{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T19:05:18Z","timestamp":1791313518678,"version":"4.3.1"},"reference-count":19,"publisher":"Elsevier BV","issue":"9","license":[{"start":{"date-parts":[[2022,9,1]],"date-time":"2022-09-01T00:00:00Z","timestamp":1661990400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,9,1]],"date-time":"2022-09-01T00:00:00Z","timestamp":1661990400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jprasurg.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Plastic, Reconstructive &amp; Aesthetic Surgery"],"published-print":{"date-parts":[[2022,9]]},"DOI":"10.1016\/j.bjps.2022.02.041","type":"journal-article","created":{"date-parts":[[2022,2,27]],"date-time":"2022-02-27T09:26:06Z","timestamp":1645953966000},"page":"3122-3128","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":14,"title":["The Pittsburgh Trunk Lymphedema Staging System (PTLSS) \u2013 a validated staging system for the description of breast cancer-associated trunk lymphedema"],"prefix":"10.1016","volume":"75","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2025-6751","authenticated-orcid":false,"given":"Jordan E.","family":"Fishman","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2366-4147","authenticated-orcid":false,"given":"Elizabeth A.","family":"Moroni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolyn De La","family":"Cruz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.bjps.2022.02.041_bib0001","doi-asserted-by":"crossref","first-page":"579","DOI":"10.1001\/archsurg.1982.01380290043008","article-title":"Modified radical mastectomy with immediate breast reconstruction","volume":"117","author":"Wilkinson","year":"1982","journal-title":"Arch Surg."},{"key":"10.1016\/j.bjps.2022.02.041_bib0002","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1016\/j.cps.2006.11.012","article-title":"Implant-based reconstruction","volume":"34","author":"Spear","year":"2007","journal-title":"Clin Plast Surg"},{"key":"10.1016\/j.bjps.2022.02.041_bib0003","doi-asserted-by":"crossref","first-page":"124e","DOI":"10.1097\/PRS.0b013e318213a2e6","article-title":"Breast reconstruction after breast cancer","volume":"127","author":"Serletti","year":"2011","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.bjps.2022.02.041_bib0004","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1016\/0002-9610(75)90241-X","article-title":"Lymphedema of the upper limb after surgery for breast cancer","volume":"129","author":"Golematis","year":"1975","journal-title":"Am J Surg"},{"key":"10.1016\/j.bjps.2022.02.041_bib0005","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1002\/1097-0142(195201)5:1<73::AID-CNCR2820050110>3.0.CO;2-2","article-title":"Prophylaxis of postmastectomy lymphedema by the use of gelfoam laminated rolls; a preliminary report, with a review of theories on the etiology of elephantiasis chirugica and a summary of previous operations for its control","volume":"5","author":"Treves","year":"1952","journal-title":"Cancer"},{"key":"10.1016\/j.bjps.2022.02.041_bib0006","first-page":"409","article-title":"Alleviation of experimental lymphedema by lymphovenous anastomosis in dogs","volume":"38","author":"Firica","year":"1972","journal-title":"Am Surg"},{"key":"10.1016\/j.bjps.2022.02.041_bib0007","doi-asserted-by":"crossref","first-page":"738","DOI":"10.1097\/PRS.0000000000005993","article-title":"Surgical Treatment of Lymphedema","volume":"144","author":"Schaverien","year":"2019","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.bjps.2022.02.041_bib0008","doi-asserted-by":"crossref","first-page":"1305","DOI":"10.1097\/PRS.0b013e3182a4d626","article-title":"A prospective analysis of 100 consecutive lymphovenous bypass cases for treatment of extremity lymphedema","volume":"132","author":"Chang","year":"2013","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.bjps.2022.02.041_bib0009","doi-asserted-by":"crossref","first-page":"1202","DOI":"10.1245\/s10434-013-3408-5","article-title":"Risk Factors Associated with Breast Lymphedema Following Breast Surgery","volume":"21","author":"Boughey","year":"2014","journal-title":"Ann Surg Oncol"},{"key":"10.1016\/j.bjps.2022.02.041_bib0010","doi-asserted-by":"crossref","first-page":"2295","DOI":"10.1002\/1097-0142(19820601)49:11<2295::AID-CNCR2820491116>3.0.CO;2-G","article-title":"Breast edema following staging axillary node dissection in patients with breast carcinoma treated by radical radiotherapy","volume":"49","author":"Clarke","year":"1982","journal-title":"Cancer"},{"key":"10.1016\/j.bjps.2022.02.041_bib0011","first-page":"125","article-title":"Tissue dielectric constant ratios as a method to characterize truncal lymphedema","volume":"51","author":"Mayrovitz","year":"2018","journal-title":"Lymphology"},{"key":"10.1016\/j.bjps.2022.02.041_bib0012","doi-asserted-by":"crossref","first-page":"1384","DOI":"10.1093\/ptj\/pzaa080","article-title":"Tissue Dielectric Constant Measures in Women With and Without Clinical Trunk Lymphedema Following Breast Cancer Surgery: A 78-Week Longitudinal Study","volume":"100","author":"Koehler","year":"2020","journal-title":"Phys Ther"},{"key":"10.1016\/j.bjps.2022.02.041_bib0013","doi-asserted-by":"crossref","first-page":"941","DOI":"10.1097\/PRS.0b013e3182268cd9","article-title":"Indocyanine Green-Enhanced Lymphography for Upper Extremity Lymphedema: A Novel Severity Staging System Using Dermal Backflow Patterns","volume":"128","author":"Yamamoto","year":"2011","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.bjps.2022.02.041_bib0014","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1002\/jso.24379","article-title":"Long-term outcomes of the minimally invasive free vascularized omental lymphatic flap for the treatment of lymphedema","volume":"115","author":"Nguyen","year":"2017","journal-title":"J Surg Oncol"},{"key":"10.1016\/j.bjps.2022.02.041_bib0015","doi-asserted-by":"crossref","first-page":"1979","DOI":"10.1097\/PRS.0b013e31820cf5df","article-title":"Characteristic Indocyanine Green Lymphography Findings in Lower Extremity Lymphedema: The Generation of a Novel Lymphedema Severity Staging System Using Dermal Backflow Patterns","volume":"127","author":"Yamamoto","year":"2011","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.bjps.2022.02.041_bib0016","first-page":"72","article-title":"Indocyanine Green Lymphography Findings in Limb Lymphedema","volume":"32","author":"Narushima","year":"2016","journal-title":"J Reconstr Microsurg"},{"key":"10.1016\/j.bjps.2022.02.041_bib0017","doi-asserted-by":"crossref","first-page":"276","DOI":"10.11613\/BM.2012.031","article-title":"Interrater reliability: the kappa statistic","volume":"22","author":"McHugh","year":"2012","journal-title":"Biochem Med (Zagreb)"},{"key":"10.1016\/j.bjps.2022.02.041_bib0018","doi-asserted-by":"crossref","first-page":"379","DOI":"10.21037\/gs.2017.11.04","article-title":"Breast cancer-related lymphedema: risk factors, precautionary measures, and treatments","volume":"7","author":"Gillespie","year":"2018","journal-title":"Gland Surg"},{"key":"10.1016\/j.bjps.2022.02.041_bib0019","doi-asserted-by":"crossref","first-page":"551","DOI":"10.1080\/02841860410014867","article-title":"Breast lymphedema after breast conserving treatment","volume":"43","author":"R\u00f6nk\u00e4","year":"2004","journal-title":"Acta Oncol"}],"container-title":["Journal of Plastic, Reconstructive &amp; Aesthetic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1748681522001206?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1748681522001206?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T20:50:13Z","timestamp":1761684613000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1748681522001206"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9]]},"references-count":19,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2022,9]]}},"alternative-id":["S1748681522001206"],"URL":"https:\/\/doi.org\/10.1016\/j.bjps.2022.02.041","relation":{},"ISSN":["1748-6815"],"issn-type":[{"value":"1748-6815","type":"print"}],"subject":[],"published":{"date-parts":[[2022,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"The Pittsburgh Trunk Lymphedema Staging System (PTLSS) \u2013 a validated staging system for the description of breast cancer-associated trunk lymphedema","name":"articletitle","label":"Article Title"},{"value":"Journal of Plastic, Reconstructive & Aesthetic Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.bjps.2022.02.041","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"https:\/\/doi.org\/10.1016\/j.bjps.2022.04.075","name":"associatedlink","label":"CrossRef DOI link to the associated document"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2022 Published by Elsevier Ltd on behalf of British Association of Plastic, Reconstructive and Aesthetic Surgeons.","name":"copyright","label":"Copyright"}]}}