Upper-body morbidity following breast cancer treatment is common, may persist longer-term and adversely influences quality of life
Identifieur interne : 005533 ( Main/Curation ); précédent : 005532; suivant : 005534Upper-body morbidity following breast cancer treatment is common, may persist longer-term and adversely influences quality of life
Auteurs : Sandra C. Hayes [Australie] ; Sheree Rye [Australie] ; Diana Battistutta [Australie] ; Tracey Disipio [Australie] ; Beth Newman [Australie]Source :
- Health and Quality of Life Outcomes [ 1477-7525 ] ; 2010.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Amplitude articulaire, Australie, Auto-évaluation (psychologie), Complications postopératoires (épidémiologie), Complications postopératoires (étiologie), Enquêtes et questionnaires, Facteurs socioéconomiques, Femelle, Humains, Indice de gravité médicale, Lymphoedème (psychologie), Lymphoedème (étiologie), Membre supérieur, Psychométrie, Qualité de vie, Reproductibilité des résultats, Récupération fonctionnelle, Tumeurs du sein (), Tumeurs du sein (anatomopathologie).
- MESH :
- anatomopathologie : Tumeurs du sein.
- psychologie : Lymphoedème.
- épidémiologie : Complications postopératoires.
- étiologie : Complications postopératoires, Lymphoedème.
- Adulte d'âge moyen, Amplitude articulaire, Australie, Auto-évaluation (psychologie), Enquêtes et questionnaires, Facteurs socioéconomiques, Femelle, Humains, Indice de gravité médicale, Membre supérieur, Psychométrie, Qualité de vie, Reproductibilité des résultats, Récupération fonctionnelle, Tumeurs du sein.
- Wicri :
- geographic : Australie.
English descriptors
- KwdEn :
- Australia, Breast Neoplasms (pathology), Breast Neoplasms (surgery), Female, Humans, Lymphedema (etiology), Lymphedema (psychology), Middle Aged, Postoperative Complications (epidemiology), Postoperative Complications (etiology), Psychometrics, Quality of Life, Range of Motion, Articular, Recovery of Function, Reproducibility of Results, Self-Assessment, Severity of Illness Index, Socioeconomic Factors, Surveys and Questionnaires, Upper Extremity.
- MESH :
- geographic : Australia.
- epidemiology : Postoperative Complications.
- etiology : Lymphedema, Postoperative Complications.
- pathology : Breast Neoplasms.
- psychology : Lymphedema.
- surgery : Breast Neoplasms.
- Female, Humans, Middle Aged, Psychometrics, Quality of Life, Range of Motion, Articular, Recovery of Function, Reproducibility of Results, Self-Assessment, Severity of Illness Index, Socioeconomic Factors, Surveys and Questionnaires, Upper Extremity.
Abstract
Impairments in upper-body function (UBF) are common following breast cancer. However, the relationship between arm morbidity and quality of life (QoL) remains unclear. This investigation uses longitudinal data to describe UBF in a population-based sample of women with breast cancer and examines its relationship with QoL.
Australian women (n = 287) with unilateral breast cancer were assessed at three-monthly intervals, from six- to 18-months post-surgery (PS). Strength, endurance and flexibility were used to assess objective UBF, while the Disability of the Arm, Shoulder and Hand questionnaire and the Functional Assessment of Cancer Therapy-Breast questionnaire were used to assess self-reported UBF and QoL, respectively.
Although mean UBF improved over time, up to 41% of women revealed declines in UBF between six- and 18-months PS. Older age, lower socioeconomic position, treatment on the dominant side, mastectomy, more extensive lymph node removal and having lymphoedema each increased odds of declines in UBF by at least two-fold (p < 0.05). Lower baseline and declines in perceived UBF between six- and 18-months PS were each associated with poorer QoL at 18-months PS (p < 0.05).
Significant upper-body morbidity is experienced by many following breast cancer treatment, persisting longer term, and adversely influencing the QoL of breast cancer survivors.
Url:
DOI: 10.1186/1477-7525-8-92
PubMed: 20804558
PubMed Central: 2940926
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PMC:2940926Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Australia</term>
<term>Breast Neoplasms (pathology)</term>
<term>Breast Neoplasms (surgery)</term>
<term>Female</term>
<term>Humans</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (psychology)</term>
<term>Middle Aged</term>
<term>Postoperative Complications (epidemiology)</term>
<term>Postoperative Complications (etiology)</term>
<term>Psychometrics</term>
<term>Quality of Life</term>
<term>Range of Motion, Articular</term>
<term>Recovery of Function</term>
<term>Reproducibility of Results</term>
<term>Self-Assessment</term>
<term>Severity of Illness Index</term>
<term>Socioeconomic Factors</term>
<term>Surveys and Questionnaires</term>
<term>Upper Extremity</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Amplitude articulaire</term>
<term>Australie</term>
<term>Auto-évaluation (psychologie)</term>
<term>Complications postopératoires (épidémiologie)</term>
<term>Complications postopératoires (étiologie)</term>
<term>Enquêtes et questionnaires</term>
<term>Facteurs socioéconomiques</term>
<term>Femelle</term>
<term>Humains</term>
<term>Indice de gravité médicale</term>
<term>Lymphoedème (psychologie)</term>
<term>Lymphoedème (étiologie)</term>
<term>Membre supérieur</term>
<term>Psychométrie</term>
<term>Qualité de vie</term>
<term>Reproductibilité des résultats</term>
<term>Récupération fonctionnelle</term>
<term>Tumeurs du sein ()</term>
<term>Tumeurs du sein (anatomopathologie)</term>
</keywords>
<keywords scheme="MESH" type="geographic" xml:lang="en"><term>Australia</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Tumeurs du sein</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Postoperative Complications</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term>
<term>Postoperative Complications</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Lymphoedème</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Complications postopératoires</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Complications postopératoires</term>
<term>Lymphoedème</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Female</term>
<term>Humans</term>
<term>Middle Aged</term>
<term>Psychometrics</term>
<term>Quality of Life</term>
<term>Range of Motion, Articular</term>
<term>Recovery of Function</term>
<term>Reproducibility of Results</term>
<term>Self-Assessment</term>
<term>Severity of Illness Index</term>
<term>Socioeconomic Factors</term>
<term>Surveys and Questionnaires</term>
<term>Upper Extremity</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Amplitude articulaire</term>
<term>Australie</term>
<term>Auto-évaluation (psychologie)</term>
<term>Enquêtes et questionnaires</term>
<term>Facteurs socioéconomiques</term>
<term>Femelle</term>
<term>Humains</term>
<term>Indice de gravité médicale</term>
<term>Membre supérieur</term>
<term>Psychométrie</term>
<term>Qualité de vie</term>
<term>Reproductibilité des résultats</term>
<term>Récupération fonctionnelle</term>
<term>Tumeurs du sein</term>
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<keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Australie</term>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>Impairments in upper-body function (UBF) are common following breast cancer. However, the relationship between arm morbidity and quality of life (QoL) remains unclear. This investigation uses longitudinal data to describe UBF in a population-based sample of women with breast cancer and examines its relationship with QoL.</p>
</sec>
<sec><title>Methods</title>
<p>Australian women (n = 287) with unilateral breast cancer were assessed at three-monthly intervals, from six- to 18-months post-surgery (PS). Strength, endurance and flexibility were used to assess objective UBF, while the Disability of the Arm, Shoulder and Hand questionnaire and the Functional Assessment of Cancer Therapy-Breast questionnaire were used to assess self-reported UBF and QoL, respectively.</p>
</sec>
<sec><title>Results</title>
<p>Although mean UBF improved over time, up to 41% of women revealed declines in UBF between six- and 18-months PS. Older age, lower socioeconomic position, treatment on the dominant side, mastectomy, more extensive lymph node removal and having lymphoedema each increased odds of declines in UBF by at least two-fold (p < 0.05). Lower baseline and declines in perceived UBF between six- and 18-months PS were each associated with poorer QoL at 18-months PS (p < 0.05).</p>
</sec>
<sec><title>Conclusions</title>
<p>Significant upper-body morbidity is experienced by many following breast cancer treatment, persisting longer term, and adversely influencing the QoL of breast cancer survivors.</p>
</sec>
</div>
</front>
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