Impairments, disabilities and health related quality of life after treatment for breast cancer: a follow-up study 2.7 years after surgery

Rietman, Johan Swanik; Dijkstra, Pieter U.; Debreczeni, R; Geertzen, Joannes; Robinson, Domenic; Vries, de Erik

doi:10.1080/09638280310001629642

Cited by 190 publications

(165 citation statements)

References 29 publications

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“…Aquelas que tiveram uma pior percepção da saúde também apresentaram um maior risco de sintomas depressivos. Alguns estudos verificaram que a dor é um dos sintomas mais frequentes após o tratamento do câncer de mama 27 e com forte relação com a percepção de incapacidade e redução da qualidade de vida 28 . O aumento de sintomas depressivos foi associado a pouca mobilidade do braço 12 meses após o diagnóstico do câncer (p = 0,005) 29 .…”

Section: Tabela 2 Descrição Dos Dados Clínicos Das Mulheres Estudadasunclassified

Sintomas depressivos no câncer de mama: Inventário de Depressão de Beck - Short Form

Cangussu¹,

Soares

Barra

et al. 2010

J. bras. psiquiatr.

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reSumo objetivos: Verificar a prevalência de sintomas depressivos em mulheres com câncer de mama e identificar os fatores de risco associados à sua ocorrência. métodos: Foi realizado um estudo transversal, em que foram entrevistadas 71 mulheres com câncer de mama. Foram empregados dois instrumentos: um questionário para verificar os dados sociodemográficos e clínicos e o Inventário de Depressão de Beck -Short Form (BDI-SF), para avaliação dos sintomas depressivos. Para análise dos dados, utilizaram-se medidas descritivas e o teste de quiquadrado, que avaliou a associação entre variáveis sociodemográficas e clínicas e os sintomas depressivos. O nível de significância considerado foi de 5%. resultados: A prevalência de sintomas depressivos foi de 29,6%. Os fatores associados à presença desses sintomas foram o tratamento quimioterápico (p = 0,021), presença de dor (p = 0,018) e limitação do movimento do membro superior (p = 0,010) e pior percepção da saúde (p = 0,018). conclusão: Sintomas depressivos são frequentes no câncer de mama, assim a saúde mental das mulheres com esse tipo de câncer deve ser investigada e tratada quando necessário, reduzindo o impacto desses sintomas na vida da mulher.

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Section: Tabela 2 Descrição Dos Dados Clínicos Das Mulheres Estudadasunclassified

Sintomas depressivos no câncer de mama: Inventário de Depressão de Beck - Short Form

Cangussu¹,

Soares

Barra

et al. 2010

J. bras. psiquiatr.

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“…Therefore, the benefits of this program to assess a breast cancer patient's ability for symptom management using the education that they have received from before surgery in their current daily life must be continued even later than 3 months after surgery. Moreover, predictive factors for decreased QOL in patients with upper arm dysfunction after breast cancer surgery have been reported in several previous studies (Rietman et al 2003(Rietman et al , 2004Morgan et al 2005;Sato and Kuroda 2008;Hayes et al 2010;Smoot et al 2010;Nesvold et al 2011). Therefore, QOL must also be evaluated as an indicator of program effects.…”

Section: Introductionmentioning

confidence: 98%

The Perioperative Educational Program for Improving Upper Arm Dysfunction in Patients with Breast Cancer at 1-Year Follow-Up: A Prospective, Controlled Trial

Sato

Arinaga

Sato

et al. 2016

Tohoku J. Exp. Med.

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The many women with breast cancer who underwent axillary lymph node dissection (ALND) suffer from the upper arm dysfunction. In this study, we investigated the effectiveness of a perioperative educational program for improving upper arm dysfunction in breast cancer patients following ALND. This study was a sub-analysis of a previous controlled trial with an educational program. The subjects of this analysis included 64 patients following ALND who completed measurements at 12 months. The perioperative educational program consisted of monitoring of arm dysfunction, exercises, massage, and lifestyle adjustments. The intervention group (37 patients) received this perioperative educational program over 12 months, while 27 patients in the control group received written information about shoulder exercise from on-site staff only before surgery. Primary outcomes were shoulder range of motion (ROM), arm girth, and grip strength. Secondary outcomes were evaluated with the Subjective Perception of Post-Operative Functional Impairment of the Arm (SPOFIA) scores, the Disabilities of the Arm, Shoulder and Hand (DASH) scores, and the Medical Outcome Study 36-Item Short-Form Health Survey v2 (SF-36v2). The SF-36v2 measures health-related quality of life (QOL). Primary and secondary outcomes were compared between groups at 1 week (after drainage tube removal) and 12 months after surgery, using the Mann-Whitney U test. The horizontal extension was significantly improved only in the intervention group. Moreover, the SPOFIA score was significantly improved in the intervention group, and other scores of the secondary outcomes were similar between the two groups. The perioperative educational program may improve postoperative upper arm dysfunction and symptoms.

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“…Omuz ağrısı %38,5 ile %76,1 arasında değişen oranlarda olup, genellikle hastaların en sık yakınmasıdır (7)(8)(9). Cerrahiden sonra bir yıla kadar meme kanserli hastaların %16-43'ünde omuz fonksiyon bozukluğu olduğu belirtilmiştir (10).…”

Section: Introductionunclassified

“…Meme kanseri tedavisine sekonder gelişen kol problemleri, hastalarda daha çok fonksiyonel bozukluk, psikolojik morbidite ve bozulmuş hayat kalitesine neden olmaktadır (7,9,(11)(12)(13)(14). Ağrı, uyuşukluk ve omuzda kısıtlılık birbirinden bağımsız olarak oluşabileceği gibi, birbiriyle ilişkili veya lenfödemin sonucu olarak da ortaya çıkabilmektedir (15).…”

Section: Introductionunclassified

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Meme Cerrahisi ve Aksiller Diseksiyon Uygulanan Meme Kanserli Hastalarda Üst Ekstremite Problemlerinin Sıklığı ve Yaşam Kalitesine Etkisi

Atalay¹

2013

Tftr

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Sum maryAim: The purpose of this study was to determine the prevalence of upper extremity problems in patients who had undergone breast cancer surgery, to compare the risk factors associated with these problems and to investigate their effects on quality of life. Materials and Methods: One hundred thirty-two patients who had undergone either modified radical mastectomy or breast conserving surgery (lumpectomy) were enrolled to the study. Lymphedema, shoulder pain and restriction of shoulder motion were considered as upper extremity problems. Type of surgery, body mass index (BMI), radiotherapy, chemotherapy, disease stage and dominant hand involvement were recorded. The World Health Organisation (WHO) Quality of Life-BREF-Turkish Version (WHOQOL-BREF-TR) was used for the assessment of quality of life. Results: Shoulder pain was the most common symptom (45.5%), followed by lymphedema (34.8%) and shoulder motion restriction (22%). No significant relation was found between lymphedema and age, type of surgery, restriction of shoulder motion, pain and dominant hand involvement. Increased BMI, treatment with chemotherapy or radiotherapy, advanced-disease stage and lymph node involvement were associated with lymphedema (p< 0.05). It was seen that doing regular exercise had positive effect on lymphedema, pain and shoulder motion restriction reduction ( p<0.05). Lymphedema, pain and shoulder motion restriction were related with physical and psychological subgroups of WHOQOL-BREF TR, whereas shoulder motion restriction was also associated with the environmental subgroup (p<0.05). When Özet Amaç: Bu çalışmanın amacı meme kanseri nedeniyle cerrahi uygulanan hastalarda üst ekstremite problemlerinin görülme sıklığının saptanması, bu problemlerle ilişkili risk faktörlerinin karşılaştırılması ve yaşam kalitesi üzerine etkilerini araştırmaktır. Gereç ve Yöntem: Modifiye radikal mastektomi veya meme koruyucu cerrahi (lumpektomi) uygulanan 132 hasta çalışmaya dahil edildi. Üst ekstremite problemleri olarak lenfödem, omuz ağrısı, omuz hareket kısıtlılığı değerlendirildi. Ayrıca operasyon şekli, vücut kitle indeksi (VKİ), kemoterapi (KT), radyoterapi (RT), hastalık evresi, lenf nodu tutulumu, yaş, dominant elin tutulumu kaydedildi. Yaşam kalitesi ölçeği olarak Dünya Sağlık Örgütü Yaşam Kalitesi Ölçeği Türkçe kısa formu (WHOQOL-BREF TR) kullanıldı. Bulgular: Hastalarda en sık görülen semptom olan omuzda ağrıyı (%45,5), lenfödem (%34,8) ve omuzda hareket kısıtlılığı (%22) takip etmekteydi. Yaş, operasyon şekli, omuzda hareket kısıtlılığı, ağrı varlığı ve dominant elin tutulumu ile lenfödem arasında anlamlı ilişki saptanmazken, artmış VKİ, KT-RT tedavisi almış olma, ileri hastalık evresi, lenf nodu tutulumu varlığı lenfödem olan grupta daha yüksekti (p<0,05). Düzenli egzersiz yapmanın lenfödem, ağrı ve hareket kısıtlılığını azaltma yönünde etkili bir faktör olduğu görüldü (p<0,05). Lenfödem, ağrı ve omuz hareket kısıtlılığının WHOQOL-BREF TR'nin bedensel, ruhsal alt alanları üzerine, omuz hareket kısıtlılığının ayrıca çevre alt alanı ü...

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Impairments, disabilities and health related quality of life after treatment for breast cancer: a follow-up study 2.7 years after surgery

Abstract: Pain is the most frequent assessed impairment after breast cancer treatment with strong relationship to perceived disability and health related QOL. Disability is mild and health related QOL (RAND-36) differed in three of the nine domains with a female norm group.

Cited by 190 publications

References 29 publications

Sintomas depressivos no câncer de mama: Inventário de Depressão de Beck - Short Form

Sintomas depressivos no câncer de mama: Inventário de Depressão de Beck - Short Form

The Perioperative Educational Program for Improving Upper Arm Dysfunction in Patients with Breast Cancer at 1-Year Follow-Up: A Prospective, Controlled Trial

Meme Cerrahisi ve Aksiller Diseksiyon Uygulanan Meme Kanserli Hastalarda Üst Ekstremite Problemlerinin Sıklığı ve Yaşam Kalitesine Etkisi

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