{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T05:22:27Z","timestamp":1788412947890,"version":"build-2803163510"},"reference-count":50,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2022,7,26]],"date-time":"2022-07-26T00:00:00Z","timestamp":1658793600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,7,26]],"date-time":"2022-07-26T00:00:00Z","timestamp":1658793600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100012940","name":"Universit\u00e4tsklinikum T\u00fcbingen","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100012940","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Arch Gynecol Obstet"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>Surgery and radiotherapy as part of breast cancer treatment can lead to lymphoedema of the upper extremities (breast cancer-related lymphoedema\u2009=\u2009BCRL) and reduce the quality of life (health-related quality of life\u2009=\u2009HRQoL). The aim of the present study was to investigate the influence of paddling in a dragon boat (PP) on HRQoL and BCRL in breast cancer survivors (BCS).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Between April and October 2017, a prospective case\u2013control study evaluated the effects of PP compared to a control group. In the paddle group (<jats:italic>n<\/jats:italic>\u2009=\u200928), weekly arm circumference measurements were taken at four defined anatomic areas of the arm before and after training; in the control group (<jats:italic>n<\/jats:italic>\u2009=\u200970), the measurements were taken once a month. At the beginning and end of the study, questionnaires from both groups (SF 36, EORTC QLQ C30) were evaluated to understand the differences in HRQoL.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The paddle group started with a higher HRQoL compared to the control group. Most interesting, whether the affected or unaffected arm, whether before or after training\u2014the arm circumference decreased over time in the paddling group. A pre-existing lymphoedema was not negatively influenced by paddling. In the paddle group, the physical health was constant over the season, while the physical health of the control group decreased significantly over time.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>PP in a dragon boat does not lead to the development or worsening of pre-existing lymphoedema due to breast cancer therapy, and seems to have a positive effect on the quality of life.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00404-022-06609-x","type":"journal-article","created":{"date-parts":[[2022,7,26]],"date-time":"2022-07-26T03:31:19Z","timestamp":1658806279000},"page":"1529-1537","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["The impact of rehabilitation sport on breast cancer-related lymphoedema and quality of life"],"prefix":"10.1007","volume":"307","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5238-7521","authenticated-orcid":false,"given":"Bettina","family":"Boeer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Seller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Birgitt","family":"Schoenfisch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ute","family":"krainick-Strobel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Dietrich","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara Y.","family":"Brucker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diethelm","family":"Wallwiener","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Niess","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Markus","family":"Hahn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,7,26]]},"reference":[{"issue":"6","key":"6609_CR1","doi-asserted-by":"publisher","first-page":"500","DOI":"10.1016\/S1470-2045(13)70076-7","volume":"14","author":"T DiSipio","year":"2013","unstructured":"DiSipio T, Rye S, Newman B, Hayes S (2013) Incidence of unilateral arm lymphoedema after breast cancer: a systematic review and meta-analysis. Lancet Oncol 14(6):500\u2013515. https:\/\/doi.org\/10.1016\/S1470-2045(13)70076-7","journal-title":"Lancet Oncol"},{"issue":"2","key":"6609_CR2","doi-asserted-by":"publisher","first-page":"89","DOI":"10.1200\/JOP.2010.000136","volume":"7","author":"KM Cavanaugh","year":"2011","unstructured":"Cavanaugh KM (2011) Effects of early exercise on the development of lymphedema in patients with breast cancer treated with axillary lymph node dissection. J Oncol Pract 7(2):89\u201393. https:\/\/doi.org\/10.1200\/JOP.2010.000136","journal-title":"J Oncol Pract"},{"issue":"5","key":"6609_CR3","doi-asserted-by":"publisher","first-page":"423","DOI":"10.1177\/1534735413477194","volume":"12","author":"P Cormie","year":"2013","unstructured":"Cormie P, Galvao DA, Spry N, Newton RU (2013) Neither heavy nor light load resistance exercise acutely exacerbates lymphedema in breast cancer survivor. Integr Cancer Ther 12(5):423\u2013432. https:\/\/doi.org\/10.1177\/1534735413477194","journal-title":"Integr Cancer Ther"},{"issue":"3","key":"6609_CR4","doi-asserted-by":"publisher","first-page":"413","DOI":"10.1007\/s11764-013-0284-8","volume":"7","author":"P Cormie","year":"2013","unstructured":"Cormie P, Pumpa K, Galvao DA, Turner E, Spry N, Saunders C et al (2013) Is it safe and efficacious for women with lymphedema secondary to breast cancer to lift heavy weights during exercise: a randomised controlled trial. J Cancer Surviv 7(3):413\u2013424. https:\/\/doi.org\/10.1007\/s11764-013-0284-8","journal-title":"J Cancer Surviv"},{"issue":"3","key":"6609_CR5","doi-asserted-by":"publisher","first-page":"483","DOI":"10.1249\/MSS.0b013e31818b98fb","volume":"41","author":"SC Hayes","year":"2009","unstructured":"Hayes SC, Reul-Hirche H, Turner J (2009) Exercise and secondary lymphedema: safety, potential benefits, and research issues. Med Sci Sports Exerc 41(3):483\u2013489. https:\/\/doi.org\/10.1249\/MSS.0b013e31818b98fb","journal-title":"Med Sci Sports Exerc"},{"issue":"3","key":"6609_CR6","doi-asserted-by":"publisher","first-page":"917","DOI":"10.1152\/japplphysiol.00077.2007","volume":"103","author":"KN Lane","year":"2007","unstructured":"Lane KN, Dolan LB, Worsley D, McKenzie DC (2007) Upper extremity lymphatic function at rest and during exercise in breast cancer survivors with and without lymphedema compared with healthy controls. J Appl Physiol 103(3):917\u2013925. https:\/\/doi.org\/10.1152\/japplphysiol.00077.2007","journal-title":"J Appl Physiol"},{"issue":"3","key":"6609_CR7","doi-asserted-by":"publisher","first-page":"463","DOI":"10.1200\/JCO.2003.04.069","volume":"21","author":"DC McKenzie","year":"2003","unstructured":"McKenzie DC, Kalda AL (2003) Effect of upper extremity exercise on secondary lymphedema in breast cancer patients: a pilot study. J Clin Oncol 21(3):463\u2013466. https:\/\/doi.org\/10.1200\/JCO.2003.04.069","journal-title":"J Clin Oncol"},{"issue":"1","key":"6609_CR8","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1007\/s00520-016-3374-0","volume":"25","author":"E Simonavice","year":"2017","unstructured":"Simonavice E, Kim JS, Panton L (2017) Effects of resistance exercise in women with or at risk for breast cancer-related lymphedema. Support Care Cancer 25(1):9\u201315. https:\/\/doi.org\/10.1007\/s00520-016-3374-0","journal-title":"Support Care Cancer"},{"issue":"2","key":"6609_CR9","doi-asserted-by":"publisher","first-page":"302","DOI":"10.1016\/j.apmr.2015.09.012","volume":"97","author":"B Singh","year":"2016","unstructured":"Singh B, Disipio T, Peake J, Hayes SC (2016) Systematic review and meta-analysis of the effects of exercise for those with cancer-related lymphedema. Arch Phys Med Rehabil 97(2):302-15e13. https:\/\/doi.org\/10.1016\/j.apmr.2015.09.012","journal-title":"Arch Phys Med Rehabil"},{"issue":"20","key":"6609_CR10","doi-asserted-by":"publisher","first-page":"2479","DOI":"10.1001\/jama.293.20.2479","volume":"293","author":"MD Holmes","year":"2005","unstructured":"Holmes MD, Chen WY, Feskanich D, Kroenke CH, Colditz GA (2005) Physical activity and survival after breast cancer diagnosis. JAMA 293(20):2479\u20132486. https:\/\/doi.org\/10.1001\/jama.293.20.2479","journal-title":"JAMA"},{"issue":"9798","key":"6609_CR11","doi-asserted-by":"publisher","first-page":"1244","DOI":"10.1016\/S0140-6736(11)60749-6","volume":"378","author":"CP Wen","year":"2011","unstructured":"Wen CP, Wai JP, Tsai MK, Yang YC, Cheng TY, Lee MC et al (2011) Minimum amount of physical activity for reduced mortality and extended life expectancy: a prospective cohort study. Lancet 378(9798):1244\u20131253. https:\/\/doi.org\/10.1016\/S0140-6736(11)60749-6","journal-title":"Lancet"},{"issue":"4","key":"6609_CR12","first-page":"376","volume":"159","author":"DC McKenzie","year":"1998","unstructured":"McKenzie DC (1998) Abreast in a boat\u2014a race against breast cancer. CMAJ 159(4):376\u2013378","journal-title":"CMAJ"},{"key":"6609_CR13","unstructured":"D-K-VP F 2019: Pink Paddling in Deutschland, Zahlen https:\/\/www.kanu.de\/FREIZEITSPORT\/Sportarten\/Kanu-Drachenboot-52122.html 2021"},{"key":"6609_CR14","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/167651","volume":"2012","author":"SR Harris","year":"2012","unstructured":"Harris SR (2012) \u201cWe\u2019re All in the Same Boat\u201d: A Review of the Benefits of Dragon Boat Racing for Women Living with Breast Cancer. Evid Based Complement Alternat Med 2012:167651. https:\/\/doi.org\/10.1155\/2012\/167651","journal-title":"Evid Based Complement Alternat Med"},{"issue":"4","key":"6609_CR15","doi-asserted-by":"publisher","first-page":"353","DOI":"10.1111\/j.1365-2354.2005.00595.x","volume":"14","author":"K Lane","year":"2005","unstructured":"Lane K, Jespersen D, McKenzie DC (2005) The effect of a whole body exercise programme and dragon boat training on arm volume and arm circumference in women treated for breast cancer. Eur J Cancer Care 14(4):353\u2013358. https:\/\/doi.org\/10.1111\/j.1365-2354.2005.00595.x","journal-title":"Eur J Cancer Care"},{"issue":"5","key":"6609_CR16","doi-asserted-by":"publisher","first-page":"627","DOI":"10.1123\/jsep.33.5.627","volume":"33","author":"MH McDonough","year":"2011","unstructured":"McDonough MH, Sabiston CM, Ullrich-French S (2011) The development of social relationships, social support, and posttraumatic growth in a dragon boating team for breast cancer survivors. J Sp Exerc Psychol 33(5):627\u2013648. https:\/\/doi.org\/10.1123\/jsep.33.5.627","journal-title":"J Sp Exerc Psychol"},{"issue":"44","key":"6609_CR17","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000008400","volume":"96","author":"G Melchiorri","year":"2017","unstructured":"Melchiorri G, Viero V, Triossi T, Sorge R, Tancredi V, Cafaro D et al (2017) New approach to evaluate late arm impairment and effects of dragon boat activity in breast cancer survivors. Medicine 96(44):e8400. https:\/\/doi.org\/10.1097\/MD.0000000000008400","journal-title":"Medicine"},{"key":"6609_CR18","doi-asserted-by":"publisher","first-page":"205","DOI":"10.1186\/1472-6882-13-205","volume":"13","author":"HA Ray","year":"2013","unstructured":"Ray HA, Verhoef MJ (2013) Dragon boat racing and health-related quality of life of breast cancer survivors: a mixed methods evaluation. BMC Complement Altern Med 13:205. https:\/\/doi.org\/10.1186\/1472-6882-13-205","journal-title":"BMC Complement Altern Med"},{"issue":"4","key":"6609_CR19","doi-asserted-by":"publisher","first-page":"419","DOI":"10.1123\/jsep.29.4.419","volume":"29","author":"CM Sabiston","year":"2007","unstructured":"Sabiston CM, McDonough MH, Crocker PR (2007) Psychosocial experiences of breast cancer survivors involved in a dragon boat program: exploring links to positive psychological growth. J Sp Exerc Psychol 29(4):419\u2013438. https:\/\/doi.org\/10.1123\/jsep.29.4.419","journal-title":"J Sp Exerc Psychol"},{"issue":"3","key":"6609_CR20","doi-asserted-by":"publisher","first-page":"307","DOI":"10.1080\/00913847.2015.1037711","volume":"43","author":"L Stefani","year":"2015","unstructured":"Stefani L, Galanti G, Di Tante V, Klika RJ, Maffulli N (2015) Dragon boat training exerts a positive effect on myocardial function in breast cancer survivors. Phys Sportsmed 43(3):307\u2013311. https:\/\/doi.org\/10.1080\/00913847.2015.1037711","journal-title":"Phys Sportsmed"},{"issue":"6","key":"6609_CR21","doi-asserted-by":"publisher","first-page":"564","DOI":"10.1123\/jsep.2014-0037","volume":"36","author":"BB Weisenbach","year":"2014","unstructured":"Weisenbach BB, McDonough MH (2014) Breast cancer survivors\u2019 decisions to join a dragon boating team. J Sport Exerc Psychol 36(6):564\u2013573. https:\/\/doi.org\/10.1123\/jsep.2014-0037","journal-title":"J Sport Exerc Psychol"},{"issue":"1","key":"6609_CR22","doi-asserted-by":"publisher","first-page":"35","DOI":"10.1188\/04.CJON.35-38","volume":"8","author":"J Brown","year":"2004","unstructured":"Brown J (2004) A clinically useful method for evaluating lymphedema. Clin J Oncol Nurs 8(1):35\u201338. https:\/\/doi.org\/10.1188\/04.CJON.35-38","journal-title":"Clin J Oncol Nurs"},{"issue":"5","key":"6609_CR23","doi-asserted-by":"publisher","first-page":"365","DOI":"10.1093\/jnci\/85.5.365","volume":"85","author":"NK Aaronson","year":"1993","unstructured":"Aaronson NK, Ahmedzai S, Bergman B, Bullinger M, Cull A, Duez NJ et al (1993) The European organization for research and treatment of cancer QLQ-C30: a quality-of-life instrument for use in international clinical trials in oncology. J Natl Cancer Inst 85(5):365\u2013376. https:\/\/doi.org\/10.1093\/jnci\/85.5.365","journal-title":"J Natl Cancer Inst"},{"issue":"5","key":"6609_CR24","doi-asserted-by":"publisher","first-page":"549","DOI":"10.1023\/a:1008264412398","volume":"9","author":"G Apolone","year":"1998","unstructured":"Apolone G, Filiberti A, Cifani S, Ruggiata R, Mosconi P (1998) Evaluation of the EORTC QLQ-C30 questionnaire: a comparison with SF-36 Health Survey in a cohort of Italian long-survival cancer patients. Ann Oncol 9(5):549\u2013557. https:\/\/doi.org\/10.1023\/a:1008264412398","journal-title":"Ann Oncol"},{"issue":"12","key":"6609_CR25","doi-asserted-by":"publisher","first-page":"1697","DOI":"10.1016\/j.ejca.2005.05.007","volume":"41","author":"A Bottomley","year":"2005","unstructured":"Bottomley A, Flechtner H, Efficace F, Vanvoorden V, Coens C, Therasse P et al (2005) Health related quality of life outcomes in cancer clinical trials. Eur J Cancer 41(12):1697\u20131709. https:\/\/doi.org\/10.1016\/j.ejca.2005.05.007","journal-title":"Eur J Cancer"},{"issue":"2","key":"6609_CR26","doi-asserted-by":"publisher","first-page":"110","DOI":"10.1177\/030089160208800206","volume":"88","author":"P Mosconi","year":"2002","unstructured":"Mosconi P, Apolone G, Barni S, Secondino S, Sbanotto A, Filiberti A (2002) Quality of life in breast and colon cancer long-term survivors: an assessment with the EORTC QLQ-C30 and SF-36 questionnaires. Tumori J 88(2):110\u2013116","journal-title":"Tumori J"},{"issue":"5","key":"6609_CR27","doi-asserted-by":"publisher","first-page":"767","DOI":"10.1007\/s11136-006-9161-5","volume":"16","author":"A Waldmann","year":"2007","unstructured":"Waldmann A, Pritzkuleit R, Raspe H, Katalinic A (2007) The OVIS study: health related quality of life measured by the EORTC QLQ-C30 and -BR23 in German female patients with breast cancer from schleswig-holstein. Qual Life Res 16(5):767\u2013776. https:\/\/doi.org\/10.1007\/s11136-006-9161-5","journal-title":"Qual Life Res"},{"issue":"9","key":"6609_CR28","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.8210","volume":"19","author":"M Wallwiener","year":"2017","unstructured":"Wallwiener M, Matthies L, Simoes E, Keilmann L, Hartkopf AD, Sokolov AN et al (2017) Reliability of an e-PRO Tool of EORTC QLQ-C30 for measurement of health-related quality of life in patients with breast cancer: prospective randomized trial. J Med Internet Res 19(9):e322. https:\/\/doi.org\/10.2196\/jmir.8210","journal-title":"J Med Internet Res"},{"issue":"5","key":"6609_CR29","doi-asserted-by":"publisher","first-page":"350","DOI":"10.3109\/07853890109002089","volume":"33","author":"RD Hays","year":"2001","unstructured":"Hays RD, Morales LS (2001) The RAND-36 measure of health-related quality of life. Ann Med 33(5):350\u2013357. https:\/\/doi.org\/10.3109\/07853890109002089","journal-title":"Ann Med"},{"issue":"3","key":"6609_CR30","doi-asserted-by":"publisher","first-page":"217","DOI":"10.1002\/hec.4730020305","volume":"2","author":"RD Hays","year":"1993","unstructured":"Hays RD, Sherbourne CD, Mazel RM (1993) The RAND 36-Item health survey 1.0. Health Econ 2(3):217\u2013227. https:\/\/doi.org\/10.1002\/hec.4730020305","journal-title":"Health Econ"},{"issue":"4","key":"6609_CR31","doi-asserted-by":"publisher","first-page":"449","DOI":"10.4048\/jbc.2012.15.4.449","volume":"15","author":"SH Lee","year":"2012","unstructured":"Lee SH, Min YS, Park HY, Jung TD (2012) Health-related quality of life in breast cancer patients with lymphedema who survived more than one year after surgery. J Breast Cancer 15(4):449\u2013453. https:\/\/doi.org\/10.4048\/jbc.2012.15.4.449","journal-title":"J Breast Cancer"},{"issue":"2","key":"6609_CR32","doi-asserted-by":"publisher","first-page":"126","DOI":"10.5435\/00124635-200702000-00007","volume":"15","author":"AA Patel","year":"2007","unstructured":"Patel AA, Donegan D, Albert T (2007) The 36-item short form. J Am Acad Orthop Surg 15(2):126\u2013134. https:\/\/doi.org\/10.5435\/00124635-200702000-00007","journal-title":"J Am Acad Orthop Surg"},{"issue":"2","key":"6609_CR33","doi-asserted-by":"publisher","first-page":"339","DOI":"10.1007\/s11136-014-0785-6","volume":"24","author":"C Treanor","year":"2015","unstructured":"Treanor C, Donnelly M (2015) A methodological review of the short form health survey 36 (SF-36) and its derivatives among breast cancer survivors. Qual Life Res 24(2):339\u2013362. https:\/\/doi.org\/10.1007\/s11136-014-0785-6","journal-title":"Qual Life Res"},{"key":"6609_CR34","volume-title":"SF-36 Fragebogen zum gesundheitszustand\u2014manual","author":"MKI Bullinger","year":"2011","unstructured":"Bullinger MKI (2011) SF-36 Fragebogen zum gesundheitszustand\u2014manual. Hogrefe-Verlag GmbH & Co. KG, G\u00f6ttingen"},{"issue":"1","key":"6609_CR35","doi-asserted-by":"publisher","first-page":"48","DOI":"10.1111\/j.1524-4741.2009.00855.x","volume":"16","author":"LK Helyer","year":"2010","unstructured":"Helyer LK, Varnic M, Le LW, Leong W, McCready D (2010) Obesity is a risk factor for developing postoperative lymphedema in breast cancer patients. Breast J 16(1):48\u201354. https:\/\/doi.org\/10.1111\/j.1524-4741.2009.00855.x","journal-title":"Breast J"},{"key":"6609_CR36","doi-asserted-by":"publisher","DOI":"10.15761\/FWH.1000144","author":"RJ Tsai","year":"2018","unstructured":"Tsai RJ, Dennis LK, Lynch CF, Snetselaar LG, Zamba GKD, Scott-Conner C (2018) Lymphedema following breast cancer: the importance of surgical methods and obesity. Front Womens Health. https:\/\/doi.org\/10.15761\/FWH.1000144","journal-title":"Front Womens Health"},{"issue":"3","key":"6609_CR37","doi-asserted-by":"publisher","first-page":"241","DOI":"10.5306\/wjco.v5.i3.241","volume":"5","author":"MR Fu","year":"2014","unstructured":"Fu MR (2014) Breast cancer-related lymphedema: symptoms, diagnosis, risk reduction, and management. World J Clin Oncol 5(3):241\u2013247. https:\/\/doi.org\/10.5306\/wjco.v5.i3.241","journal-title":"World J Clin Oncol"},{"issue":"4","key":"6609_CR38","doi-asserted-by":"publisher","first-page":"379","DOI":"10.21037\/gs.2017.11.04","volume":"7","author":"TC Gillespie","year":"2018","unstructured":"Gillespie TC, Sayegh HE, Brunelle CL, Daniell KM, Taghian AG (2018) Breast cancer-related lymphedema: risk factors, precautionary measures, and treatments. Gland Surg 7(4):379\u2013403. https:\/\/doi.org\/10.21037\/gs.2017.11.04","journal-title":"Gland Surg"},{"issue":"1","key":"6609_CR39","doi-asserted-by":"publisher","first-page":"58","DOI":"10.1186\/s12955-018-0882-2","volume":"16","author":"AD Reis","year":"2018","unstructured":"Reis AD, Pereira P, Diniz RR, de Castro Filha JGL, Dos Santos AM, Ramallo BT et al (2018) Effect of exercise on pain and functional capacity in breast cancer patients. Health Qual Life Outcomes 16(1):58. https:\/\/doi.org\/10.1186\/s12955-018-0882-2","journal-title":"Health Qual Life Outcomes"},{"issue":"2","key":"6609_CR40","doi-asserted-by":"publisher","first-page":"361","DOI":"10.1007\/s11136-004-1468-5","volume":"14","author":"AR Kendall","year":"2005","unstructured":"Kendall AR, Mahue-Giangreco M, Carpenter CL, Ganz PA, Bernstein L (2005) Influence of exercise activity on quality of life in long-term breast cancer survivors. Qual Life Res 14(2):361\u2013371. https:\/\/doi.org\/10.1007\/s11136-004-1468-5","journal-title":"Qual Life Res"},{"issue":"4","key":"6609_CR41","doi-asserted-by":"publisher","first-page":"220","DOI":"10.1080\/02813430701669535","volume":"25","author":"O Helgesson","year":"2007","unstructured":"Helgesson O, Lissner L, Mansson J, Bengtsson C (2007) Quality of life in cancer survivors as observed in a population study of swedish women. Scand J Prim Health Care 25(4):220\u2013225. https:\/\/doi.org\/10.1080\/02813430701669535","journal-title":"Scand J Prim Health Care"},{"issue":"8","key":"6609_CR42","doi-asserted-by":"publisher","first-page":"2077","DOI":"10.1007\/s11136-018-1866-8","volume":"27","author":"ME Schmidt","year":"2018","unstructured":"Schmidt ME, Wiskemann J, Steindorf K (2018) Quality of life, problems, and needs of disease-free breast cancer survivors 5 years after diagnosis. Qual Life Res 27(8):2077\u20132086. https:\/\/doi.org\/10.1007\/s11136-018-1866-8","journal-title":"Qual Life Res"},{"key":"6609_CR43","doi-asserted-by":"publisher","first-page":"479","DOI":"10.2147\/NDT.S150464","volume":"14","author":"E Kessels","year":"2018","unstructured":"Kessels E, Husson O, van der Feltz-Cornelis CM (2018) The effect of exercise on cancer-related fatigue in cancer survivors: a systematic review and meta-analysis. Neuropsychiatr Dis Treat 14:479\u2013494. https:\/\/doi.org\/10.2147\/NDT.S150464","journal-title":"Neuropsychiatr Dis Treat"},{"issue":"4","key":"6609_CR44","doi-asserted-by":"publisher","first-page":"323","DOI":"10.1097\/NCC.0000000000000615","volume":"42","author":"L Iacorossi","year":"2019","unstructured":"Iacorossi L, Gambalunga F, Molinaro S, De Domenico R, Giannarelli D, Fabi A (2019) The effectiveness of the sport \u201cDragon Boat Racing\u201d in reducing the risk of lymphedema incidence: an observational study. Cancer Nurs 42(4):323\u2013331. https:\/\/doi.org\/10.1097\/NCC.0000000000000615","journal-title":"Cancer Nurs"},{"issue":"7","key":"6609_CR45","doi-asserted-by":"publisher","first-page":"705","DOI":"10.1053\/ejso.2002.1327","volume":"28","author":"A Haid","year":"2002","unstructured":"Haid A, Kuehn T, Konstantiniuk P, Koberle-Wuhrer R, Knauer M, Kreienberg R et al (2002) Shoulder-arm morbidity following axillary dissection and sentinel node only biopsy for breast cancer. Eur J Surg Oncol 28(7):705\u2013710. https:\/\/doi.org\/10.1053\/ejso.2002.1327","journal-title":"Eur J Surg Oncol"},{"issue":"7","key":"6609_CR46","doi-asserted-by":"publisher","first-page":"696","DOI":"10.1016\/j.ejso.2008.06.013","volume":"35","author":"G Helms","year":"2009","unstructured":"Helms G, Kuhn T, Moser L, Remmel E, Kreienberg R (2009) Shoulder-arm morbidity in patients with sentinel node biopsy and complete axillary dissection\u2013data from a prospective randomised trial. Eur J Surg Oncol 35(7):696\u2013701. https:\/\/doi.org\/10.1016\/j.ejso.2008.06.013","journal-title":"Eur J Surg Oncol"},{"issue":"7","key":"6609_CR47","doi-asserted-by":"publisher","first-page":"1959","DOI":"10.1245\/s10434-009-0452-2","volume":"16","author":"RJ Tsai","year":"2009","unstructured":"Tsai RJ, Dennis LK, Lynch CF, Snetselaar LG, Zamba GK, Scott-Conner C (2009) The risk of developing arm lymphedema among breast cancer survivors: a meta-analysis of treatment factors. Ann Surg Oncol 16(7):1959\u20131972. https:\/\/doi.org\/10.1245\/s10434-009-0452-2","journal-title":"Ann Surg Oncol"},{"key":"6609_CR48","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1016\/j.breast.2016.04.011","volume":"28","author":"SL Kilbreath","year":"2016","unstructured":"Kilbreath SL, Refshauge KM, Beith JM, Ward LC, Ung OA, Dylke ES et al (2016) Risk factors for lymphoedema in women with breast cancer: a large prospective cohort. Breast 28:29\u201336. https:\/\/doi.org\/10.1016\/j.breast.2016.04.011","journal-title":"Breast"},{"key":"6609_CR49","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD004561.pub3","author":"N Bromham","year":"2017","unstructured":"Bromham N, Schmidt-Hansen M, Astin M, Hasler E, Reed MW (2017) Axillary treatment for operable primary breast cancer. Cochrane Database Syst Rev. https:\/\/doi.org\/10.1002\/14651858.CD004561.pub3","journal-title":"Cochrane Database Syst Rev"},{"issue":"4","key":"6609_CR50","doi-asserted-by":"publisher","first-page":"1330","DOI":"10.4143\/crt.2015.463","volume":"48","author":"M Kim","year":"2016","unstructured":"Kim M, Shin KH, Jung SY, Lee S, Kang HS, Lee ES et al (2016) Identification of prognostic risk factors for transient and persistent lymphedema after multimodal treatment for breast cancer. Cancer Res Treat 48(4):1330\u20131337. https:\/\/doi.org\/10.4143\/crt.2015.463","journal-title":"Cancer Res Treat"}],"container-title":["Archives of Gynecology and Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00404-022-06609-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00404-022-06609-x\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00404-022-06609-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,17]],"date-time":"2023-04-17T17:08:01Z","timestamp":1681751281000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00404-022-06609-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,26]]},"references-count":50,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2023,5]]}},"alternative-id":["6609"],"URL":"https:\/\/doi.org\/10.1007\/s00404-022-06609-x","relation":{},"ISSN":["1432-0711"],"issn-type":[{"value":"1432-0711","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,7,26]]},"assertion":[{"value":"8 April 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 May 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 July 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors have no relevant financial or non-financial interests to disclose.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The study was approved by the Ethics Committee of University T\u00fcbingen (014 \/ 2015BO2).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"Informed consent was obtained from all individual participants included in the study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"The manuscript does not contain any individual person\u2019s data in any form.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to publish"}}]}}