Prevalence of pain in patients with breast cancer post-treatment: A systematic review

Wang, Katie; Yee, Caitlin; Tam, Samantha; Drost, Leah; Chan, Stephanie; Zaki, Pearl; Rico, Victoria; Ariello, Krista; Dasios, Mark; Lam, Henry; DeAngelis, Carlo; Chow, Edward

doi:10.1016/j.breast.2018.08.105

Cited by 124 publications

(93 citation statements)

References 161 publications

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“…The overall levels of persistent pain in the current sample (11% moderate‐severe pain) were smaller than reported in previous literature, including a recent systematic review of 3746 patients reporting a prevalence of 29.8% . This suggests that the current study may not have captured the most “at risk” patients.…”

Section: Discussioncontrasting

confidence: 70%

“…The overall levels of persistent pain in the current sample (11% moderate-severe pain) were smaller than reported in previous literature, including a recent systematic review of 3746 patients reporting a prevalence of 29.8%. 2 This suggests that the current study may not have captured the most "at risk" patients. The current sample was also not highly distressed on average, despite inclusion criteria necessitating risk for persistent post-surgical pain, which included distress-based criteria.…”

Section: Pain Acceptancementioning

confidence: 91%

“…Breast cancer is the second most common cancer in American women, affecting about 1 in 8 (12%) in their lifetime . Nearly 30% of women have persistent pain following breast cancer surgeries, with 14% reporting moderate to severe pain . Persistent pain following breast cancer surgeries is associated with significant disability and distress, and emotional distress in cancer patients is associated with poorer compliance, higher risk of mortality, and poorer quality of life …”

Section: Introductionmentioning

confidence: 99%

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A single‐session acceptance and commitment therapy intervention among women undergoing surgery for breast cancer: A randomized pilot trial to reduce persistent postsurgical pain

et al. 2019

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Objective Oncologic breast surgeries carry a risk for persistent postsurgical pain. This study was a randomized pilot and feasibility study of a single‐session Acceptance and Commitment Therapy (ACT) intervention compared with treatment as usual among women undergoing surgery for breast cancer or ductal carcinoma in situ. Methods Participants were recruited via letter of invitation and follow‐up phone call from a single site in the United States from 2015 to 2017. Participants were at risk for persistent postsurgical pain, based on young age (<50), a preexisting chronic pain condition, or elevated anxiety, depression, or pain catastrophizing. Results The 54 participants were female with a mean age of 52.91 years (SD=11.80). At 3‐month postsurgery, 11% of the sample reported moderate‐severe pain (>3 on a 0‐10 numeric rating scale) in the operative breast or with arm movement. Written qualitative responses indicated that the majority of participants who received the intervention understood the concepts presented and reported continued practice of exercises learned in the session. The between group effect sizes for moderate‐severe pain and elevated anxiety at 3‐month post‐surgery were small (Phi=0.08 and 0.16, respectively). The between group effect sizes for depression, pain acceptance, and pain catastrophizing at 3‐month postsurgery were minimal. Conclusions This study found small positive effects on postsurgical pain and anxiety for a single‐session ACT intervention among women with breast cancer. This study supports the use of ACT with this population.

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Section: Discussioncontrasting

confidence: 70%

Section: Pain Acceptancementioning

confidence: 91%

Section: Introductionmentioning

confidence: 99%

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A single‐session acceptance and commitment therapy intervention among women undergoing surgery for breast cancer: A randomized pilot trial to reduce persistent postsurgical pain

et al. 2019

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“…Other long‐term local effects of surgical and radiation treatment include numbness, tingling, or tightness in the chest wall, arms, or shoulders. Recent studies suggest that approximately one‐third of women develop persistent pain after breast cancer surgery or radiation therapy, with younger women and those who undergo axillary lymph node dissection having the highest risk . In addition, treatment with chemotherapy can lead to premature menopause, which increases the risk of osteoporosis and impaired fertility .…”

Section: Selected Cancersmentioning

confidence: 99%

Cancer treatment and survivorship statistics, 2019

Miller

Nogueira

Mariotto

et al. 2019

CA A Cancer J Clinicians

3,476

2,656

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effects are also briefly described. More than 16.9 million Americans (8.1 million males and 8.8 million females) with a history of cancer were alive on January 1, 2019; this number is projected to reach more than 22.1 million by January 1, 2030 based on the growth and aging of the population alone. The 3 most prevalent cancers in 2019 are prostate (3,650,030), colon and rectum (776,120), and melanoma of the skin (684,470) among males, and breast (3,861,520), uterine corpus (807,860), and colon and rectum (768,650) among females. More than one-half (56%) of survivors were diagnosed within the past 10 years, and almost two-thirds (64%) are aged 65 years or older. People with a history of cancer have unique medical and psychosocial needs that require proactive assessment and management by follow-up care providers. Although there are growing numbers of tools that can assist patients, caregivers, and clinicians in navigating the various phases of cancer survivorship, further evidence-based resources are needed to optimize care.

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“…Historically, incidence of chronic pain has been reported to be correlated with increasing invasiveness of surgical procedure: 49% for mastectomy with reconstruction, 31% for mastectomy, and 22% for breast reduction [2]. Even with advanced pain management strategies and surgical techniques, recent studies have continued to report an elevated incidence ranging from 20 to 43%; however, further analysis has found no evidence supporting a difference in chronic pain incidence based upon the type of surgical procedure [2][3][4][5][6][7][8]. While the financial impact of postoperative chronic breast-related pain has not been directly elucidated, chronic pain burdens the system via direct costs of healthcare resources and indirect costs related to reduced workplace productivity [9].…”

Section: Introductionmentioning

confidence: 99%