PERSISTENT BREAST PAIN FOLLOWING BREAST CANCER SURGERY IS ASSOCIATED WITH PERSISTENT SENSORY CHANGES, PAIN INTERFERENCE, AND FUNCTIONAL IMPAIRMENTS
Identifieur interne : 001843 ( Main/Exploration ); précédent : 001842; suivant : 001844PERSISTENT BREAST PAIN FOLLOWING BREAST CANCER SURGERY IS ASSOCIATED WITH PERSISTENT SENSORY CHANGES, PAIN INTERFERENCE, AND FUNCTIONAL IMPAIRMENTS
Auteurs : Dale J. Langford [États-Unis] ; Steven M. Paul [États-Unis] ; Claudia West [États-Unis] ; Jon D. Levine [États-Unis] ; Deborah Hamolsky [États-Unis] ; Charles Elboim [États-Unis] ; Brian L. Schmidt [États-Unis] ; Bruce A. Cooper [États-Unis] ; Gary Abrams [États-Unis] ; Bradley E. Aouizerat [États-Unis] ; Christine Miaskowski [États-Unis]Source :
- The journal of pain : official journal of the American Pain Society [ 1526-5900 ] ; 2014.
Abstract
Inter-individual variability exists in persistent breast pain following breast cancer surgery. Recently, we used growth mixture modeling to identify three subgroups of women (n=398) with distinct persistent breast pain trajectories over six months following surgery (i.e., Mild, Moderate, Severe). Purposes of this study were to identify demographic and clinical characteristics that differed among the breast pain classes and, using linear mixed effects modeling, determine how changes over time, in sensitivity in the breast scar area, pain qualities, pain interference, and hand and arm function differed among these classes. Several demographic and clinical characteristics differentiated the breast pain classes. Of note, 60% to 80% of breast scar sites tested were much less sensitive than the unaffected breast. Significant group effects were observed for pain qualities and interference scores, such that, on average, women in the Severe Pain class reported higher scores than women in the Moderate Pain class. In addition, women in the Moderate Pain class reported higher scores than women in the Mild Pain class. Compared to the Mild Pain class, women in the Severe Pain class had significantly impaired grip strength and women in the Moderate and Severe Pain classes had impaired flexion and abduction.
Url:
DOI: 10.1016/j.jpain.2014.08.014
PubMed: 25439318
PubMed Central: 4254680
Affiliations:
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Schmidt</name><affiliation wicri:level="2"><nlm:aff id="A4">College of Dentistry, New York University, New York, New York</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>College of Dentistry, New York University, New York</wicri:cityArea></affiliation></author><author><name sortKey="Cooper, Bruce A" sort="Cooper, Bruce A" uniqKey="Cooper B" first="Bruce A." last="Cooper">Bruce A. 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Aouizerat</name><affiliation wicri:level="2"><nlm:aff id="A1">School of Nursing, University of California, San Francisco, California</nlm:aff><country>États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>School of Nursing, University of California, San Francisco</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:aff id="A5">Institute for Human Genetics, University of California, San Francisco, California</nlm:aff><country>États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>Institute for Human Genetics, University of California, San Francisco</wicri:cityArea></affiliation></author><author><name sortKey="Miaskowski, Christine" sort="Miaskowski, Christine" uniqKey="Miaskowski C" first="Christine" last="Miaskowski">Christine Miaskowski</name><affiliation wicri:level="2"><nlm:aff id="A1">School of Nursing, University of California, San Francisco, California</nlm:aff><country>États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>School of Nursing, University of California, San Francisco</wicri:cityArea></affiliation></author></analytic><series><title level="j">The journal of pain : official journal of the American Pain Society</title><idno type="ISSN">1526-5900</idno><idno type="eISSN">1528-8447</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p id="P2">Inter-individual variability exists in persistent breast pain following breast cancer surgery. Recently, we used growth mixture modeling to identify three subgroups of women (n=398) with distinct persistent breast pain trajectories over six months following surgery (i.e., Mild, Moderate, Severe). Purposes of this study were to identify demographic and clinical characteristics that differed among the breast pain classes and, using linear mixed effects modeling, determine how changes over time, in sensitivity in the breast scar area, pain qualities, pain interference, and hand and arm function differed among these classes. Several demographic and clinical characteristics differentiated the breast pain classes. Of note, 60% to 80% of breast scar sites tested were much less sensitive than the unaffected breast. Significant group effects were observed for pain qualities and interference scores, such that, on average, women in the Severe Pain class reported higher scores than women in the Moderate Pain class. In addition, women in the Moderate Pain class reported higher scores than women in the Mild Pain class. Compared to the Mild Pain class, women in the Severe Pain class had significantly impaired grip strength and women in the Moderate and Severe Pain classes had impaired flexion and abduction.</p></div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Californie</li><li>État de New York</li></region></list><tree><country name="États-Unis"><region name="Californie"><name sortKey="Langford, Dale J" sort="Langford, Dale J" uniqKey="Langford D" first="Dale J." last="Langford">Dale J. Langford</name></region><name sortKey="Abrams, Gary" sort="Abrams, Gary" uniqKey="Abrams G" first="Gary" last="Abrams">Gary Abrams</name><name sortKey="Aouizerat, Bradley E" sort="Aouizerat, Bradley E" uniqKey="Aouizerat B" first="Bradley E." last="Aouizerat">Bradley E. Aouizerat</name><name sortKey="Aouizerat, Bradley E" sort="Aouizerat, Bradley E" uniqKey="Aouizerat B" first="Bradley E." last="Aouizerat">Bradley E. Aouizerat</name><name sortKey="Cooper, Bruce A" sort="Cooper, Bruce A" uniqKey="Cooper B" first="Bruce A." last="Cooper">Bruce A. Cooper</name><name sortKey="Elboim, Charles" sort="Elboim, Charles" uniqKey="Elboim C" first="Charles" last="Elboim">Charles Elboim</name><name sortKey="Hamolsky, Deborah" sort="Hamolsky, Deborah" uniqKey="Hamolsky D" first="Deborah" last="Hamolsky">Deborah Hamolsky</name><name sortKey="Levine, Jon D" sort="Levine, Jon D" uniqKey="Levine J" first="Jon D." last="Levine">Jon D. Levine</name><name sortKey="Miaskowski, Christine" sort="Miaskowski, Christine" uniqKey="Miaskowski C" first="Christine" last="Miaskowski">Christine Miaskowski</name><name sortKey="Paul, Steven M" sort="Paul, Steven M" uniqKey="Paul S" first="Steven M." last="Paul">Steven M. Paul</name><name sortKey="Schmidt, Brian L" sort="Schmidt, Brian L" uniqKey="Schmidt B" first="Brian L." last="Schmidt">Brian L. Schmidt</name><name sortKey="West, Claudia" sort="West, Claudia" uniqKey="West C" first="Claudia" last="West">Claudia West</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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