Table 2

Characteristics of the Included Participantsa

VariableFluoroscopy-Guided MLD Group (n = 65)Traditional MLD Group (n = 64)Placebo MLD Group (n = 65)Total (N = 194)
Body mass index, kg/m2b27.6 (5.3)28.8 (5.6)27.8 (6.1)28.1 (5.7)
Age at baseline measurement, yb60.3 (10.8)61.8 (9.5)61.1 (9.0)61.1 (9.8)
Duration of lymphedema, moc29 (49)28 (73)16 (50)24 (58)
Absolute excessive lymphedema  arm volume, mLc456.7 (390.5)441.8 (464.4)430.0 (510.8)441.0 (442.3)
Relative excessive lymphedema  arm volume, %c22.8 (24.2)21.9 (20.5)21.0 (18.9)21.7 (19.9)
Total pitting score,d out of 18, at  baselinec5 (4)5 (5)4 (6)5 (5)
Patient enrollmente
 UH of Leuven39 (60)36 (56.3)37 (56.9)112 (57.7)
 UH of Antwerp9 (13.8)10 (15.6)16 (24.6)35 (18)
 UH of Saint Pierre Brussels6 (9.2)2 (3.1)2 (3.1)10 (5.2)
 GH of Groeninge Kortrijk7 (10.8)7 (10.9)7 (10.8)23 (11.9)
 Ghent University Hospital  (or Ghent UH)4 (6.2)9 (14.1)3 (4.6)14 (7.2)
Sexe
 Men0 (0.0)1 (1.6)0 (0.0)1 (0.5)
 Women65 (100.0)63 (98.4)65 (100.0)193 (99.5)
Edema on dominant sidee
 No34 (52.3)43 (67.2)32 (49.2)109 (56.2)
 Yes31 (47.7)21 (32.8)33 (50.8)85 (43.8)
Reason for inclusione
 Arm lymphedema61 (93.9)62 (96.9)61 (93.9)184 (94.9)
 Hand lymphedema4 (6.2)2 (3.1)4 (6.2)10 (5.2)
Lymphedema stagee
 I10 (15.4)10 (15.6)12 (18.5)32 (16.5)
 IIa34 (52.3)40 (62.5)35 (53.8)109 (56.2)
 IIb21 (32.3)14 (21.9)18 (27.7)53 (27.3)
Type of surgerye
 Mastectomy36 (55.4)40 (62.5)39 (60)115 (59.3)
 Breast-conserving surgery29 (44.6)24 (37.5)26 (40)79 (40.7)
No. of positive lymph nodese
 012 (18.5)19 (29.7)17 (26.2)48 (24.7)
 1–335 (53.8)24 (37.5)28 (43.1)87 (44.8)
 4–1013 (20.0)11 (17.2)14 (21.5)38 (19.6)
 >105 (7.7)9 (14.1)6 (9.2)20 (10.3)
pTe
 120 (30.7)20 (31.3)17 (26.2)58 (29.9)
 232 (49.2)29 (45.3)43 (66.2)104 (53.6)
 36 (9.2)9 (14.1)3 (4.6)18 (9.3
 47 (10.8)6 (9.3)2 (3.1)14 (7.2)
pNe
 012 (18.5)16 (25)15 (23.1)45 (23.2)
 136 (55.4)32 (50)34 (52.3)99 (51.5)
 211 (16.9)8 (12.5)7 (10.8)26 (13.4)
 36 (9.2)8 (12.5)9 (13.8)23 (11.9)
cMe
 064 (98.5)64 (100.0)63 (96.9)191 (98.5)
 11 (1.5)0 (0.0)2 (3.1)3 (1.5)
Radiotherapye63 (96.9)63 (98.4)63 (96.9)189 (97.4)
Chemotherapye57 (83.1)52 (81.2)61 (93.8)167 (86.1)
Hormonal therapye51 (78.5)53 (82.8)48 (73.8)152 (78.4)
Targeted therapye13 (20.0)12 (18.8)14 (21.5)39 (20.1)
VariableFluoroscopy-Guided MLD Group (n = 65)Traditional MLD Group (n = 64)Placebo MLD Group (n = 65)Total (N = 194)
Body mass index, kg/m2b27.6 (5.3)28.8 (5.6)27.8 (6.1)28.1 (5.7)
Age at baseline measurement, yb60.3 (10.8)61.8 (9.5)61.1 (9.0)61.1 (9.8)
Duration of lymphedema, moc29 (49)28 (73)16 (50)24 (58)
Absolute excessive lymphedema  arm volume, mLc456.7 (390.5)441.8 (464.4)430.0 (510.8)441.0 (442.3)
Relative excessive lymphedema  arm volume, %c22.8 (24.2)21.9 (20.5)21.0 (18.9)21.7 (19.9)
Total pitting score,d out of 18, at  baselinec5 (4)5 (5)4 (6)5 (5)
Patient enrollmente
 UH of Leuven39 (60)36 (56.3)37 (56.9)112 (57.7)
 UH of Antwerp9 (13.8)10 (15.6)16 (24.6)35 (18)
 UH of Saint Pierre Brussels6 (9.2)2 (3.1)2 (3.1)10 (5.2)
 GH of Groeninge Kortrijk7 (10.8)7 (10.9)7 (10.8)23 (11.9)
 Ghent University Hospital  (or Ghent UH)4 (6.2)9 (14.1)3 (4.6)14 (7.2)
Sexe
 Men0 (0.0)1 (1.6)0 (0.0)1 (0.5)
 Women65 (100.0)63 (98.4)65 (100.0)193 (99.5)
Edema on dominant sidee
 No34 (52.3)43 (67.2)32 (49.2)109 (56.2)
 Yes31 (47.7)21 (32.8)33 (50.8)85 (43.8)
Reason for inclusione
 Arm lymphedema61 (93.9)62 (96.9)61 (93.9)184 (94.9)
 Hand lymphedema4 (6.2)2 (3.1)4 (6.2)10 (5.2)
Lymphedema stagee
 I10 (15.4)10 (15.6)12 (18.5)32 (16.5)
 IIa34 (52.3)40 (62.5)35 (53.8)109 (56.2)
 IIb21 (32.3)14 (21.9)18 (27.7)53 (27.3)
Type of surgerye
 Mastectomy36 (55.4)40 (62.5)39 (60)115 (59.3)
 Breast-conserving surgery29 (44.6)24 (37.5)26 (40)79 (40.7)
No. of positive lymph nodese
 012 (18.5)19 (29.7)17 (26.2)48 (24.7)
 1–335 (53.8)24 (37.5)28 (43.1)87 (44.8)
 4–1013 (20.0)11 (17.2)14 (21.5)38 (19.6)
 >105 (7.7)9 (14.1)6 (9.2)20 (10.3)
pTe
 120 (30.7)20 (31.3)17 (26.2)58 (29.9)
 232 (49.2)29 (45.3)43 (66.2)104 (53.6)
 36 (9.2)9 (14.1)3 (4.6)18 (9.3
 47 (10.8)6 (9.3)2 (3.1)14 (7.2)
pNe
 012 (18.5)16 (25)15 (23.1)45 (23.2)
 136 (55.4)32 (50)34 (52.3)99 (51.5)
 211 (16.9)8 (12.5)7 (10.8)26 (13.4)
 36 (9.2)8 (12.5)9 (13.8)23 (11.9)
cMe
 064 (98.5)64 (100.0)63 (96.9)191 (98.5)
 11 (1.5)0 (0.0)2 (3.1)3 (1.5)
Radiotherapye63 (96.9)63 (98.4)63 (96.9)189 (97.4)
Chemotherapye57 (83.1)52 (81.2)61 (93.8)167 (86.1)
Hormonal therapye51 (78.5)53 (82.8)48 (73.8)152 (78.4)
Targeted therapye13 (20.0)12 (18.8)14 (21.5)39 (20.1)
a

cM = clinical metastasis; GH = General Hospital; MLD = manual lymph drainage; pN = pathologic nodal stage; pT = pathologic tumor stage; UH = University Hospitals.

b

Data are reported as mean (SD).

c

Data are reported as median (interquartile range).

d

Calculated as a total score resulting from 9 individual pitting test scores (with 0 = no, 1 = doubt, and 2 = clear) on the edematous limb and trunk.14

e

Data are reported as number.

Table 2

Characteristics of the Included Participantsa

VariableFluoroscopy-Guided MLD Group (n = 65)Traditional MLD Group (n = 64)Placebo MLD Group (n = 65)Total (N = 194)
Body mass index, kg/m2b27.6 (5.3)28.8 (5.6)27.8 (6.1)28.1 (5.7)
Age at baseline measurement, yb60.3 (10.8)61.8 (9.5)61.1 (9.0)61.1 (9.8)
Duration of lymphedema, moc29 (49)28 (73)16 (50)24 (58)
Absolute excessive lymphedema  arm volume, mLc456.7 (390.5)441.8 (464.4)430.0 (510.8)441.0 (442.3)
Relative excessive lymphedema  arm volume, %c22.8 (24.2)21.9 (20.5)21.0 (18.9)21.7 (19.9)
Total pitting score,d out of 18, at  baselinec5 (4)5 (5)4 (6)5 (5)
Patient enrollmente
 UH of Leuven39 (60)36 (56.3)37 (56.9)112 (57.7)
 UH of Antwerp9 (13.8)10 (15.6)16 (24.6)35 (18)
 UH of Saint Pierre Brussels6 (9.2)2 (3.1)2 (3.1)10 (5.2)
 GH of Groeninge Kortrijk7 (10.8)7 (10.9)7 (10.8)23 (11.9)
 Ghent University Hospital  (or Ghent UH)4 (6.2)9 (14.1)3 (4.6)14 (7.2)
Sexe
 Men0 (0.0)1 (1.6)0 (0.0)1 (0.5)
 Women65 (100.0)63 (98.4)65 (100.0)193 (99.5)
Edema on dominant sidee
 No34 (52.3)43 (67.2)32 (49.2)109 (56.2)
 Yes31 (47.7)21 (32.8)33 (50.8)85 (43.8)
Reason for inclusione
 Arm lymphedema61 (93.9)62 (96.9)61 (93.9)184 (94.9)
 Hand lymphedema4 (6.2)2 (3.1)4 (6.2)10 (5.2)
Lymphedema stagee
 I10 (15.4)10 (15.6)12 (18.5)32 (16.5)
 IIa34 (52.3)40 (62.5)35 (53.8)109 (56.2)
 IIb21 (32.3)14 (21.9)18 (27.7)53 (27.3)
Type of surgerye
 Mastectomy36 (55.4)40 (62.5)39 (60)115 (59.3)
 Breast-conserving surgery29 (44.6)24 (37.5)26 (40)79 (40.7)
No. of positive lymph nodese
 012 (18.5)19 (29.7)17 (26.2)48 (24.7)
 1–335 (53.8)24 (37.5)28 (43.1)87 (44.8)
 4–1013 (20.0)11 (17.2)14 (21.5)38 (19.6)
 >105 (7.7)9 (14.1)6 (9.2)20 (10.3)
pTe
 120 (30.7)20 (31.3)17 (26.2)58 (29.9)
 232 (49.2)29 (45.3)43 (66.2)104 (53.6)
 36 (9.2)9 (14.1)3 (4.6)18 (9.3
 47 (10.8)6 (9.3)2 (3.1)14 (7.2)
pNe
 012 (18.5)16 (25)15 (23.1)45 (23.2)
 136 (55.4)32 (50)34 (52.3)99 (51.5)
 211 (16.9)8 (12.5)7 (10.8)26 (13.4)
 36 (9.2)8 (12.5)9 (13.8)23 (11.9)
cMe
 064 (98.5)64 (100.0)63 (96.9)191 (98.5)
 11 (1.5)0 (0.0)2 (3.1)3 (1.5)
Radiotherapye63 (96.9)63 (98.4)63 (96.9)189 (97.4)
Chemotherapye57 (83.1)52 (81.2)61 (93.8)167 (86.1)
Hormonal therapye51 (78.5)53 (82.8)48 (73.8)152 (78.4)
Targeted therapye13 (20.0)12 (18.8)14 (21.5)39 (20.1)
VariableFluoroscopy-Guided MLD Group (n = 65)Traditional MLD Group (n = 64)Placebo MLD Group (n = 65)Total (N = 194)
Body mass index, kg/m2b27.6 (5.3)28.8 (5.6)27.8 (6.1)28.1 (5.7)
Age at baseline measurement, yb60.3 (10.8)61.8 (9.5)61.1 (9.0)61.1 (9.8)
Duration of lymphedema, moc29 (49)28 (73)16 (50)24 (58)
Absolute excessive lymphedema  arm volume, mLc456.7 (390.5)441.8 (464.4)430.0 (510.8)441.0 (442.3)
Relative excessive lymphedema  arm volume, %c22.8 (24.2)21.9 (20.5)21.0 (18.9)21.7 (19.9)
Total pitting score,d out of 18, at  baselinec5 (4)5 (5)4 (6)5 (5)
Patient enrollmente
 UH of Leuven39 (60)36 (56.3)37 (56.9)112 (57.7)
 UH of Antwerp9 (13.8)10 (15.6)16 (24.6)35 (18)
 UH of Saint Pierre Brussels6 (9.2)2 (3.1)2 (3.1)10 (5.2)
 GH of Groeninge Kortrijk7 (10.8)7 (10.9)7 (10.8)23 (11.9)
 Ghent University Hospital  (or Ghent UH)4 (6.2)9 (14.1)3 (4.6)14 (7.2)
Sexe
 Men0 (0.0)1 (1.6)0 (0.0)1 (0.5)
 Women65 (100.0)63 (98.4)65 (100.0)193 (99.5)
Edema on dominant sidee
 No34 (52.3)43 (67.2)32 (49.2)109 (56.2)
 Yes31 (47.7)21 (32.8)33 (50.8)85 (43.8)
Reason for inclusione
 Arm lymphedema61 (93.9)62 (96.9)61 (93.9)184 (94.9)
 Hand lymphedema4 (6.2)2 (3.1)4 (6.2)10 (5.2)
Lymphedema stagee
 I10 (15.4)10 (15.6)12 (18.5)32 (16.5)
 IIa34 (52.3)40 (62.5)35 (53.8)109 (56.2)
 IIb21 (32.3)14 (21.9)18 (27.7)53 (27.3)
Type of surgerye
 Mastectomy36 (55.4)40 (62.5)39 (60)115 (59.3)
 Breast-conserving surgery29 (44.6)24 (37.5)26 (40)79 (40.7)
No. of positive lymph nodese
 012 (18.5)19 (29.7)17 (26.2)48 (24.7)
 1–335 (53.8)24 (37.5)28 (43.1)87 (44.8)
 4–1013 (20.0)11 (17.2)14 (21.5)38 (19.6)
 >105 (7.7)9 (14.1)6 (9.2)20 (10.3)
pTe
 120 (30.7)20 (31.3)17 (26.2)58 (29.9)
 232 (49.2)29 (45.3)43 (66.2)104 (53.6)
 36 (9.2)9 (14.1)3 (4.6)18 (9.3
 47 (10.8)6 (9.3)2 (3.1)14 (7.2)
pNe
 012 (18.5)16 (25)15 (23.1)45 (23.2)
 136 (55.4)32 (50)34 (52.3)99 (51.5)
 211 (16.9)8 (12.5)7 (10.8)26 (13.4)
 36 (9.2)8 (12.5)9 (13.8)23 (11.9)
cMe
 064 (98.5)64 (100.0)63 (96.9)191 (98.5)
 11 (1.5)0 (0.0)2 (3.1)3 (1.5)
Radiotherapye63 (96.9)63 (98.4)63 (96.9)189 (97.4)
Chemotherapye57 (83.1)52 (81.2)61 (93.8)167 (86.1)
Hormonal therapye51 (78.5)53 (82.8)48 (73.8)152 (78.4)
Targeted therapye13 (20.0)12 (18.8)14 (21.5)39 (20.1)
a

cM = clinical metastasis; GH = General Hospital; MLD = manual lymph drainage; pN = pathologic nodal stage; pT = pathologic tumor stage; UH = University Hospitals.

b

Data are reported as mean (SD).

c

Data are reported as median (interquartile range).

d

Calculated as a total score resulting from 9 individual pitting test scores (with 0 = no, 1 = doubt, and 2 = clear) on the edematous limb and trunk.14

e

Data are reported as number.

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