{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T11:37:51Z","timestamp":1789472271603,"version":"build-2803163510"},"reference-count":21,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,6,14]],"date-time":"2024-06-14T00:00:00Z","timestamp":1718323200000},"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":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Objectives<\/jats:title><jats:p>We evaluated the unmet breast cancer\u2010related lymphedema\u00a0(BCRL) treatment and education needs at New England's largest safety\u2010net hospital serving a diverse population by assessing prevalence, risk factors, and treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a retrospective cohort study examining breast cancer surgery patients from September 2016 to September 2021. The primary outcome was BCRL diagnosis. Secondary outcomes included BCRL risk factors, and physical and occupational therapy (PT\/OT)\u00a0referral frequency and completion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 639 patients, 17% of patients had documented BCRL, which was significantly associated with axillary lymph node dissection (ALND).\u00a0There were no racial, insurance, breast radiation, or BMI category differences between patients with and without a BCRL diagnosis. Of those with BCRL, 58% received a PT\/OT\u00a0referral, and 56% completed their referral. There were no racial, insurance, or BMI category differences between those who received a PT\/OT\u00a0referral and those who did not.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In our high\u2010risk population, rates of documented BCRL were higher than expected, approaching rates of ALND, despite the majority undergoing sentinel lymph node biopsy (SLNB).\u00a0PT\/OT\u00a0referral and completion rates were low, concerning for an unmet BCRL treatment and education need. No disparities in care delivery were seen, but a program that addresses treatment gaps and ensures accessible and patient\u2010centered BCRL care is urgently needed.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jso.27735","type":"journal-article","created":{"date-parts":[[2024,6,14]],"date-time":"2024-06-14T04:53:57Z","timestamp":1718340837000},"page":"204-209","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Assessing breast cancer\u2010related lymphedema screening and treatment gaps in a safety\u2010net hospital"],"prefix":"10.1002","volume":"130","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8749-8523","authenticated-orcid":false,"given":"Sara","family":"Young","sequence":"first","affiliation":[{"name":"Department of Surgery Boston Medical Center Boston Massachusetts USA"},{"name":"Department of Medicine Boston University Chobanian &amp; Avedisian School of Medicine Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alaina","family":"Geary","sequence":"additional","affiliation":[{"name":"Department of Surgery Boston Medical Center Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xuewei","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Surgery Boston Medical Center Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly","family":"Kenzik","sequence":"additional","affiliation":[{"name":"Department of Surgery Boston Medical Center Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Cassidy","sequence":"additional","affiliation":[{"name":"Department of Surgery Boston Medical Center Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robin","family":"Newman","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy Boston University Sargent College Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea L.","family":"Merrill","sequence":"additional","affiliation":[{"name":"Department of Surgery Boston Medical Center Boston Massachusetts 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