{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T18:07:37Z","timestamp":1790100457547,"version":"4.0.1"},"reference-count":34,"publisher":"Mark Allen Group","issue":"Sup10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Community Nurs"],"published-print":{"date-parts":[[2026,10,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Approximately 55 900 women are diagnosed with breast cancer in the UK each year, and around one in five develop lymphoedema following treatment. Breast, trunk and arm lymphoedema arise from disruption to shared lymphatic drainage pathways during axillary surgery and radiotherapy, yet the condition remains under-recognised and under-referred in many post-treatment care pathways and women can struggle to find appropriate bras to support their care needs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This article explores why and where lymphoedema develops after breast cancer treatment, presents the patient experience of living with breast and trunk lymphoedema, and evaluates the clinical evidence for 3D micro-massage compression technology \u2014 specifically the Solidea\u00ae Silver Wave Skin Bra \u2014 as an adjunct to standard lymphoedema management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This article combines a narrative review of current evidence on breast and trunk lymphoedema with first-person patient testimony and findings from a pilot audit of 21 women with breast and\/or trunk lymphoedema following breast cancer treatment. Audit outcome measures included the clinician-completed Breast Symptom Assessment Score, the wearer-completed Self-Report Symptom Rating Scale, structured wearer feedback and qualitative telephone follow up at approximately 26 days and 11 weeks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>Women sometimes report a delay between symptom onset and receiving support, alongside difficulty sourcing an appropriate, comfortable bra; these issues are compounded further for those wearing a breast prosthesis. In the pilot audit, mean Breast Symptom Assessment Score reduced by 60% (from 5.8 to 2.3) over approximately 26 days, with moderate-to-severe swelling falling from 70% to 15%, breast hardness from 90% to 65%, and night-time discomfort from 85% to 45%. All 20 completing participants showed improvement, with 100% rating comfort as excellent or good; the lowest-rated domain in self-reported symptoms scales was degree of support, particularly among women with cup sizes above D.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Breast and trunk lymphoedema is common, chronic and profoundly life-limiting, with psychological and social impact that compounds the burden of breast cancer treatment. Proactive risk information, early referral and holistic support are essential.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implication for practice<\/jats:title>\n                    <jats:p>3D micro-massage compression may support self-management alongside complete decongestive therapy, but clinicians should consider patient suitability and the current evidence gaps in larger-breasted women and other garment formats.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.12968\/bjcn.2026.0136","type":"journal-article","created":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T17:33:06Z","timestamp":1790098386000},"source":"Crossref","is-referenced-by-count":0,"title":["Patient perspective on lymphoedema after breast cancer: evidence for 3D micro-massage compression"],"prefix":"10.12968","volume":"31","author":[{"given":"Sian","family":"Pearce","sequence":"first","affiliation":[{"name":"Senior Staff Nurse, Royal Glamorgan Hospital, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorraine","family":"Nisbet","sequence":"additional","affiliation":[{"name":"Clinical manager, Daylong Direct, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5130","reference":[{"key":"e_1_3_2_1_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.4239"},{"key":"e_1_3_2_2_1","unstructured":"Breast Cancer Now. Ongoing pain after breast surgery lymph node removal or radiotherapy. 2026. https:\/\/breastcancernow.org\/about-breast-cancer\/treatment\/ongoing-pain-after-breast-surgery-lymph-node-removal-or-radiotherapy (accessed 9 September 2026)"},{"key":"e_1_3_2_3_1","unstructured":"British Lymphology Society. Standards of practice for lymphoedema services. 2016. https:\/\/www.thebls.com\/public\/uploads\/documents\/document-97101534789369.pdf (accessed 9 September 2026)"},{"key":"e_1_3_2_4_1","unstructured":"British Lymphology Society. Manual lymphatic drainage position document summary. 2024. https:\/\/www.thebls.com\/public\/uploads\/documents\/document-18171728387178.pdf (accessed 9 September 2026)"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10549-023-07161-1"},{"key":"e_1_3_2_6_1","unstructured":"Cancer Research UK. Lymphoedema after breast cancer treatment. 2023. https:\/\/main.int.cruk.org\/about-cancer\/breast-cancer\/living-with\/lymphoedema-after-treatment#about-breast-cancer-and-lymphoedema (accessed 9 September 2026)"},{"key":"e_1_3_2_7_1","unstructured":"Cancer Research UK. Breast cancer survival statistics. 2026a. https:\/\/www.cancerresearchuk.org\/health-professional\/cancer-statistics\/statistics-by-cancer-type\/breast-cancer\/survival (accessed 9 September 2026)"},{"key":"e_1_3_2_8_1","unstructured":"Cancer Research UK. Which lymphoedema treatment do you need? 2026b. https:\/\/www.cancerresearchuk.org\/about-cancer\/coping\/physically\/lymphoedema-and-cancer\/treating\/which-treatment (accessed 9 September 2026)"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1089\/lrb.2019.0034"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD003475.pub2"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.1590\/1806-9282.20250274"},{"issue":"1","key":"e_1_3_2_12_1","first-page":"3","article-title":"The diagnosis and treatment of peripheral lymphedema: 2020 consensus document of the International Society of Lymphology","volume":"53","author":"Executive Committee of the International Society of Lymphology","year":"2020","unstructured":"Executive Committee of the International Society of Lymphology. The diagnosis and treatment of peripheral lymphedema: 2020 consensus document of the International Society of Lymphology. Lymphology. 2020;53(1):3\u201319","journal-title":"Lymphology"},{"issue":"4","key":"e_1_3_2_13_1","first-page":"133","article-title":"The diagnosis and treatment of peripheral lymphedema: 2023 consensus document of the International Society of Lymphology","volume":"56","author":"Executive Committee of the International Society of Lymphology","year":"2023","unstructured":"Executive Committee of the International Society of Lymphology. The diagnosis and treatment of peripheral lymphedema: 2023 consensus document of the International Society of Lymphology. Lymphology. 2023;56(4):133\u2013151","journal-title":"Lymphology"},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-022-01278-w"},{"key":"e_1_3_2_15_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjcn.2013.18.Sup4.S28"},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjcn.2024.0109"},{"key":"e_1_3_2_17_1","doi-asserted-by":"publisher","DOI":"10.1089\/lrb.2018.0064"},{"key":"e_1_3_2_18_1","unstructured":"Lymphoedema Association Australia. Living with lymphoedema. 2026. https:\/\/www.lymphaustralia.org.au\/resources\/living-with-lymphoedema\/ (accessed 9 September 2026)"},{"key":"e_1_3_2_19_1","unstructured":"Macmillan Cancer Support. Compression treatment for lymphoedema. 2023. https:\/\/www.macmillan.org.uk\/cancer-information-and-support\/impacts-of-cancer\/lymphoedema\/compression-to-treat-lymphoedema (accessed 9 September 2026)"},{"key":"e_1_3_2_20_1","unstructured":"Macmillan Cancer Support. Cording after surgery for breast cancer. 2026. https:\/\/www.macmillan.org.uk\/cancer-information-and-support\/impacts-of-cancer\/cording-after-surgery-for-breast-cancer (accessed 9 September 2026)"},{"key":"e_1_3_2_21_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.19.02896"},{"key":"e_1_3_2_22_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2008.16.3725"},{"key":"e_1_3_2_23_1","unstructured":"National Institute for Health and Care Excellence. Early and locally advanced breast cancer: diagnosis and management. 2018. https:\/\/www.nice.org.uk\/guidance\/ng101\/chapter\/rationale-and-impact#lymphoedema-management-2 (accessed 9 September 2026)"},{"key":"e_1_3_2_24_1","doi-asserted-by":"publisher","DOI":"10.3233\/BD-230040"},{"key":"e_1_3_2_25_1","unstructured":"NHS. Lymphoedema. 2023. https:\/\/www.nhs.uk\/conditions\/lymphoedema\/ (accessed 9 September 2026)"},{"key":"e_1_3_2_26_1","doi-asserted-by":"publisher","DOI":"10.3390\/cancers15061758"},{"key":"e_1_3_2_27_1","doi-asserted-by":"publisher","DOI":"10.3390\/life14070854"},{"key":"e_1_3_2_28_1","doi-asserted-by":"publisher","DOI":"10.25259\/IJPC_192_2024"},{"key":"e_1_3_2_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-025-10107-6"},{"key":"e_1_3_2_30_1","doi-asserted-by":"publisher","DOI":"10.12968\/ijpn.2017.23.9.440"},{"key":"e_1_3_2_31_1","doi-asserted-by":"publisher","DOI":"10.1080\/07347332.2023.2218374"},{"key":"e_1_3_2_32_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40945-021-00103-4"},{"issue":"3","key":"e_1_3_2_33_1","first-page":"52","article-title":"A pilot audit of the Solidea\u00ae Silver Wave Skin Bra for women with breast and trunk lymphoedema after breast cancer treatment","volume":"21","author":"Williams A","year":"2025","unstructured":"Williams A, Muldoon J. A pilot audit of the Solidea\u00ae Silver Wave Skin Bra for women with breast and trunk lymphoedema after breast cancer treatment. Wounds UK. 2025;21(3):52\u201360","journal-title":"Wounds UK"},{"issue":"1","key":"e_1_3_2_34_1","first-page":"32","article-title":"Breast and trunk oedema after treatment for breast cancer","volume":"1","author":"Williams A","year":"2006","unstructured":"Williams A. Breast and trunk oedema after treatment for breast cancer. J Lymphoedema. 2006;1(1):32\u201339","journal-title":"J Lymphoedema"}],"container-title":["British Journal of Community Nursing"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/pdf\/10.12968\/bjcn.2026.0136","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T17:33:22Z","timestamp":1790098402000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/10.12968\/bjcn.2026.0136"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,1]]},"references-count":34,"journal-issue":{"issue":"Sup10","published-print":{"date-parts":[[2026,10,1]]}},"alternative-id":["10.12968\/bjcn.2026.0136"],"URL":"https:\/\/doi.org\/10.12968\/bjcn.2026.0136","relation":{},"ISSN":["1462-4753","2052-2215"],"issn-type":[{"value":"1462-4753","type":"print"},{"value":"2052-2215","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,1]]}}}