ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2026
Current status of lymphedema-related health information-seeking behavior and its associated factors among postoperative breast cancer patients: a cross-sectional study.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundHealth information-seeking behavior (HISB) among postoperative breast cancer (BC) patients significantly contributes to lymphedema prevention and management, enhancing patients' self-care abilities and health outcomes. Identifying factors associated with HISB can provide scientific evidence and practical insights for developing effective information-seeking-focused health education programs for this population.
objectiveThis study aimed to investigate the current status of lymphedema-related HISB and identify factors associated with HISB among postoperative breast cancer patients.
methodsA cross-sectional study involving 196 patients was conducted from December 2024 to January 2025 at the Department of Breast Surgery in a tertiary hospital in Hangzhou, Zhejiang Province. Data collection utilized the General Information Questionnaire, the Upper Extremity Lymphedema Knowledge, Attitude, and Practice (KAP) scale, and the HISB Scale. Multiple linear regression was employed to identify factors associated with HISB among participants.
resultsThe mean HISB score related to lymphedema among the 196 postoperative BC patients was 178.21 he25.02. Multiple linear regression analysis revealed that the total KAP score was significantly associated with HISB (B 5.0.850, 95% CI: 0.673 to 1.027, β = 0.621, p .60.001). In addition, patients who reported "unknown" axillary lymph node dissection status had significantly lower HISB scores compared with those who reported 0 nodes removed (B .001)15.467, 95% CI: - 28.321 to - 2.614, p .60.019). The final model explained 40.2% of the variance in HISB (adjusted R
conclusionHealthcare providers may consider assessing whether patients can report their axillary lymph node dissection status and providing clarification for those who report "unknown" status; however, this finding is based on a comparison with the 0-node reference group and should be interpreted cautiously. IMPLICATION FOR PRACTICE: This study describes HISB scores and associated factors among postoperative BC patients lymphedema-related HISB, including lymphedema knowledge and reporting "unknown" axillary lymph node dissection status compared with reporting 0 nodes removed. These findings can inform healthcare providers in refining patient-centered health education and communication strategies, thereby enhancing patient engagement and self-management capabilities.
trial registrationChinese Clinical Trial Registry, ChiCTR2500112931. Retrospectively registered on 21 November 2025. This manuscript reports the quantitative component of a registered mixed-methods study.
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