A Risk Factor Analysis of Axillary Web Syndrome in Patients After Breast Cancer Surgery: A Single Center Study in Korea

Objective To investigate the prevalence and risk factors of axillary web syndrome (AWS) in Korean patients. Methods This retrospective study included a total of 189 women who underwent breast cancer surgery and received physical therapy between September 2019 and August 2020. We analyzed AWS and the...

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Main Authors: Sangah Jeong, Byung Joo Song, Jiyoung Rhu, Cheolki Kim, Sun Im, Geun-Young Park
Format: Article
Language:English
Published: Korean Academy of Rehabilitation Medicine 2021-10-01
Series:Annals of Rehabilitation Medicine
Subjects:
Online Access:http://www.e-arm.org/upload/pdf/arm-21092.pdf
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author Sangah Jeong
Byung Joo Song
Jiyoung Rhu
Cheolki Kim
Sun Im
Geun-Young Park
author_facet Sangah Jeong
Byung Joo Song
Jiyoung Rhu
Cheolki Kim
Sun Im
Geun-Young Park
author_sort Sangah Jeong
collection DOAJ
description Objective To investigate the prevalence and risk factors of axillary web syndrome (AWS) in Korean patients. Methods This retrospective study included a total of 189 women who underwent breast cancer surgery and received physical therapy between September 2019 and August 2020. We analyzed AWS and the correlation between the patients’ demographics, underlying disease, type of surgery and chemotherapy or radiation therapy, and lymphedema. Results The prevalence of AWS was found to be 30.6%. In the univariable analysis, age, chemotherapy, and hypertension were related to AWS. Finally, the multivariable logistic regression revealed that chemotherapy (odds ratio [OR]=2.84; 95% confidence interval [CI], 1.46–5.53) and HTN (OR=2.72; 95% CI, 1.18–6.30) were the strongest risk factors of AWS. Conclusion To the best of our knowledge, this was the first study that explored the risk factors of AWS in a Korean population after breast cancer surgery. As almost one-third of patients suffer from AWS after breast cancer surgery, it is essential to closely monitor the development of AWS in patients with hypertension or undergoing chemotherapy.
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spelling doaj.art-ff0b346faf54421b95f712f4e755f4912023-09-02T07:22:12ZengKorean Academy of Rehabilitation MedicineAnnals of Rehabilitation Medicine2234-06452234-06532021-10-0145540140910.5535/arm.210924240A Risk Factor Analysis of Axillary Web Syndrome in Patients After Breast Cancer Surgery: A Single Center Study in KoreaSangah Jeong0Byung Joo Song1Jiyoung Rhu2Cheolki Kim3Sun Im4Geun-Young Park5 Department of Rehabilitation Medicine, Bucheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Bucheon, Korea Department of Surgery, Uijeongbu Eulji Medical Center, Eulji University, Uijeongbu, Korea Department of Surgery, Bucheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Bucheon, Korea Department of Rehabilitation Medicine, Bucheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Bucheon, Korea Department of Rehabilitation Medicine, Bucheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Bucheon, Korea Department of Rehabilitation Medicine, Bucheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Bucheon, KoreaObjective To investigate the prevalence and risk factors of axillary web syndrome (AWS) in Korean patients. Methods This retrospective study included a total of 189 women who underwent breast cancer surgery and received physical therapy between September 2019 and August 2020. We analyzed AWS and the correlation between the patients’ demographics, underlying disease, type of surgery and chemotherapy or radiation therapy, and lymphedema. Results The prevalence of AWS was found to be 30.6%. In the univariable analysis, age, chemotherapy, and hypertension were related to AWS. Finally, the multivariable logistic regression revealed that chemotherapy (odds ratio [OR]=2.84; 95% confidence interval [CI], 1.46–5.53) and HTN (OR=2.72; 95% CI, 1.18–6.30) were the strongest risk factors of AWS. Conclusion To the best of our knowledge, this was the first study that explored the risk factors of AWS in a Korean population after breast cancer surgery. As almost one-third of patients suffer from AWS after breast cancer surgery, it is essential to closely monitor the development of AWS in patients with hypertension or undergoing chemotherapy.http://www.e-arm.org/upload/pdf/arm-21092.pdfaxillary web syndromebreast neoplasmsrisk factorsprevalencesurgery
spellingShingle Sangah Jeong
Byung Joo Song
Jiyoung Rhu
Cheolki Kim
Sun Im
Geun-Young Park
A Risk Factor Analysis of Axillary Web Syndrome in Patients After Breast Cancer Surgery: A Single Center Study in Korea
Annals of Rehabilitation Medicine
axillary web syndrome
breast neoplasms
risk factors
prevalence
surgery
title A Risk Factor Analysis of Axillary Web Syndrome in Patients After Breast Cancer Surgery: A Single Center Study in Korea
title_full A Risk Factor Analysis of Axillary Web Syndrome in Patients After Breast Cancer Surgery: A Single Center Study in Korea
title_fullStr A Risk Factor Analysis of Axillary Web Syndrome in Patients After Breast Cancer Surgery: A Single Center Study in Korea
title_full_unstemmed A Risk Factor Analysis of Axillary Web Syndrome in Patients After Breast Cancer Surgery: A Single Center Study in Korea
title_short A Risk Factor Analysis of Axillary Web Syndrome in Patients After Breast Cancer Surgery: A Single Center Study in Korea
title_sort risk factor analysis of axillary web syndrome in patients after breast cancer surgery a single center study in korea
topic axillary web syndrome
breast neoplasms
risk factors
prevalence
surgery
url http://www.e-arm.org/upload/pdf/arm-21092.pdf
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