Physical impairments and physical therapy services for minority and low-income breast cancer survivors
Identifieur interne : 000C90 ( Main/Exploration ); précédent : 000C89; suivant : 000C91Physical impairments and physical therapy services for minority and low-income breast cancer survivors
Auteurs : Ann Marie Flores [États-Unis] ; Jason Nelson [États-Unis] ; Lee Sowles [États-Unis] ; Karen Bienenstock [États-Unis] ; William J. Blot [États-Unis]Source :
- SpringerPlus [ 2193-1801 ] ; 2016.
Abstract
We describe impairments after breast cancer and its treatment for African American (AA), non-Hispanic white and low-income breast cancer survivors (BCS) and whether physical therapy (PT) was utilized to address these impairments.
BCS from the Southern Community Cohort Study (SCCS) were surveyed about self-reported BC treatment-related impairments (shoulder impairment, muscle weakness, pain, fatigue, skin numbness, abnormal posture) and referral to PT for impairments. We compared impairments by race, income and PT utilization. We used a cross-sectional design.
Among 528 BCS interviewed (266 whites; 262 AA), mean age 64, those with low incomes were more likely to report muscle weakness, pain and postural abnormalities, and a greater total number of impairments than those with higher incomes. Racial differences were few. PT utilization tended to be low, with AAs more likely than whites to utilize PT if they had shoulder impairment or pain, whereas no monotonic trends across income levels were seen in PT utilization.
Low-income level was associated with greater prevalence of BC-related physical impairments, but not higher PT utilization. There appears to be a possible under-utilization of PT, particularly for those with low incomes.
Url:
DOI: 10.1186/s40064-016-2455-3
PubMed: 27536511
PubMed Central: 4971004
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Physical impairments and physical therapy services for minority and low-income breast cancer survivors</title><author><name sortKey="Flores, Ann Marie" sort="Flores, Ann Marie" uniqKey="Flores A" first="Ann Marie" last="Flores">Ann Marie Flores</name><affiliation wicri:level="2"><nlm:aff id="Aff1">Department of Physical Therapy, Movement and Rehabilitation Sciences, Center for Cancer Survivorship Studies (CCSL), Northeastern University, Boston, MA USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Department of Physical Therapy, Movement and Rehabilitation Sciences, Center for Cancer Survivorship Studies (CCSL), Northeastern University, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Nelson, Jason" sort="Nelson, Jason" uniqKey="Nelson J" first="Jason" last="Nelson">Jason Nelson</name><affiliation wicri:level="2"><nlm:aff id="Aff2">Biostatistics Research Center, Institute for Clinical Research and Health Policy Studies, Tufts University Medical Center, Boston, MA USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Biostatistics Research Center, Institute for Clinical Research and Health Policy Studies, Tufts University Medical Center, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Sowles, Lee" sort="Sowles, Lee" uniqKey="Sowles L" first="Lee" last="Sowles">Lee Sowles</name><affiliation wicri:level="2"><nlm:aff id="Aff3">Office of Health Equity, Maine Center for Disease Control and Prevention, Augusta, ME USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Maine (État)</region></placeName><wicri:cityArea>Office of Health Equity, Maine Center for Disease Control and Prevention, Augusta</wicri:cityArea></affiliation></author><author><name sortKey="Bienenstock, Karen" sort="Bienenstock, Karen" uniqKey="Bienenstock K" first="Karen" last="Bienenstock">Karen Bienenstock</name><affiliation wicri:level="2"><nlm:aff id="Aff1">Department of Physical Therapy, Movement and Rehabilitation Sciences, Center for Cancer Survivorship Studies (CCSL), Northeastern University, Boston, MA USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Department of Physical Therapy, Movement and Rehabilitation Sciences, Center for Cancer Survivorship Studies (CCSL), Northeastern University, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Blot, William J" sort="Blot, William J" uniqKey="Blot W" first="William J." last="Blot">William J. Blot</name><affiliation wicri:level="2"><nlm:aff id="Aff4">International Epidemiology Institute, Rockville, MD USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>International Epidemiology Institute, Rockville</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:aff id="Aff5">Vanderbilt-Ingram Cancer Center, Vanderbilt University Medical Center, Nashville, TN USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Tennessee</region></placeName><wicri:cityArea>Vanderbilt-Ingram Cancer Center, Vanderbilt University Medical Center, Nashville</wicri:cityArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27536511</idno><idno type="pmc">4971004</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4971004</idno><idno type="RBID">PMC:4971004</idno><idno type="doi">10.1186/s40064-016-2455-3</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">000E62</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000E62</idno><idno type="wicri:Area/Pmc/Curation">000E61</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000E61</idno><idno type="wicri:Area/Pmc/Checkpoint">000706</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000706</idno><idno type="wicri:Area/Ncbi/Merge">008704</idno><idno type="wicri:Area/Ncbi/Curation">008704</idno><idno type="wicri:Area/Ncbi/Checkpoint">008704</idno><idno type="wicri:Area/Main/Merge">000C91</idno><idno type="wicri:Area/Main/Curation">000C90</idno><idno type="wicri:Area/Main/Exploration">000C90</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Physical impairments and physical therapy services for minority and low-income breast cancer survivors</title><author><name sortKey="Flores, Ann Marie" sort="Flores, Ann Marie" uniqKey="Flores A" first="Ann Marie" last="Flores">Ann Marie Flores</name><affiliation wicri:level="2"><nlm:aff id="Aff1">Department of Physical Therapy, Movement and Rehabilitation Sciences, Center for Cancer Survivorship Studies (CCSL), Northeastern University, Boston, MA USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Department of Physical Therapy, Movement and Rehabilitation Sciences, Center for Cancer Survivorship Studies (CCSL), Northeastern University, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Nelson, Jason" sort="Nelson, Jason" uniqKey="Nelson J" first="Jason" last="Nelson">Jason Nelson</name><affiliation wicri:level="2"><nlm:aff id="Aff2">Biostatistics Research Center, Institute for Clinical Research and Health Policy Studies, Tufts University Medical Center, Boston, MA USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Biostatistics Research Center, Institute for Clinical Research and Health Policy Studies, Tufts University Medical Center, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Sowles, Lee" sort="Sowles, Lee" uniqKey="Sowles L" first="Lee" last="Sowles">Lee Sowles</name><affiliation wicri:level="2"><nlm:aff id="Aff3">Office of Health Equity, Maine Center for Disease Control and Prevention, Augusta, ME USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Maine (État)</region></placeName><wicri:cityArea>Office of Health Equity, Maine Center for Disease Control and Prevention, Augusta</wicri:cityArea></affiliation></author><author><name sortKey="Bienenstock, Karen" sort="Bienenstock, Karen" uniqKey="Bienenstock K" first="Karen" last="Bienenstock">Karen Bienenstock</name><affiliation wicri:level="2"><nlm:aff id="Aff1">Department of Physical Therapy, Movement and Rehabilitation Sciences, Center for Cancer Survivorship Studies (CCSL), Northeastern University, Boston, MA USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Department of Physical Therapy, Movement and Rehabilitation Sciences, Center for Cancer Survivorship Studies (CCSL), Northeastern University, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Blot, William J" sort="Blot, William J" uniqKey="Blot W" first="William J." last="Blot">William J. Blot</name><affiliation wicri:level="2"><nlm:aff id="Aff4">International Epidemiology Institute, Rockville, MD USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>International Epidemiology Institute, Rockville</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:aff id="Aff5">Vanderbilt-Ingram Cancer Center, Vanderbilt University Medical Center, Nashville, TN USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Tennessee</region></placeName><wicri:cityArea>Vanderbilt-Ingram Cancer Center, Vanderbilt University Medical Center, Nashville</wicri:cityArea></affiliation></author></analytic><series><title level="j">SpringerPlus</title><idno type="eISSN">2193-1801</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Purpose</title><p>We describe impairments after breast cancer and its treatment for African American (AA), non-Hispanic white and low-income breast cancer survivors (BCS) and whether physical therapy (PT) was utilized to address these impairments.</p></sec><sec><title>Methods</title><p>BCS from the Southern Community Cohort Study (SCCS) were surveyed about self-reported BC treatment-related impairments (shoulder impairment, muscle weakness, pain, fatigue, skin numbness, abnormal posture) and referral to PT for impairments. We compared impairments by race, income and PT utilization. We used a cross-sectional design.</p></sec><sec><title>Results</title><p>Among 528 BCS interviewed (266 whites; 262 AA), mean age 64, those with low incomes were more likely to report muscle weakness, pain and postural abnormalities, and a greater total number of impairments than those with higher incomes. Racial differences were few. PT utilization tended to be low, with AAs more likely than whites to utilize PT if they had shoulder impairment or pain, whereas no monotonic trends across income levels were seen in PT utilization.</p></sec><sec><title>Conclusions</title><p>Low-income level was associated with greater prevalence of BC-related physical impairments, but not higher PT utilization. There appears to be a possible under-utilization of PT, particularly for those with low incomes.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Alfano, Cm" uniqKey="Alfano C">CM Alfano</name></author><author><name sortKey="Ganz, Pa" uniqKey="Ganz P">PA Ganz</name></author><author><name sortKey="Rowland, Jh" uniqKey="Rowland J">JH Rowland</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Bailey, Ej" uniqKey="Bailey E">EJ Bailey</name></author><author><name sortKey="Erwin, Do" uniqKey="Erwin D">DO Erwin</name></author><author><name sortKey="Belin, P" uniqKey="Belin P">P Belin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Battaglini, Cl" uniqKey="Battaglini C">CL Battaglini</name></author><author><name sortKey="Mills, Rc" uniqKey="Mills R">RC Mills</name></author><author><name sortKey="Phillips, Bl" 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last="Flores">Ann Marie Flores</name></region><name sortKey="Bienenstock, Karen" sort="Bienenstock, Karen" uniqKey="Bienenstock K" first="Karen" last="Bienenstock">Karen Bienenstock</name><name sortKey="Blot, William J" sort="Blot, William J" uniqKey="Blot W" first="William J." last="Blot">William J. Blot</name><name sortKey="Blot, William J" sort="Blot, William J" uniqKey="Blot W" first="William J." last="Blot">William J. Blot</name><name sortKey="Nelson, Jason" sort="Nelson, Jason" uniqKey="Nelson J" first="Jason" last="Nelson">Jason Nelson</name><name sortKey="Sowles, Lee" sort="Sowles, Lee" uniqKey="Sowles L" first="Lee" last="Sowles">Lee Sowles</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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