Upper extremity function and quality of life in patients with breast cancer related lymphedema

Bojinović-Rodić, Dragana; Popovic-Petrovic, Svetlana; Tomić, Sanja; Markez, Stanislava; Živanić, Dobrinka

doi:10.2298/vsp150208075b

Cited by 18 publications

(14 citation statements)

References 24 publications

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“…9,10 One potential effect of BCRL is impairment in activities of daily living (ADLs), which include bathing, dressing, toileting, transferring, continence, and feeding. [11][12][13][14][15][16] ADLs are sets of essential activities that enable a person to live a minimally independent life; thus, they are important indicators for physical function. With impairments in ADLs, quality of life and independence of living diminish because one cannot function as an independent individual when basic daily living activities cannot be accomplished.…”

Section: Introductionmentioning

confidence: 99%

Limb Volume Changes and Activities of Daily Living: A Prospective Study

Park

Merriman

Brody

et al. 2021

Lymphatic Research and Biology

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Background: Breast cancer-related lymphedema (BCRL) limits the movements of patients' limbs, which leads to a diminished ability to achieve essential activities of daily living (ADLs). The purpose of this study was to examine the associations between limb volume changes from the baseline before breast cancer surgery and self-reported difficulty in performing ADLs at 12 months following cancer surgery. We hypothesized that a positive association existed between limb volume changes from the baseline and self-reported difficulty in performing ADLs at 12 months following breast cancer surgery. Methods and Results: The data of the present study were part of a larger study with 140 breast cancer patients recruited before breast cancer surgery and followed up during their first year of treatment. Patients with more than 10% limb volume increase reported more frequent distress in performing 13 ADL items, compared with patients whose limb volume increased by 5%–10%. Regression analysis showed a significant increase in the odds ratio of reporting difficulty in ADLs compared with the group with less than 5% limb volume increase. Conclusion: Overall, patients with a greater limb volume increase underwent more difficulty performing ADLs. Patients reported more difficulty in performing ADLs even with 5%–10% limb volume increase. Currently, there is no standardized guideline to diagnose BCRL, although previous evidence suggests a limb volume increase greater than 10% as a criterion for BCRL. The findings from the present study suggest a more precise and clinically meaningful criteria for diagnosing BCRL to accommodate those with 5%–10% increase in limb volume.

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Section: Introductionmentioning

confidence: 99%

Limb Volume Changes and Activities of Daily Living: A Prospective Study

Park

Merriman

Brody

et al. 2021

Lymphatic Research and Biology

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“…28 Cross-sectional models showed that upper extremity dysfunction was correlated with HRQoL in patient population. 29,30 Our findings demonstrated that HRQoL of participants with sleep disturbance were significantly lower than those of participants without sleep disturbance. Negative correlation was found between the HRQoL and AIS scores of all participants.…”

Section: Discussionmentioning

confidence: 62%

Association between upper extremity dysfunction and sleep disturbance in an elderly general population

et al. 2020

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Objective: Several upper extremity disorders are associated with sleep disturbance in patient populations. This study evaluated the relation between self-assessment of upper extremity function and sleep disturbance in an elderly general population. Methods: A total of 159 participants (56 men, 103 women, 38–88 years old, mean age of 66.4 years) completed a self-administered questionnaire including items for sex, weight, height, and dominant hand. Upper extremity dysfunction was investigated using Quick Disabilities of the Arm, Shoulder, and Hand of the Japanese Society for Surgery of the Hand. The sleep disturbance severity was evaluated using a Japanese version of the Athens Insomnia Scale. Quality of life was assessed using the EuroQol-5-dimension-3-level, Japanese version. We measured the bilateral hand grip as an indicator of hand muscle function. Statistical tests were applied to clarify the association between upper extremity dysfunction and screening results for sleep disturbance. Results: Of 159 participants, 45 (28.3%) had sleep disturbance as assessed using Japanese version of the Athens Insomnia Scale (11 men and 34 women; mean age of 68.1 years). Japanese version of the Athens Insomnia Scale scores correlated with the EuroQol index; EuroQol visual analog scale; and Quick Disabilities of the Arm, Shoulder, and Hand scores. The Quick Disabilities of the Arm, Shoulder, and Hand score and dominant grip strength of the participants with sleep disturbance were significantly higher than those of the no sleep disturbance group. The EuroQol index score and visual analog scale of those reporting a sleep disturbance were significantly lower than those of the no sleep disturbance group. Conclusion: Self-administered upper extremity health condition as assessed using Quick Disabilities of the Arm, Shoulder, and Hand correlated with sleep disturbance. Our results suggest a link between upper extremity conditions and sleep disturbance.

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“…Studies examining social support concerns in women with BCRL report that women continue to experience concerns of lack of privacy, social support, and relationships suggesting the need for social support interventions [30][31][32][33][34]. Reports were mixed regarding associations between the presence of BCRL and QOL, with some studies reporting that self-reported BCRL symptoms are more indicative of QOL scores, while objective measures of BCRL are less predictive of QOL scores [36][37][38][39][40]. Differences in study designs, underpowered samples, and a lack of disease-specific instruments to psychosocial impact of BCRL, including QOL [8], likely account for these findings.…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, another group found associations between older age and poorer QOL among those with BCRL (N = 201) [9•]. In contrast, three studies reported the presence of BCRL was not associated with QOL [38][39][40]. Differences between study designs, including sample characteristics (e.g., age of participants and diseasespecific exclusion criteria) [39] and instruments (SF-12, SF-36, and FACT-B) used to assess QOL, may account for these findings.…”

Section: Psychological Health Factorsmentioning

confidence: 99%

Psychosocial Issues Associated with Breast Cancer-Related Lymphedema: a Literature Review

Eaton

Narkthong

Hulett

2020

Curr Breast Cancer Rep

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Purpose of Review Breast cancer-related lymphedema (BCRL) is a chronic disease affecting breast cancer survivors. The purpose of this article is to update the scientific literature regarding psychosocial issues associated with BCRL. Recent Findings Reports describe economic burdens, social support, sexuality, BCRL patient-education needs, and interventions to reduce BCRL symptoms and improve QOL among women with breast cancer. The psychosocial impact of BCRL may differ between younger and older women which has implications for age-related interventions to reduce the adverse psychosocial experiences of women with BCRL. We did not locate studies reporting the psychosocial impact of BCRL on male breast cancer survivors. Summary More psychosocial-based interventions are needed that target the concerns of those with BCRL, including age-related needs, sexual concerns, body image, and social support. Future research is indicated to study the psychosocial impact of BCRL among men. Researchers may consider how pandemic-driven health care policies affect the psychosocial needs of those with BCRL.

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Upper extremity function and quality of life in patients with breast cancer related lymphedema

Cited by 18 publications

References 24 publications

Limb Volume Changes and Activities of Daily Living: A Prospective Study

Limb Volume Changes and Activities of Daily Living: A Prospective Study

Association between upper extremity dysfunction and sleep disturbance in an elderly general population

Psychosocial Issues Associated with Breast Cancer-Related Lymphedema: a Literature Review

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