Table 1.
INDEPENDENT VARIABLES (Sociodemographic and clinical variables) |
MEASUREMENT INSTRUMENTS (to be filled in with information from interviews and clinical records) |
---|---|
- ID: Identification number for the study (1, 2, 3...) | ID: |
- Age. |
Date of bird _/_/_ _ years old |
- Group (Treatment carried out): | TAPA / standard. |
- Work activity: |
Working (Which?) /Retired/Unemployed/Others (Which?) |
- Menstrual situation: | Pre-menopausal/Post-menopausal |
- Laterality: | Right/ left/Both |
- Body mass index (BMI): - Obesity: |
BMI: height/weight2 yes (BMI > =30)/ no (BMI < 30) |
- AHT (Arterial hypertension): | Yes (> = 120/80 mmHg/take medication) / no (< 120/80 mmHg) |
- DLP (Dyslipidemia): | Yes (> = 200 mg dl/take medication) / no (< 200 mg/dl) |
- DM (Diabetes): | Yes (> = 126 mg dl/take medication) / no (< 126 mg/dl) |
- Heart disease: | Yes / no |
- Kidney failure: Yes / no | Yes / no |
- Vascular disease: Yes /no | Yes / no |
- Thyroid disease: Yes / no | Yes / no |
- Pacemaker: Yes / no | Yes / no |
- Electro-stimulator: Yes /no | Yes / no |
- Date of BC diagnosis | _/_/_ |
- Date of lymphedema diagnosis | _/_/_ |
- Stage: | I, II |
- Edema location: |
Hand(H)/Forearm (F)/Arm (A)/ Breast H + F/ H + F + A/ F + A/ Complete/ Others (this category should be thoroughly considered) |
- Breast: | Right/ left |
- Date of surgical intervention: | _/_/_ |
- Type of tumor: - Intervention type: Conservative/mastectomy |
ductal infiltrating/in situ/ lobular/ inflammatory/tubular/other (which?): Conservative/mastectomy |
- Axillary surgery: | sentinel ganglion biopsy (SGB)/ lymphadenectomy /Both/none |
- No. of excised ganglia: | N° |
- No. positive ganglia: | N° |
- Complications: | Infection/ hematoma/ seroma/nerve lesion/Axillary web syndrome |
- Chemotherapy: | Yes / no |
- Radiotherapy: | Yes / no |
- Hormone therapy: | Yes / no |
- Immunotherapy: | Yes / no |
- Breast reconstruction: |
Yes / no Yes: - Type of reconstruction: Prosthesis/back/ abdomen - Reconstruction time: Immediate/ deferred |
- Date of symptom onset: | _/_/_ |
- Lymphedema: | Right/ left |