Table 3.

Clinical practice guidelines summary

	Recommendation
Who to screen?	Patients meeting at least one of the following criteria: 1. Axillary Management: Axillary Lymph Node Dissection or Sentinel Lymph Node Biopsy with > 6 nodes removed 2. Regional Node Irradiation 3. Taxane based chemotherapy 4. BMI > 30 kg/m2 5. Mastectomy in the setting of invasive breast cancer
How often should patients have L-Dex measurements	Baseline Years 1–3: Quarterly Years 4–5: Semi-annually Years 6 +: Annually as clinically indicated
When to initiate BCRL treatment?	Change of L-Dex Score > 6.5 over baseline Compression garment × 4 weeks
Management Post Early-intervention	Measure following completion of intervention If remains abnormal, refer for complex decongestive physiotherapy For those returning to normal following intervention, follow quarterly for at least 3 years post-treatment