LymphedemaV1, Main, Exploration, bibRecord, 000C09

Quality of Life in Patients with Breast Cancer-Related Lymphedema and Reconstructive Breast Surgery.

Identifieur interne : 000C09 ( Main/Exploration ); précédent : 000C08; suivant : 000C10

Quality of Life in Patients with Breast Cancer-Related Lymphedema and Reconstructive Breast Surgery.

Auteurs : Tiara R Lopez Penha [Pays-Bas] ; Bente Botter [Pays-Bas] ; Esther M. Heuts [Pays-Bas] ; Adri C. Voogd [Pays-Bas] ; Maarten F. Von Meyenfeldt [Pays-Bas] ; René R. Van Der Hulst [Pays-Bas]

Source :

Journal of reconstructive microsurgery [ 1098-8947 ] ; 2016.

RBID : pubmed:26919383

Abstract

Background To evaluate the quality of life (QOL) of breast cancer survivors who have undergone breast reconstruction and have breast cancer-related lymphedema (BCRL). Methods Patients with a unilateral mastectomy with or without breast reconstruction were evaluated for BCRL and their QOL. Patients were divided into a non-BCRL and a BCRL group. Patients with subjective complaints of arm swelling and/or an interlimb volume difference of >200 mL, or undergoing treatment for arm lymphedema were defined as having BCRL. QOL was assessed using cancer-specific (EORTC QLQ-C30 and EORTC QLQ-B23) and disease specific (Lymph-ICF) questionnaires. Results In total, 253 patients with a mean follow-up time of 51.7 (standard deviation = 18.5) months since mastectomy completed the QOL questionnaires. Of these patients, 116 (46%) underwent mastectomy alone and 137 (54%) had additional breast reconstruction. A comparison of the QOL scores of 180 patients in the non-BCRL group showed a significantly better physical function (p = 0.004) for patients with reconstructive surgery compared with mastectomy patients. In the 73 patients with BCRL, a comparison of the QOL scores showed no significant differences between patients with mastectomy and reconstructive surgery. After adjusting for potential confounders, multivariate analysis showed a significant impact of BCRL on physical function (β = - 7.46; p = 0.009), role function (β = - 15.75; p = 0.003), cognitive function (β = - 11.56; p = 0.005), body vision (β = - 11.62; p = 0.007), arm symptoms (β = 20.78; p = 0.000), and all domains of the Lymph-ICF questionnaire. Conclusions This study implies that BCRL has a negative effect on the QOL of breast cancer survivors, potentially negating the positive effects on QOL reconstructive breast surgery has.

DOI: 10.1055/s-0036-1572538
PubMed: 26919383

Affiliations:

Pays-Bas

Le document en format XML

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<front><div type="abstract" xml:lang="en">Background To evaluate the quality of life (QOL) of breast cancer survivors who have undergone breast reconstruction and have breast cancer-related lymphedema (BCRL). Methods Patients with a unilateral mastectomy with or without breast reconstruction were evaluated for BCRL and their QOL. Patients were divided into a non-BCRL and a BCRL group. Patients with subjective complaints of arm swelling and/or an interlimb volume difference of >200 mL, or undergoing treatment for arm lymphedema were defined as having BCRL. QOL was assessed using cancer-specific (EORTC QLQ-C30 and EORTC QLQ-B23) and disease specific (Lymph-ICF) questionnaires. Results In total, 253 patients with a mean follow-up time of 51.7 (standard deviation = 18.5) months since mastectomy completed the QOL questionnaires. Of these patients, 116 (46%) underwent mastectomy alone and 137 (54%) had additional breast reconstruction. A comparison of the QOL scores of 180 patients in the non-BCRL group showed a significantly better physical function (p = 0.004) for patients with reconstructive surgery compared with mastectomy patients. In the 73 patients with BCRL, a comparison of the QOL scores showed no significant differences between patients with mastectomy and reconstructive surgery. After adjusting for potential confounders, multivariate analysis showed a significant impact of BCRL on physical function (β =  - 7.46; p = 0.009), role function (β =  - 15.75; p = 0.003), cognitive function (β =  - 11.56; p = 0.005), body vision (β =  - 11.62; p = 0.007), arm symptoms (β = 20.78; p = 0.000), and all domains of the Lymph-ICF questionnaire. Conclusions This study implies that BCRL has a negative effect on the QOL of breast cancer survivors, potentially negating the positive effects on QOL reconstructive breast surgery has.</div>
</front>
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<tree><country name="Pays-Bas"><noRegion><name sortKey="Penha, Tiara R Lopez" sort="Penha, Tiara R Lopez" uniqKey="Penha T" first="Tiara R Lopez" last="Penha">Tiara R Lopez Penha</name>
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<name sortKey="Botter, Bente" sort="Botter, Bente" uniqKey="Botter B" first="Bente" last="Botter">Bente Botter</name>
<name sortKey="Heuts, Esther M" sort="Heuts, Esther M" uniqKey="Heuts E" first="Esther M" last="Heuts">Esther M. Heuts</name>
<name sortKey="Van Der Hulst, Rene R" sort="Van Der Hulst, Rene R" uniqKey="Van Der Hulst R" first="René R" last="Van Der Hulst">René R. Van Der Hulst</name>
<name sortKey="Von Meyenfeldt, Maarten F" sort="Von Meyenfeldt, Maarten F" uniqKey="Von Meyenfeldt M" first="Maarten F" last="Von Meyenfeldt">Maarten F. Von Meyenfeldt</name>
<name sortKey="Voogd, Adri C" sort="Voogd, Adri C" uniqKey="Voogd A" first="Adri C" last="Voogd">Adri C. Voogd</name>
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Quality of Life in Patients with Breast Cancer-Related Lymphedema and Reconstructive Breast Surgery.

Quality of Life in Patients with Breast Cancer-Related Lymphedema and Reconstructive Breast Surgery.

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