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Postmastectomie pain syndrome evidence based guidelines and decision trees


Bulletin du Cancer. Volume 94, Number 3, 275-85, Mars 2007, Recommandations

Résumé   Article gratuit  

Author(s) : Laurent Labrèze, Florence Dixmérias-Iskandar, Dominique Monnin, Emmanuel Bussières, Évelyne Delahaye, Dominique Bernard, Fabrice Lakdja

Summary : A multidisciplinary expert group had reviewed all scientific data available of post mastectomy pain syndrome. Seventy six publications were retained and thirty evidence based diagnosis, treatment and follow-up recommendations are listed. Few of theses recommendations are classed level A. Datas analysis make possible to propose a strategy based on systematic association of drugs, kinesitherapy and psychological support. Evaluation and closer follow-up are necessary. Several decisional trees are proposed.

Keywords : postmastectomie pain syndrom, axillary dissection, evidence based guidelines, decision trees

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