{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T23:22:13Z","timestamp":1783466533648,"version":"3.55.0"},"reference-count":30,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,6,18]],"date-time":"2019-06-18T00:00:00Z","timestamp":1560816000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Surgical Oncology"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>This study aimed to identify the cognitive factors associated with the professional healthcare advice (PHCA) seeking behavior in breast cancer\u2010related lymphedema (BCRL).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From January 2018 to December 2018, patients with BCRL were prospectively enrolled for a cross\u2010sectional survey of lymphedema\u2010related perceived risks, lymphedema quality of life (LYMQoL), knowledge scale of lymphedema, and PHCA behavior at first clinical visit, 3 and 6 months postbaseline.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 180 patients including 100 (55.6%) patients underwent a vascularized lymph node transfer\u00a0(VLNT) and 80 (44.4%) patients received compressive decongestive therapy (CDT) were enrolled. At 6 months of follow\u2010up, mean episodes of cellulitis (from 2.2 to 0.2 times\/year), mean circumferential difference (7.8 \u00b1 3.9%), wearing compression garments (from 29% to 0 %) in the VLNT group were statistically reduced than those in the CDT group (<jats:italic>p<\/jats:italic> = .01, &lt;.01, and &lt;.01, respectively). The overall LYMQoL had statistical improvement in VLNT group (<jats:italic>p<\/jats:italic> &lt; .01). The short symptom duration, greater education level, less episodes of cellulitis, and higher knowledge of lymphedema were associated with increased adherence to PHCA (<jats:italic>p<\/jats:italic> = .03, .03, .02, and .01, respectively).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>BCRL patients who sought PHCA had great control of lymphedema and improve their quality of life.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jso.25523","type":"journal-article","created":{"date-parts":[[2019,6,18]],"date-time":"2019-06-18T07:44:09Z","timestamp":1560843849000},"page":"67-74","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Factors associated with professional healthcare advice seeking in breast cancer\u2013related 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