcare professionals only. To continue, please confirm that you are a healthcare professional below.

We use cookies responsibly to ensure that we give you the best experience on our website. If you continue without changing your browser settings, we’ll assume that you are happy to receive all cookies on this website. Read about how we use cookies.

I am not a healthcare professional.