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. 2009 Jan 20;27(3):390–397. doi: 10.1200/JCO.2008.17.9291

Table 5.

Symptoms in the First 3 Years by Degree of Lymphedema: Presence and Average Frequency, Severity, and Distress Among the 433 Respondents With 3 Full Years of Follow-Up

Symptom Moderate/Severe
Mild
No Current Lymphedema
No Lymphedema Ever
Presence
Average Score*
Presence
Average Score*
Presence
Average Score*
Presence
Average Score*
No. of Person-Months % of Person-Months With Symptom Frequency Severity Distress§ No. of Person-Months % of Person-Months With Symptom Frequency Severity Distress§ No. of Person-Months % of Person-Months With Symptom Frequency Severity Distress§ No. of Person-Months % of Person-Months With Symptom Frequency Severity Distress§
All 3-year completers 852 1,764 2,784 10,188
Jewelry too tight 682 80.0 3.50 2.66 2.78 777 44.0 2.92 1.95 1.42 762 27.4 2.47 1.82 1.30 678 6.7 2.16 1.69 1.22
Clothing too tight 488 57.3 3.00 2.49 2.78 588 33.3 2.83 1.89 1.65 284 10.2 2.30 1.68 1.61 127 1.2 2.21 1.59 1.32
One side was puffy 748 87.8 3.37 2.63 2.62 1,032 58.5 2.74 1.75 1.39 589 21.2 2.51 1.77 1.59 297 2.9 2.07 1.70 1.40
Could not see knuckles/veins 474 55.6 3.35 2.90 2.83 252 14.3 2.65 2.13 1.57 146 5.2 2.73 2.35 2.31 21 0.2 2.81 2.52 1.52
Skin felt different 481 56.5 3.34 2.67 2.32 504 28.6 2.74 2.10 1.82 369 13.3 2.65 2.08 1.80 326 3.2 2.50 1.89 1.39
Skin felt tired/thick/heavy 692 81.2 3.12 2.67 2.69 857 48.6 2.55 2.09 1.96 858 30.8 2.67 2.10 1.94 1,140 11.2 2.20 1.83 1.70
Pain 568 66.7 2.86 2.70 2.89 700 39.7 2.52 2.14 2.08 872 31.3 2.47 2.05 1.92 1,542 15.1 2.35 1.95 1.83
Indentations in skin 608 71.4 3.09 2.60 2.18 354 20.1 2.60 1.89 1.48 260 9.3 2.40 1.99 1.87 178 1.7 1.87 1.58 1.06
Swelled after exercise 392 46.0 3.03 2.55 2.34 274 15.5 2.54 2.09 1.96 234 8.4 2.34 1.84 2.01 156 1.5 2.08 1.57 1.47
Difficulty writing 187 21.9 2.77 2.68 2.91 190 10.8 2.50 2.17 2.39 289 10.4 2.70 2.10 2.31 479 4.7 2.79 2.09 2.01
Any symptoms 852 100.0 1,485 84.2 1,718 61.7 2,772 27.2
% of months with symptoms
    No symptoms 0.0 15.8 38.3 72.8
    1-2 symptoms 5.8 29.9 35.7 22.0
    3-4 symptoms 17.6 24.0 14.1 4.1
    5+ symptoms 76.6 30.3 12.0 1.1
*

Average calculated only with those person-months in which symptom was present.

Frequency: 1 = rarely, 2 = occasionally, 3 = frequently, and 4 = almost constantly.

Severity: 1 = slight, 2 = moderate, 3 = severe, and 4 = very severe.

§

Distress: 0 = none, 1 = a little bit, 2 = somewhat, 3 = quite a bit, and 4 = very much.