Shoulder Pain, Functional Status, and Health-Related Quality of Life after Head and Neck Cancer Surgery

Wang, Hsiao‐Lan; Keck, James; Weaver, Michael T.; Mikesky, Alan E.; Bunnell, Karen; Buelow, Janice M.; Rawl, Susan M.

doi:10.1155/2013/601768

Cited by 12 publications

(12 citation statements)

References 57 publications

(64 reference statements)

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“…Recovery can be slow, with high rates of chronic pain; in a community‐based cohort, only 49% of respondents reported a complete recovery at 18 months 3. Shoulder pain has a significant negative impact on quality of life 4, 5, 6. It also poses a significant economic burden, with costs estimated to be £310 million in the first 6 months following primary care contact 7.

Significance & Innovations

The majority of studies show conflicting results on the association of imaging‐detected features with symptoms.

The majority of studies did not evaluate the role of multiple pathologies in shoulder symptoms.

Of the possible individual structures to be associated with pain, enlarging rotator cuff tears may be associated with incident symptoms.

…”

Section: Introductionmentioning

confidence: 99%

“…Recovery can be slow, with high rates of chronic pain; in a community-based cohort, only 49% of respondents reported a complete recovery at 18 months (3). Shoulder pain has a significant negative impact on quality of life (4)(5)(6). It also poses a significant economic burden, with costs estimated to be £310 million in the first 6 months following primary care contact (7).…”

Section: Introductionmentioning

confidence: 99%

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What Imaging‐Detected Pathologies Are Associated With Shoulder Symptoms and Their Persistence? A Systematic Literature Review

Tran

Cowling

Smith

et al. 2018

Arthritis Care & Research

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ObjectiveShoulder symptoms are common, and imaging is being increasingly used to help with management. However, the relationship between imaging and symptoms remains unclear. This review aims to understand the relationship between imaging‐detected pathologies, symptoms, and their persistence.MethodsA systematic review using Medline, EMBASE, Cochrane, and grey literature was conducted to April 2017. The cross‐sectional and longitudinal relationships between imaging‐detected abnormalities and symptoms were analyzed and associations qualitatively characterized by a best‐evidence synthesis based on study design, covariate adjustment, and the Grade of Recommendations Assessment, Development, and Evaluation (GRADE) methodology. Modalities included ultrasound, magnetic resonance imaging (MRI), radiographs, positron emission tomography (PET), bone scintigraphy, and computed tomography.ResultsA total of 6,569 abstracts was screened and 56 articles were included. In total, 50 studies did not adjust for covariates and 36 analyzed individual pathologies only. The majority of studies showed conflicting results. There was no significant association between most imaging features and symptoms among high‐quality, cross‐sectional studies. There was low‐quality evidence that enhancement of the joint capsule on MRI and increased uptake on PET were associated with symptoms in adhesive capsulitis. Based on high‐quality longitudinal studies, enlarging rotator cuff tears were associated with an increased incidence of symptoms.ConclusionThere were conflicting results on the association of imaging features with shoulder symptoms and their persistence. The existing evidence was very low in quality, based on the GRADE methodology. Further high‐quality studies are required to understand the relationship between imaging and shoulder symptoms and to determine the appropriate role of imaging in care pathways.

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Significance & Innovations

The majority of studies show conflicting results on the association of imaging‐detected features with symptoms.

The majority of studies did not evaluate the role of multiple pathologies in shoulder symptoms.

Of the possible individual structures to be associated with pain, enlarging rotator cuff tears may be associated with incident symptoms.

…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

What Imaging‐Detected Pathologies Are Associated With Shoulder Symptoms and Their Persistence? A Systematic Literature Review

Tran

Cowling

Smith

et al. 2018

Arthritis Care & Research

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“…In 2015, an estimated 45,780 HNSCCs (2.8 % of newly diagnosed cancer cases) and 8650 related deaths will have occurred in the US (Siegel et al 2015). Despite advances in the treatment of HNSCCs, treatment-related complications have a profound effect on a patient's quality of life, including impaired speech (Noonan and Hegarty 2010), difficulties with eating and breathing (Frowen and Perry 2006), permanent disfigurement (Callahan 2004), and chronic pain (Wang et al 2013).…”

Section: Introductionmentioning

confidence: 99%

Racial differences in head and neck squamous cell carcinomas among non-Hispanic black and white males identified through the National Cancer Database (1998–2012)

Peterson

Khosla

Chen

et al. 2016

J Cancer Res Clin Oncol

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“…In an another international study similar findings were observed on shoulder pain, functional status and HRQOL after HNC surgery and concluded that HNC patients who encountered shoulder pain, eating impairment, speaking impairment, and impaired body image which interfered with HRQOL during the early postoperative period [14]. The American Cancer Society in 2013 recommended early and regular assessment of symptoms and impaired body functions across the cancer care continuum [14].…”

Section: Discussionmentioning

confidence: 75%

“…The American Cancer Society in 2013 recommended early and regular assessment of symptoms and impaired body functions across the cancer care continuum [14]. Swallowing dysfunction were also evaluated by using endoscopic examination after radiotherapy in HNC patients [15].…”

Section: Discussionmentioning

confidence: 99%

Assessment of Swallowing and Neck Dysfunction Post Radiotherapy/Chemo-Radiotherapy in Head and Neck Cancer Patients

Kaur¹,

Pannu²,

Singh³

2016

BBIJ

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Background: Head and neck cancer (HNC) patients experience treatment-related complications that may interfere with health related quality of life. Swallowing and neck disability, impaired neck movements and eating or swallowing contribute to decrements in functional status of an individual. The aim of this paper is to assess swallowing and neck dysfunction in HNC patients post radiotherapy (RT)/chemoradiotherapy (CXRT). Materials and Methods:The purpose of this study was to assess neck dysfunction and functional status post RT/CXRT in HNC patients. Data was collected on forty nine out-patients after a course of RT / CXRT for cancers of Head and Neck using GUSS (Gugging Swallowing Screen), NDI (Neck Disability Index) and Neck Range of Motion (ROM). Results and Conclusion:Forty nine out-patients were included in the study with mean age of 58.35 ± 13.34 years (21-80). Forty three (89%) were men. Majority (59.2%) were in the advanced stage (III & IV) of HNC. Flexion (51%), extension (79.6%), left (57.1%) and right (61.2%) rotation had decreased Active Range of Motion (AROM). Lateral Flexion and extension; flexion and NDI; and extension and flexion had a significant positive correlation (p< 0.001). Mean GUSS score was 14.65 ± 2.05 (9-19) and mean NDI score was 10.59 ± 7.96(0-30). Majority of the patients had mild swallowing {37(75.5%)} and mild neck {23(46.9%)} disability.

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Shoulder Pain, Functional Status, and Health-Related Quality of Life after Head and Neck Cancer Surgery

Cited by 12 publications

References 57 publications

What Imaging‐Detected Pathologies Are Associated With Shoulder Symptoms and Their Persistence? A Systematic Literature Review

What Imaging‐Detected Pathologies Are Associated With Shoulder Symptoms and Their Persistence? A Systematic Literature Review

Racial differences in head and neck squamous cell carcinomas among non-Hispanic black and white males identified through the National Cancer Database (1998–2012)

Assessment of Swallowing and Neck Dysfunction Post Radiotherapy/Chemo-Radiotherapy in Head and Neck Cancer Patients

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