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Pereira de Godoy JM, Pereira de Godoy LM, Pereira de Godoy HJ, Guerreiro Godoy MDF. Reduction of Arm Lymphedema Using Manual Lymphatic Therapy (Godoy Method). Cureus 2022; 14:e28374. [PMID: 36171826 PMCID: PMC9508690 DOI: 10.7759/cureus.28374] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/24/2022] [Indexed: 11/05/2022] Open
Abstract
Background: The manual lymphatic drainage (MLD) technique used during the early stages following surgical treatment of breast cancer can help prevent the progression of clinical lymphedema. Objective: The objective of this study was to evaluate the effectiveness of manual lymphatic therapy (MLT) (Godoy method) in reducing the development of lymphedema immediately after breast cancer treatment. Method: A randomized, blind, crossover, clinical trial was conducted involving 66 women with breast cancer-related lymphedema (BCRL), who underwent one hour of manual physical therapy and one hour of the control procedure. To evaluate the volume before and after the application of the MLT technique, volumetry, a water displacement technique was used. For statistical analysis, the paired t-test with 5% alpha error by Stats Direct 3(StatsDirect Ltd, Wirral, UK) was used. Results: A significant reduction in the volume of the limb was found in all patients (p-value = 0.0001, paired t-test). Conclusion: MLT is effective in reducing lymphedema after breast cancer treatment.
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Moreno Hernández D, Téllez A, Sánchez-Jáuregui T, García CH, García-Solís M, Valdez A. Clinical Hypnosis For Pain Reduction In Breast Cancer Mastectomy: A Randomized Clinical Trial. Int J Clin Exp Hypn 2022; 70:4-15. [PMID: 34928192 DOI: 10.1080/00207144.2022.2003697] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
Surgical procedures for breast cancer treatment are commonly followed by pain. Clinical hypnosis has been shown to be effective in reducing pain during and after surgery, but most of the studies have used analogical scales, which only measure pain intensity. The aim of this study was to evaluate the effect of clinical hypnosis on pain intensity and its interference in daily activities in patients before and after mastectomy. The patients were evaluated using the Brief Pain Inventory. Forty patients were randomly assigned to an experimental or control group and evaluated 5 times: 1) baseline, 2) after clinical hypnosis session, 3) before surgery, 4) 1 day after surgery, and 5) 1 week after the surgery (follow-up). The results showed that after surgery the hypnosis group had a statistically significant reduction in pain intensity, less interference of pain with daily activities, sleep and life enjoyment compared with a control group. Clinical hypnosis may be recommended as a complementary treatment procedure for postmastectomy pain reduction and improving the quality of life of these patients.
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Affiliation(s)
| | - Arnoldo Téllez
- Psychology School, Universidad Autónoma de Nuevo León, Monterrey, México.,Center for Research and Development in Health Sciences, Universidad Autónoma de Nuevo León, Monterrey, México
| | - Teresa Sánchez-Jáuregui
- Psychology School, Universidad Autónoma de Nuevo León, Monterrey, México.,Center for Research and Development in Health Sciences, Universidad Autónoma de Nuevo León, Monterrey, México
| | - Cirilo H García
- Psychology School, Universidad Autónoma de Nuevo León, Monterrey, México
| | - Manuel García-Solís
- Breast Cancer Unit, "Dr. Bernardo Sepúlveda" Metropolitan Hospital, San Nicolás de los Garza, Mexico
| | - Arturo Valdez
- Center for Research and Development in Health Sciences, Universidad Autónoma de Nuevo León, Monterrey, México
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Pereira de Godoy AC, Guerreiro Godoy MDF, Pereira de Godoy LM, Pereira de Godoy HJ, Pereira de Godoy JM. Intensive Treatment for Upper Limb Lymphedema. Cureus 2021; 13:e18026. [PMID: 34540515 PMCID: PMC8448274 DOI: 10.7759/cureus.18026] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/13/2021] [Indexed: 12/19/2022] Open
Abstract
Introduction Breast cancer-related lymphedema (BCRL) is a complication of treatment for breast cancer. The aim of the present study is to report a form of intensive treatment for BCRL. Method A crossover study was conducted involving the evaluation of the change in the volume of the upper limbs of 45 women with BCRL who underwent the intensive Godoy Method® (eight hours/day for five days). Volumetric analyses were performed before and after treatment and differences were analyzed using the paired t-test. Reductions in volume were found in all patients. Results The average reduction was 45.38%. The reduction was between 15% and 20% in 6.67% of the women (n = 3); 20% to 30% in 13.33% (n = 6); 30% to 40% in 20% (n = 9); 40% to 50% in 40% (n = 18); and more than 50% in 20% of the women (n = 9). Conclusion The intensive form of treatment for lymphedema is highly effective in a short period of time, with a 40% to 50% reduction in volume in five days, but requires specialized centers adapted to this form of therapy. This is an option for reference centers in the treatment of lymphedema and the formation of human resources.
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Affiliation(s)
- Ana Carolina Pereira de Godoy
- Pediatric Intensive Care, Hospital da Criança e Maternidade (HCM) Hospital de Base de Sao Jose do Rio Preto, Sao Jose do Rio Preto, BRA.,Pediatric Rehabilitation, Clínica Godoy, Sao Jose do Rio Preto, BRA
| | | | - Lívia Maria Pereira de Godoy
- Dermatology, Instituto Lauro Souza de Lima-Bauru, São José do Rio Preto, BRA.,General Practice, Clínica Godoy, Sao Jose do Rio Preto, BRA
| | - Henrique Jose Pereira de Godoy
- General Surgery, Faculdade de Medicina de Sao Jose do Rio Preto (FAMERP) Clínica Godoy, São José do Rio Preto, BRA.,General Practice, Clínica Godoy, São José do Rio Preto, BRA
| | - Jose Maria Pereira de Godoy
- Cardiology and Cardiovascular Surgery, Faculdade de Medicina de Sao Jose do Rio Preto, Sao Jose do Rio Preto, BRA.,Angiology and Vascular Surgery Service, Clínica Godoy, Sao Jose do Rio Preto, BRA
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de Godoy JMP, de Godoy HJP, Guimarães TD, Godoy MDFG. Treatment for chest pain intercurrence after breast cancer surgery using Godoy's intermittent skin therapy. Int J Health Sci (Qassim) 2021; 15:42-45. [PMID: 34548862 PMCID: PMC8434843] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
Abstract
OBJECTIVE Chest pain and swelling are routinely reported in women after breast cancer treatment and are often not valued by health professionals. In general, these patients suffer and without many effective solutions. The aim of the present study was to report the results of a novel technique for the treatment of chest pain related to breast cancer treatment. METHODS A clinical trial was conducted involving 25 women with chest pain resulting from the treatment of breast cancer and submitted to treatment for lymphedema at the Godoy School in 2018. Godoy's intermittent dermal therapy was performed on the participants 2-4 h/day for 2 days until the occurrence of a significant improvement or complete resolution of pain (measured using the visual analog pain scale). RESULTS All patients reported a significant reduction in pain in the first ½ h of treatment (P < 0.0001, Wilcoxon signed-rank test). Six of the 25 patients (24%) reported the absence of pain after treatment on the 1st day and all (100%) reported the absence of pain at the end of treatment on the 2nd day. CONCLUSION Chronic chest pain in patients having been submitted to treatment for breast cancer can be significantly reduced with Godoy's intermittent skin therapy, achieving standards of normality or near normality within only a few sessions.
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Affiliation(s)
- Jose Maria Pereira de Godoy
- Department of Cardiology and Cardiovascular Surgery, São José do Rio Preto School of Medicine (FAMERP), CNPq (National Council for Research and Development), Sao Jose do Rio Preto, Brazil,Address for correspondence: Jose Maria Pereira de Godoy, Department of Cardiology and Cardiovascular Surgery, São José do Rio Preto School of Medicine (FAMERP), CNPq (National Council for Research and Development), Sao Jose do Rio Preto, Brazil. Tel-Fax: +551732326362. E-mail:
| | - Henrique Jose Pereira de Godoy
- Physician, Medical Degree from Universidade Federal do Mato Grosso-Cuiabá-UFMT and Member Clínica Godoy Research Group, Sao Jose do Rio Preto, Brazil
| | - Tania Dias Guimarães
- Physiotherapist Member Clínica Godoy Research Group, São Jose do Rio Preto, Brazil
| | - Maria de Fatima Guerreiro Godoy
- Occupational Therapist, Professor in Graduate Program of São José do Rio Preto School of Medicine (FAMERP) and Member Clínica Godoy Research Group, Sao Jose do Rio Preto, Brazil
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Ali R, Draman N, Mohd Yusoff SS, Norsa'adah B. Self-Efficacy for Coping with Breast Cancer in North-Eastern State of Peninsular Malaysia. Asian Pac J Cancer Prev 2020; 21:2971-2978. [PMID: 33112556 DOI: 10.31557/apjcp.2020.21.10.2971] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2020] [Indexed: 01/20/2023] Open
Abstract
OBJECTIVE To determine the level of self-efficacy for coping with breast cancer among Malaysian women and its association with socio-demographic and clinical variables. MATERIALS AND METHODS This cross-sectional study involved 168 women diagnosed with breast cancer. The inclusion criteria were age >18 years old, having histologically confirmed breast cancer, and being diagnosed between January 1, 2009 to December 31, 2012. The exclusion criteria were being illiterate and having cognitive impairment. For data collection patients' medical records and the Cancer Behaviour Inventory-Brief (CBI-B) Malay version questionnaire were used. Simple and multiple logistic regression methods were used to analyse the data. RESULTS Patients' mean (SD) age was 51.4 (10.8) years old. Most of the patients were Malays, married, diagnosed at stage 2 breast cancer (41%), and completed their breast cancer treatment. The mean score for self-efficacy for coping with breast cancer was 83.67 (95% CI: 81.87, 85.47). The significant factors positively correlated with self-efficacy for coping with breast cancer were higher educational background and a higher family income. However, factors such as a family history of breast cancer and breast surgery reduced the mean score of self-efficacy for coping with breast cancer. CONCLUSION The mean score of self-efficacy for coping with breast cancer in this study was moderate. Self-efficacy for coping with breast cancer in Hospital Universiti Sains Malaysia was not adequate among sufferers and improvement is needed probably by providing education to these patients.
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Affiliation(s)
- Rodziah Ali
- Department of Family Medicine,School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
| | - Nani Draman
- Department of Family Medicine,School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
| | - Siti Suhaila Mohd Yusoff
- Department of Family Medicine,School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
| | - Bachok Norsa'adah
- Unit Biostatistics & Research Methodology, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
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Gall TL, Bilodeau C. The role of positive and negative religious/spiritual coping in women’s adjustment to breast cancer: A longitudinal study. J Psychosoc Oncol 2019; 38:103-117. [DOI: 10.1080/07347332.2019.1641581] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Wang K, Yee C, Tam S, Drost L, Chan S, Zaki P, Rico V, Ariello K, Dasios M, Lam H, DeAngelis C, Chow E. Prevalence of pain in patients with breast cancer post-treatment: A systematic review. Breast 2018; 42:113-127. [DOI: 10.1016/j.breast.2018.08.105] [Citation(s) in RCA: 64] [Impact Index Per Article: 10.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2018] [Revised: 08/08/2018] [Accepted: 08/27/2018] [Indexed: 12/12/2022] Open
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Hashimoto K, Tsuji A, Takenaka S, Ohmura A, Ueki R, Noma H, Imamura M, Miyoshi Y, Kariya N, Tatara T, Hirose M. C-reactive Protein Level on Postoperative Day One is Associated with Chronic Postsurgical Pain After Mastectomy. Anesth Pain Med 2018; 8:e79331. [PMID: 30250822 PMCID: PMC6139699 DOI: 10.5812/aapm.79331] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2018] [Revised: 06/21/2018] [Accepted: 08/03/2018] [Indexed: 11/16/2022] Open
Abstract
Background C-reactive protein (CRP) is an acute phase reactant released in response to inflammation or tissue injury. Inflammation is one of the pathogenic factors related to transition from acute postsurgical pain (APSP) to chronic postsurgical pain (CPSP). Although several risk factors are reportedly associated with CPSP, the effects of CRP levels on CPSP have not been examined. Objectives The present study investigated the relationship between perioperative risk factors, including CRP levels on postoperative day one and CPSP, in patients undergoing mastectomy. Methods Preoperative anxiety and depression levels were evaluated in female patients undergoing mastectomy under general anesthesia, with or without peripheral nerve block. Patients with chronic preoperative pain and/or preoperative breast pain were excluded. The intensity of postoperative pain was prospectively examined one and six days, and three and twelve months after surgery using a numerical rating scale (NRS). Results The current researchers conducted univariate and multivariate linear regression analyses to explore risk factors for CPSP in 36 patients. Patient demographics, preoperative psychological states, and anesthetic managements showed no relationship with CPSP. On the other hand, pain intensity of APSP and CRP levels on postoperative day one was significantly associated with the pain intensity of CPSP. Conclusions Postoperative CRP level is likely to be associated with the development of CPSP after mastectomy.
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Affiliation(s)
- Kazuma Hashimoto
- Department of Anesthesiology and Pain Medicine, Hyogo College of Medicine, Hyogo, Japan
| | - Ayano Tsuji
- Department of Anesthesiology and Pain Medicine, Hyogo College of Medicine, Hyogo, Japan
| | - Shiho Takenaka
- Department of Anesthesiology and Pain Medicine, Hyogo College of Medicine, Hyogo, Japan
| | - Akimune Ohmura
- Department of Anesthesiology and Pain Medicine, Hyogo College of Medicine, Hyogo, Japan
| | - Ryusuke Ueki
- Department of Anesthesiology and Pain Medicine, Hyogo College of Medicine, Hyogo, Japan
| | - Hideki Noma
- Department of Anesthesia, Takarazuka City Hospital, Hyogo, Japan
| | - Michiko Imamura
- Division of Breast and Endocrine Surgery, Department of Surgery, Hyogo College of Medicine, Hyogo, Japan
| | - Yasuo Miyoshi
- Division of Breast and Endocrine Surgery, Department of Surgery, Hyogo College of Medicine, Hyogo, Japan
| | - Nobutaka Kariya
- Department of Anesthesiology and Pain Medicine, Hyogo College of Medicine, Hyogo, Japan
| | - Tsuneo Tatara
- Department of Anesthesiology and Pain Medicine, Hyogo College of Medicine, Hyogo, Japan
| | - Munetaka Hirose
- Department of Anesthesiology and Pain Medicine, Hyogo College of Medicine, Hyogo, Japan
- Corresponding Author: Department of Anesthesiology and Pain Medicine, Hyogo College of Medicine, 1-1 Mukogawa-cho, Nishinomiya, Hyogo 663-8501, Japan . Tel: +81-798456392, Fax: +81-798456393,
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