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05). The area under the curve (AUC) values of the primary and the validation cohorts were 0.721 (95% confidence interval 0.685-0.756) and 0.702 (95% confidence interval 0.646-0.759), respectively. BCRL risk factors include MRM, radiotherapy, chemotherapy, and higher BMI, while the active physical activity behavior of patients appears to be a factor against lymphedema. The nomogram incorporating the patients' clinical and lifestyle factors might be useful for predicting lymphedema in breast cancer survivors. BCRL risk factors include MR