John Libbey Eurotext

Bulletin du Cancer

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Postmastectomie pain syndrome evidence based guidelines and decision trees Volume 94, issue 3, Mars 2007

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Authors
Départements d’anesthésie-réanimation-douleur, Institut Bergonié, 229, cours de l’Argonne, 33076 Bordeaux Cedex, Chirurgie, Institut Bergonié, 229, cours de l’Argonne, 33076 Bordeaux Cedex, Psychologie, Institut Bergonié, 229, cours de l’Argonne, 33076 Bordeaux Cedex, Kinésithérapeute, 82 avenue de la République, 33200 Bordeaux

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.