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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">PERSISTENT BREAST PAIN FOLLOWING BREAST CANCER SURGERY IS ASSOCIATED WITH PERSISTENT SENSORY CHANGES, PAIN INTERFERENCE, AND FUNCTIONAL IMPAIRMENTS</title>
<author><name sortKey="Langford, Dale J" sort="Langford, Dale J" uniqKey="Langford D" first="Dale J." last="Langford">Dale J. Langford</name>
<affiliation><nlm:aff id="A1">School of Nursing, University of California, San Francisco, California</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Paul, Steven M" sort="Paul, Steven M" uniqKey="Paul S" first="Steven M." last="Paul">Steven M. Paul</name>
<affiliation><nlm:aff id="A1">School of Nursing, University of California, San Francisco, California</nlm:aff>
</affiliation>
</author>
<author><name sortKey="West, Claudia" sort="West, Claudia" uniqKey="West C" first="Claudia" last="West">Claudia West</name>
<affiliation><nlm:aff id="A1">School of Nursing, University of California, San Francisco, California</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Levine, Jon D" sort="Levine, Jon D" uniqKey="Levine J" first="Jon D." last="Levine">Jon D. Levine</name>
<affiliation><nlm:aff id="A2">School of Medicine, University of California, San Francisco, California</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Hamolsky, Deborah" sort="Hamolsky, Deborah" uniqKey="Hamolsky D" first="Deborah" last="Hamolsky">Deborah Hamolsky</name>
<affiliation><nlm:aff id="A1">School of Nursing, University of California, San Francisco, California</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Elboim, Charles" sort="Elboim, Charles" uniqKey="Elboim C" first="Charles" last="Elboim">Charles Elboim</name>
<affiliation><nlm:aff id="A3">Redwood Regional Oncology Group, Santa Rosa, California</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Schmidt, Brian L" sort="Schmidt, Brian L" uniqKey="Schmidt B" first="Brian L." last="Schmidt">Brian L. Schmidt</name>
<affiliation><nlm:aff id="A4">College of Dentistry, New York University, New York, New York</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cooper, Bruce A" sort="Cooper, Bruce A" uniqKey="Cooper B" first="Bruce A." last="Cooper">Bruce A. Cooper</name>
<affiliation><nlm:aff id="A1">School of Nursing, University of California, San Francisco, California</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Abrams, Gary" sort="Abrams, Gary" uniqKey="Abrams G" first="Gary" last="Abrams">Gary Abrams</name>
<affiliation><nlm:aff id="A2">School of Medicine, University of California, San Francisco, California</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Aouizerat, Bradley E" sort="Aouizerat, Bradley E" uniqKey="Aouizerat B" first="Bradley E." last="Aouizerat">Bradley E. Aouizerat</name>
<affiliation><nlm:aff id="A1">School of Nursing, University of California, San Francisco, California</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A5">Institute for Human Genetics, University of California, San Francisco, California</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Miaskowski, Christine" sort="Miaskowski, Christine" uniqKey="Miaskowski C" first="Christine" last="Miaskowski">Christine Miaskowski</name>
<affiliation><nlm:aff id="A1">School of Nursing, University of California, San Francisco, California</nlm:aff>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">25439318</idno>
<idno type="pmc">4254680</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4254680</idno>
<idno type="RBID">PMC:4254680</idno>
<idno type="doi">10.1016/j.jpain.2014.08.014</idno>
<date when="2014">2014</date>
<idno type="wicri:Area/Pmc/Corpus">002630</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002630</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">PERSISTENT BREAST PAIN FOLLOWING BREAST CANCER SURGERY IS ASSOCIATED WITH PERSISTENT SENSORY CHANGES, PAIN INTERFERENCE, AND FUNCTIONAL IMPAIRMENTS</title>
<author><name sortKey="Langford, Dale J" sort="Langford, Dale J" uniqKey="Langford D" first="Dale J." last="Langford">Dale J. Langford</name>
<affiliation><nlm:aff id="A1">School of Nursing, University of California, San Francisco, California</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Paul, Steven M" sort="Paul, Steven M" uniqKey="Paul S" first="Steven M." last="Paul">Steven M. Paul</name>
<affiliation><nlm:aff id="A1">School of Nursing, University of California, San Francisco, California</nlm:aff>
</affiliation>
</author>
<author><name sortKey="West, Claudia" sort="West, Claudia" uniqKey="West C" first="Claudia" last="West">Claudia West</name>
<affiliation><nlm:aff id="A1">School of Nursing, University of California, San Francisco, California</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Levine, Jon D" sort="Levine, Jon D" uniqKey="Levine J" first="Jon D." last="Levine">Jon D. Levine</name>
<affiliation><nlm:aff id="A2">School of Medicine, University of California, San Francisco, California</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Hamolsky, Deborah" sort="Hamolsky, Deborah" uniqKey="Hamolsky D" first="Deborah" last="Hamolsky">Deborah Hamolsky</name>
<affiliation><nlm:aff id="A1">School of Nursing, University of California, San Francisco, California</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Elboim, Charles" sort="Elboim, Charles" uniqKey="Elboim C" first="Charles" last="Elboim">Charles Elboim</name>
<affiliation><nlm:aff id="A3">Redwood Regional Oncology Group, Santa Rosa, California</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Schmidt, Brian L" sort="Schmidt, Brian L" uniqKey="Schmidt B" first="Brian L." last="Schmidt">Brian L. Schmidt</name>
<affiliation><nlm:aff id="A4">College of Dentistry, New York University, New York, New York</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cooper, Bruce A" sort="Cooper, Bruce A" uniqKey="Cooper B" first="Bruce A." last="Cooper">Bruce A. Cooper</name>
<affiliation><nlm:aff id="A1">School of Nursing, University of California, San Francisco, California</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Abrams, Gary" sort="Abrams, Gary" uniqKey="Abrams G" first="Gary" last="Abrams">Gary Abrams</name>
<affiliation><nlm:aff id="A2">School of Medicine, University of California, San Francisco, California</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Aouizerat, Bradley E" sort="Aouizerat, Bradley E" uniqKey="Aouizerat B" first="Bradley E." last="Aouizerat">Bradley E. Aouizerat</name>
<affiliation><nlm:aff id="A1">School of Nursing, University of California, San Francisco, California</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A5">Institute for Human Genetics, University of California, San Francisco, California</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Miaskowski, Christine" sort="Miaskowski, Christine" uniqKey="Miaskowski C" first="Christine" last="Miaskowski">Christine Miaskowski</name>
<affiliation><nlm:aff id="A1">School of Nursing, University of California, San Francisco, California</nlm:aff>
</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>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">100898657</journal-id>
<journal-id journal-id-type="pubmed-jr-id">31708</journal-id>
<journal-id journal-id-type="nlm-ta">J Pain</journal-id>
<journal-id journal-id-type="iso-abbrev">J Pain</journal-id>
<journal-title-group><journal-title>The journal of pain : official journal of the American Pain Society</journal-title>
</journal-title-group>
<issn pub-type="ppub">1526-5900</issn>
<issn pub-type="epub">1528-8447</issn>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">25439318</article-id>
<article-id pub-id-type="pmc">4254680</article-id>
<article-id pub-id-type="doi">10.1016/j.jpain.2014.08.014</article-id>
<article-id pub-id-type="manuscript">NIHMS641406</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<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>
</contrib>
<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>
</record>
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