PERSISTENT BREAST PAIN FOLLOWING BREAST CANCER SURGERY IS ASSOCIATED WITH PERSISTENT SENSORY CHANGES, PAIN INTERFERENCE, AND FUNCTIONAL IMPAIRMENTS
Identifieur interne : 005670 ( Ncbi/Merge ); précédent : 005669; suivant : 005671PERSISTENT 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
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<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>
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<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
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<title-group><article-title>PERSISTENT BREAST PAIN FOLLOWING BREAST CANCER SURGERY IS ASSOCIATED WITH PERSISTENT SENSORY CHANGES, PAIN INTERFERENCE, AND FUNCTIONAL IMPAIRMENTS</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Langford</surname>
<given-names>Dale J.</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Paul</surname>
<given-names>Steven M.</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>West</surname>
<given-names>Claudia</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Levine</surname>
<given-names>Jon D.</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Hamolsky</surname>
<given-names>Deborah</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Elboim</surname>
<given-names>Charles</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Schmidt</surname>
<given-names>Brian L.</given-names>
</name>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cooper</surname>
<given-names>Bruce A.</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
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<contrib contrib-type="author"><name><surname>Abrams</surname>
<given-names>Gary</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Aouizerat</surname>
<given-names>Bradley E.</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A5">5</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Miaskowski</surname>
<given-names>Christine</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
School of Nursing, University of California, San Francisco, California</aff>
<aff id="A2"><label>2</label>
School of Medicine, University of California, San Francisco, California</aff>
<aff id="A3"><label>3</label>
Redwood Regional Oncology Group, Santa Rosa, California</aff>
<aff id="A4"><label>4</label>
College of Dentistry, New York University, New York, New York</aff>
<aff id="A5"><label>5</label>
Institute for Human Genetics, University of California, San Francisco, California</aff>
<author-notes><corresp id="FN1">Address correspondence to: Christine Miaskowski, RN, PhD, FAAN, Professor and Associate Dean for Academic Affairs, Department of Physiological Nursing, University of California, 2 Koret Way – N631Y, San Francisco, CA 94143-0610, 415-476-9407 (phone), 415-476-8899 (fax), <email>chris.miaskowski@nursing.ucsf.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>18</day>
<month>11</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="ppub"><month>12</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>01</day>
<month>12</month>
<year>2015</year>
</pub-date>
<volume>15</volume>
<issue>12</issue>
<fpage>1227</fpage>
<lpage>1237</lpage>
<pmc-comment>elocation-id from pubmed: 10.1016/j.jpain.2014.08.014</pmc-comment>
<permissions><copyright-statement>© 2014 The American Pain Society. All rights reserved.</copyright-statement>
<copyright-year>2014</copyright-year>
</permissions>
<abstract><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>
</abstract>
<kwd-group><kwd>breast pain</kwd>
<kwd>breast cancer surgery</kwd>
<kwd>pain qualities</kwd>
<kwd>pain interference</kwd>
<kwd>range of motion</kwd>
<kwd>grip strength</kwd>
<kwd>sensory changes</kwd>
<kwd>persistent pain</kwd>
<kwd>chronic pain</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
<affiliations><list><country><li>États-Unis</li>
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<name sortKey="Aouizerat, Bradley E" sort="Aouizerat, Bradley E" uniqKey="Aouizerat B" first="Bradley E." last="Aouizerat">Bradley E. Aouizerat</name>
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<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>
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