{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T00:48:16Z","timestamp":1787618896952,"version":"build-2736575974"},"reference-count":46,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,10,28]],"date-time":"2024-10-28T00:00:00Z","timestamp":1730073600000},"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":[[2025,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aims to evaluate the association between body mass index (BMI) and the incidence of breast cancer\u2010related lymphedema (BCRL).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective cohort study analyzed data from 1464 breast cancer patients treated at The Third Hospital of Nanchang between 2018 and 2021. Patients were categorized based on BMI (&lt;25, 25 to &lt;\u200930, \u2265\u200930\u2009kg\/m\u00b2). Variables such as axillary lymph node dissection, infections, radiotherapy, and comorbidities were taken into account.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The incidence of BCRL was 23.4%. Higher BMI was associated with increased risk of BCRL, with significant incidence rates observed at 1, 2, and 3 years in the higher BMI groups. Multivariate analysis confirmed BMI as an independent risk factor for BCRL.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Elevated BMI is associated with increased BCRL risk and decreased BCRL\u2010free survival, underscoring the significance of weight management in breast cancer care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jso.27969","type":"journal-article","created":{"date-parts":[[2024,10,28]],"date-time":"2024-10-28T03:34:12Z","timestamp":1730086452000},"page":"587-597","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Body Mass Index and Breast Cancer\u2010Related Lymphedema: A Retrospective Cohort Study"],"prefix":"10.1002","volume":"131","author":[{"given":"QiHua","family":"Jiang","sequence":"first","affiliation":[{"name":"Department of Breast Surgery Third Hospital of Nanchang Nanchang City Jiangxi Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-1926-7976","authenticated-orcid":false,"given":"Hai","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of General Surgery Third Hospital of Nanchang Nanchang City Jiangxi Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Liao","sequence":"additional","affiliation":[{"name":"Department of Breast Surgery Third Hospital of Nanchang Nanchang City Jiangxi Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peng","family":"Duan","sequence":"additional","affiliation":[{"name":"Jiangxi Province Key Laboratory of Breast Diseases Third Hospital of Nanchang Nanchang City Jiangxi Province China"},{"name":"Department of Endocrinology Third Hospital of Nanchang Nanchang City Jiangxi Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-5062-0141","authenticated-orcid":false,"given":"ZhiHua","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Breast Surgery Third Hospital of Nanchang Nanchang City Jiangxi Province China"},{"name":"Jiangxi Province Key Laboratory of Breast Diseases Third Hospital of Nanchang Nanchang City Jiangxi Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-7553-7261","authenticated-orcid":false,"given":"JunTao","family":"Tan","sequence":"additional","affiliation":[{"name":"Jiangxi Province Key Laboratory of Breast Diseases Third Hospital of Nanchang Nanchang City Jiangxi Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,10,28]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-022-02084-2"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.21.02567"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.34377"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-022-07508-2"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.24373"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2018.08.185"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.breast.2017.01.009"},{"issue":"2","key":"e_1_2_11_9_1","article-title":"Lymphedema Following Breast Cancer: The Importance of Surgical Methods and Obesity","volume":"3","author":"J Tsai R.","year":"2018","journal-title":"Frontiers in Women's Health"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2019.1742"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-09-1245"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.4048\/jbc.2012.15.4.449"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12282-020-01088-x"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-023-07721-7"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1089\/lrb.2019.0009"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10549-013-2715-7"},{"key":"e_1_2_11_17_1","unstructured":"WHO \"Physical Status: The Use and Interpretation of Anthropometry.\" Report of a WHO Expert Committee World Health Organization Technical Report Series 854 (1995): 1\u2013452."},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1089\/lrb.2005.3.208"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0035-1544182"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-4741.2009.00878.x"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.2010.231"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-011-1089-9"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-012-0251-9"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13058-014-0414-x"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12282-018-0830-3"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1089\/lrb.2016.0045"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijc.IJC_570_17"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/pzaa162"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41416-020-0844-4"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-021-09947-3"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.4048\/jbc.2021.24.e9"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.15005"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1089\/lrb.2022.0058"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000005952"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1109\/JBHI.2023.3280196"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoncol.2022.1628"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.34489"},{"key":"e_1_2_11_38_1","doi-asserted-by":"crossref","unstructured":"J.Boyages A. E.Cave D.Naidoo andC. C. L.Ee \"Weight Gain and Lymphedema After Breast Cancer Treatment: Avoiding the Catch\u201022?\" Lymphatic Research and Biology 4 no. 20 (2022): 409\u2013416.","DOI":"10.1089\/lrb.2020.0048"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-018-4388-6"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMc1201684"},{"key":"e_1_2_11_41_1","doi-asserted-by":"publisher","DOI":"10.1152\/ajpheart.00244.2014"},{"key":"e_1_2_11_42_1","doi-asserted-by":"publisher","DOI":"10.1152\/ajpheart.00598.2014"},{"key":"e_1_2_11_43_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3182450b47"},{"key":"e_1_2_11_44_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.33819"},{"key":"e_1_2_11_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.breast.2020.05.007"},{"key":"e_1_2_11_46_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000002683"},{"key":"e_1_2_11_47_1","doi-asserted-by":"publisher","DOI":"10.1055\/a-2253-9859"}],"container-title":["Journal of Surgical Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jso.27969","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,15]],"date-time":"2025-11-15T16:37:36Z","timestamp":1763224656000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jso.27969"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,28]]},"references-count":46,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,3]]}},"alternative-id":["10.1002\/jso.27969"],"URL":"https:\/\/doi.org\/10.1002\/jso.27969","archive":["Portico"],"relation":{},"ISSN":["0022-4790","1096-9098"],"issn-type":[{"value":"0022-4790","type":"print"},{"value":"1096-9098","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,28]]},"assertion":[{"value":"2024-05-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-12","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-28","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}