Psychosocial Impact of Postmastectomy Lymphedema Syndrome: Insights From a National Claims Database Analysis of Antidepressant Prescription Fills Article Swipe
Daniel Najafali
,
Jennifer K. Shah
,
Thomas Johnstone
,
Justin M. Camacho
,
Priscila Cevallos
,
Kometh Thawanyarat
,
Yelissa Navarro
,
Rahim Nazerali
,
Clifford C. Sheckter
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1097/gox.0000000000007012
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1097/gox.0000000000007012
Background: Postmastectomy lymphedema syndrome (PMLS) has been associated with lower quality of life due to symptoms and financial consequences. This study assessed the impact of PMLS on psychosocial well-being using antidepressant fill patterns. We hypothesized that PMLS increased the odds and duration of antidepressant fills. Methods: Mastectomy encounters in the Merative MarketScan Research Databases, 2007–2022, were extracted using Current Procedural Terminology codes. Among these, patients who developed PMLS and filled antidepressant prescriptions were identified using the International Classification of Diseases, Ninth and Tenth Revision , codes and generic drug names. Univariate and multivariate logistic regression tests were performed for statistical analyses. Results: Of 300,075 patients meeting criteria (median [interquartile range] age, 52 [45–59] y), 24,753 (8.2%) experienced PMLS. In a multivariate regression, younger age, less recent surgical year, and higher Elixhauser Comorbidity Index scores were associated with heightened odds of PMLS ( P < 0.001). In a multivariate regression, PMLS diagnoses increased odds of filling antidepressant prescriptions (26.8% versus 16.5%; odds ratio 1.55; P < 0.001). Time to last postmastectomy antidepressant fill was greater for patients with PMLS ( P < 0.001). In a propensity score–matched model of patients with PMLS with and without lymphedema interventions, such interventions did not impact time to last postmastectomy antidepressant fill ( P = 0.963). Conclusions: Patients with PMLS were associated with increased antidepressant fills compared with those without lymphedema. Lymphedema surgery did not impact duration of postmastectomy antidepressant fills. Future studies should evaluate the longitudinal abilities of surgical interventions to ameliorate depression in patients with PMLS.
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- Type
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- Language
- en
- Landing Page
- https://doi.org/10.1097/gox.0000000000007012
- OA Status
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- References
- 39
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4412958458
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4412958458Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1097/gox.0000000000007012Digital Object Identifier
- Title
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Psychosocial Impact of Postmastectomy Lymphedema Syndrome: Insights From a National Claims Database Analysis of Antidepressant Prescription FillsWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
- Publication date
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2025-08-01Full publication date if available
- Authors
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Daniel Najafali, Jennifer K. Shah, Thomas Johnstone, Justin M. Camacho, Priscila Cevallos, Kometh Thawanyarat, Yelissa Navarro, Rahim Nazerali, Clifford C. SheckterList of authors in order
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https://doi.org/10.1097/gox.0000000000007012Publisher landing page
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YesWhether a free full text is available
- OA status
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goldOpen access status per OpenAlex
- OA URL
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https://doi.org/10.1097/gox.0000000000007012Direct OA link when available
- Concepts
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Lymphedema, Medical prescription, Antidepressant, Psychosocial, Medicine, Mastectomy, Psychiatry, Breast cancer, Family medicine, Cancer, Internal medicine, Pharmacology, AnxietyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
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39Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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