Efficacy Verification in Early Diagnosis and Management of Lymphedema Through Home Body Water Analyzer
Breast cancer is the second most common cancer in women. One in five women who have been treated for breast cancer develop lymphedema. Lymphedema is a very common result of breast cancer and its treatment. Lymphedema is the build-up of fluid in tissues, which results in tissue swelling. The lymph system is a network of lymph vessels, tissues, and organs that carry extra fluid from your cells/tissues throughout the body. If this lymph fluid is not able to flow in the body how it should, there will be swelling which can lead to lymphedema. It can be classified into stages 0 to 3 depending on the severity of the condition. Stages 0 and 1 are reversible, and through early diagnosis and treatment, the recovery to the normal volume and normal skin status of arms can be possible. On the other hand, stage 2 or higher is irreversible, and tissue fibrosis progresses and cannot return to normal skin; therefore, it is important to detect early and start treatment.
This is an observational longitudinal study. Potential participants will be recruited for follow-up after breast cancer surgery. Only patients who fit the inclusion criteria will be considered for participation in the study and contacted by the healthcare provider. Standard of care will be used to guide any treatment needed by participants while they are part of the study.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: Linda Koehler
- Email: koeh0139@umn.edu
Study Locations
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Minnesota
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Minneapolis, Minnesota, United States, 55414
- University of Minnesota
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Adults 18 and over who are diagnosed with unilateral breast cancer.
- Unilateral lumpectomy, unilateral mastectomy, or simultaneous contralateral prophylatic mastectomy within 12 months of enrollment
- Axillary lymph node dissection or sentinel node biopsy within 12 months of enrollment
- Adjuvant or neoadjuvant chemotherapy and/or radiation therapy are allowed
- Breast cancer reconstruction completed or planned is allowed
- Study participants must own or have access to a smartphone, iPhone (IOS version 9.0 or above) or Android phone (Android 8.1 or above).
Exclusion Criteria:
- Bilateral breast cancer
- Previous history of breast cancer prior to current diagnosis.
- Existing diagnosis of lymphedema at the time of enrollment
- Cellulitis or other active infection at the time of enrollment
- Adults who are unable to consent.
- Pregnant women
- Prisoners
- Individuals under the age of 18 years old
- Individuals who are illiterate
- Individuals who lack the capacity to consent
- Non-English speakers
- Individuals with medical implant devices such as pacemakers, or essential support devices such as patient monitoring systems.
Study Plan
How is the study designed?
Design Details
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Study group
breast cancer patients 1-12 months post surgery
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This is an observational study
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Measurement of impedances and extracellular water (ECW) ratio
Time Frame: 3, 6, 9, and 12 months
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Measurement of impedances and extracellular water (ECW) ratio between affected and unaffected sides at initial visit using the clinical and home units (InBody 770 and InBody BWA ON). Inbody BWA 770 Timeline: baseline, 3, 6, 9, 12 month Inbody BWA ON Timeline: 2x/day x 12 months |
3, 6, 9, and 12 months
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Measurement of impedances and extracellular water (ECW) ratio
Time Frame: 3, 6, 9, and 12 months
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Measurement of impedances and extracellular water (ECW) ratio between affected and unaffected sides at 3, 6, 9, and 12 months using the clinical and home units.
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3, 6, 9, and 12 months
|
|
attitudes
Time Frame: 12 months
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Measure qualitative responses through exit interviews with participants to learn their attitudes toward their evaluation with the home BIA home device at 12 months.
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12 months
|
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Bilateral upper extremity shoulder goniometric range of motion measurements
Time Frame: baseline, 3, 6, 9, and 12 months
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measured in degrees
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baseline, 3, 6, 9, and 12 months
|
|
Bilateral upper extremity girth circumference measurements
Time Frame: baseline, 3, 6, 9, and 12 months
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measured in centimeters
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baseline, 3, 6, 9, and 12 months
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|
Impact of lymphedema
Time Frame: baseline, 3, 6, 9, and 12 months
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Lymphedema Life Impact Scale questionnaire LLIS consists of 18 questions divided into physical, functional, and psychosocial domains.
The questions are rated from 0-4 with 0 being no symptoms and 4 being severe symptoms.
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baseline, 3, 6, 9, and 12 months
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Disabilities
Time Frame: baseline, 3, 6, 9, and 12 months
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Disabilities of the Arm, Shoulder and Hand questionnaire The DASH consists of 30 items of disability/symptom scale, each scored from 1 to 5. The final score is converted to a scale of 0 to 100 (higher scores represent higher disability).
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baseline, 3, 6, 9, and 12 months
|
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Skin/tissue assessment
Time Frame: baseline, 3, 6, 9, and 12 months
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Skin/Tissue Assessment: Items assessed include Axillary Web Syndrome (present or absent), presence of visible/palpable lymphedema (location and severity-min/mod/severe), Stemmer's sign (positive or negative).
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baseline, 3, 6, 9, and 12 months
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Linda A Koehler, PhD, University of Minnesota
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- PT-2024-32330
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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