About this trial
This study aims to assess Auto-Adjustable MOBIDERM® Autofit Armsleeve effect on upper limb volume excess compared to the compression bandages to manage the volume of upper limb lymphedema in patients with breast cancer related lymphedema
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Unilateral secondary upper limb lymphedema of stage II or III according to the criteria defined by the International Society of Lymphology, following breast cancer
Volume difference between affected and healthy arm ≥ 10%
Affected arm that fits with one of the 6 standard sizes of the Auto- Adjustable MOBIDERM Autofit armsleeve provided.
Signed informed consent prior to any study-mandated procedure.
Disqualifiers
Stage I lymphedema or located in several places.
Patients for whom compression is contraindicated.
Lymphedema associated with active cancer needing acute chemotherapy or having recurrence or metastasis.
Motor and sensitive neurological deficiency / psychiatric or addictive disorders
Trial design
Parallel
Treatments tested in this trial
MOBIDERM Autofit Armsleeve
DeviceIn the intervention group, during the intensive phase, patients wear day and night MOBIDERM AUTOFIT during 3 weeks. During the maintenance phase, patients wear usual compression sleeve during the day and MOBIDERM Autofit Armsleeve at night during 5 weeks
Compressive bandaging
DeviceIn the control group, during the intensive phase, patients wear compressive bandaging day and night-time, according to the usual practice during 3 weeks. During the maintenance phase, patients wear usual compression sleeve during the day and self bandages at night during 5 weeks
Treatment groups
Trial outcomes
Primary outcomes
Volume excess variation
The primary endpoint of this study is to compare between both groups the volume evolution of the upper limb between inclusion and the end of the study. Limb Volume is calculated with truncated cone formula.
Secondary outcomes
Resource consumption
Resource consumption is measured by time of transports (travel time in minutes).
Resource consumption
Resource consumption is measured by number of used medical devices (number).
Resource consumption
Resource consumption is measured by the number and duration (per minute) of lymphedema-related healthcare consultations and hospitalizations.
Lymphedema related Quality of life (QoL)
The evolution of QoL is measured by LYMQOL ARM self-questionnaire and specific questions. This tool is designed as patient-completed questionnaire. The questions cover four domains : symptoms, body image/appearance, function, mood. Each item in each domain is scored : not at all (1), a little (2), Quite a bit (3), A lot (4). Specific questions are about patient's perception of benefit