Is Surviving Enough? Coping and Impact on Activities of Daily Living Among Melanoma Patients with Lymphoedema
Identifieur interne : 001C35 ( Main/Exploration ); précédent : 001C34; suivant : 001C36Is Surviving Enough? Coping and Impact on Activities of Daily Living Among Melanoma Patients with Lymphoedema
Auteurs : Kate D. Cromwell [États-Unis] ; Yi-Ju Chiang [États-Unis] ; Jane Armer [États-Unis] ; Puncky P. Heppner [États-Unis] ; Kristi Mungovan [États-Unis] ; Merrick I. Ross [États-Unis] ; Jeffrey E. Gershenwald [États-Unis] ; Jeffrey E. Lee [États-Unis] ; Richard E. Royal [États-Unis] ; Anthony Lucci [États-Unis] ; Janice N. Cormier [États-Unis]Source :
- European journal of cancer care [ 0961-5423 ] ; 2015.
Descripteurs français
- KwdFr :
- Activités de la vie quotidienne, Adaptation psychologique, Adulte, Adulte d'âge moyen, Analyse de régression, Auto-efficacité, Enquêtes et questionnaires, Femelle, Humains, Lymphoedème (physiopathologie), Lymphoedème (psychologie), Lymphoedème (étiologie), Mâle, Mélanome (), Odds ratio, Qualité de vie, Sujet âgé, Sujet âgé de 80 ans ou plus, Études prospectives.
- MESH :
- physiopathologie : Lymphoedème.
- psychologie : Lymphoedème.
- étiologie : Lymphoedème.
- Activités de la vie quotidienne, Adaptation psychologique, Adulte, Adulte d'âge moyen, Analyse de régression, Auto-efficacité, Enquêtes et questionnaires, Femelle, Humains, Mâle, Mélanome, Odds ratio, Qualité de vie, Sujet âgé, Sujet âgé de 80 ans ou plus, Études prospectives.
English descriptors
- KwdEn :
- Activities of Daily Living, Adaptation, Psychological, Adult, Aged, Aged, 80 and over, Female, Humans, Lymphedema (etiology), Lymphedema (physiopathology), Lymphedema (psychology), Male, Melanoma (complications), Middle Aged, Odds Ratio, Prospective Studies, Quality of Life, Regression Analysis, Self Efficacy, Surveys and Questionnaires.
- MESH :
- complications : Melanoma.
- etiology : Lymphedema.
- physiopathology : Lymphedema.
- psychology : Lymphedema.
- Activities of Daily Living, Adaptation, Psychological, Adult, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Odds Ratio, Prospective Studies, Quality of Life, Regression Analysis, Self Efficacy, Surveys and Questionnaires.
Abstract
We assessed the impact of lymphoedema (defined as >10% limb volume change) on quality of life (QOL), ability to perform activities of daily living (ADLs), and coping in 277 melanoma patients. Limb volume was measured prospectively, preoperatively, and every 3–6 months for 18 months postoperatively using a perometer. Three questionnaires were administered to measure quality of life, coping and impact on activities of daily living. Statistical analyses were conducted using longitudinal logistic regression models. At 18 months, 31% of patients with upper-extremity nodal basin treatment and 40% of lower extremity nodal basin treatment patients had lymphoedema. Patients with lower-extremity lymphoedema reported lower QOL scores than those with upper-extremity lymphoedema. Over 18 months, both groups with mild and moderate lymphoedema showed improvement in coping (odds ratio [OR]: 7.2, 95% confidence interval [CI]: 3.5–14.5) and performance of ADLs (OR: 6.8, CI: 3.2–14.3). Over the course of 18 months, males were found to have poorer coping scores than females (OR: 2.4, CI: 1.2–5.1). Lymphoedema was associated with improvement in coping over time (p=0.08) and a higher reported interference with ADLs (OR: 2.5, CI: 1.3–5.0), primarily household tasks and sleep. Patient education about lymphoedema at the time of surgical consent may improve self-efficacy and coping ability. Effective management of lymphoedema may improve patient QOL and reduce interference with ADLs.
Url:
DOI: 10.1111/ecc.12311
PubMed: 25809989
PubMed Central: 4625843
Affiliations:
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Le document en format XML
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Is Surviving Enough? Coping and Impact on Activities of Daily Living Among Melanoma Patients with Lymphoedema</title>
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<author><name sortKey="Ross, Merrick I" sort="Ross, Merrick I" uniqKey="Ross M" first="Merrick I." last="Ross">Merrick I. Ross</name>
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<author><name sortKey="Gershenwald, Jeffrey E" sort="Gershenwald, Jeffrey E" uniqKey="Gershenwald J" first="Jeffrey E." last="Gershenwald">Jeffrey E. Gershenwald</name>
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<author><name sortKey="Lee, Jeffrey E" sort="Lee, Jeffrey E" uniqKey="Lee J" first="Jeffrey E." last="Lee">Jeffrey E. Lee</name>
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<term>Adaptation, Psychological</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Female</term>
<term>Humans</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (physiopathology)</term>
<term>Lymphedema (psychology)</term>
<term>Male</term>
<term>Melanoma (complications)</term>
<term>Middle Aged</term>
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<term>Quality of Life</term>
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<term>Self Efficacy</term>
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<term>Adulte d'âge moyen</term>
<term>Analyse de régression</term>
<term>Auto-efficacité</term>
<term>Enquêtes et questionnaires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphoedème (physiopathologie)</term>
<term>Lymphoedème (psychologie)</term>
<term>Lymphoedème (étiologie)</term>
<term>Mâle</term>
<term>Mélanome ()</term>
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<term>Qualité de vie</term>
<term>Sujet âgé</term>
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</keywords>
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</keywords>
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<term>Surveys and Questionnaires</term>
</keywords>
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<front><div type="abstract" xml:lang="en"><p id="P1">We assessed the impact of lymphoedema (defined as >10% limb volume change) on quality of life (QOL), ability to perform activities of daily living (ADLs), and coping in 277 melanoma patients. Limb volume was measured prospectively, preoperatively, and every 3–6 months for 18 months postoperatively using a perometer. Three questionnaires were administered to measure quality of life, coping and impact on activities of daily living. Statistical analyses were conducted using longitudinal logistic regression models. At 18 months, 31% of patients with upper-extremity nodal basin treatment and 40% of lower extremity nodal basin treatment patients had lymphoedema. Patients with lower-extremity lymphoedema reported lower QOL scores than those with upper-extremity lymphoedema. Over 18 months, both groups with mild and moderate lymphoedema showed improvement in coping (odds ratio [OR]: 7.2, 95% confidence interval [CI]: 3.5–14.5) and performance of ADLs (OR: 6.8, CI: 3.2–14.3). Over the course of 18 months, males were found to have poorer coping scores than females (OR: 2.4, CI: 1.2–5.1). Lymphoedema was associated with improvement in coping over time (p=0.08) and a higher reported interference with ADLs (OR: 2.5, CI: 1.3–5.0), primarily household tasks and sleep. Patient education about lymphoedema at the time of surgical consent may improve self-efficacy and coping ability. Effective management of lymphoedema may improve patient QOL and reduce interference with ADLs.</p>
</div>
</front>
</TEI>
<affiliations><list><country><li>États-Unis</li>
</country>
</list>
<tree><country name="États-Unis"><noRegion><name sortKey="Cromwell, Kate D" sort="Cromwell, Kate D" uniqKey="Cromwell K" first="Kate D." last="Cromwell">Kate D. Cromwell</name>
</noRegion>
<name sortKey="Armer, Jane" sort="Armer, Jane" uniqKey="Armer J" first="Jane" last="Armer">Jane Armer</name>
<name sortKey="Chiang, Yi Ju" sort="Chiang, Yi Ju" uniqKey="Chiang Y" first="Yi-Ju" last="Chiang">Yi-Ju Chiang</name>
<name sortKey="Cormier, Janice N" sort="Cormier, Janice N" uniqKey="Cormier J" first="Janice N." last="Cormier">Janice N. Cormier</name>
<name sortKey="Gershenwald, Jeffrey E" sort="Gershenwald, Jeffrey E" uniqKey="Gershenwald J" first="Jeffrey E." last="Gershenwald">Jeffrey E. Gershenwald</name>
<name sortKey="Heppner, Puncky P" sort="Heppner, Puncky P" uniqKey="Heppner P" first="Puncky P." last="Heppner">Puncky P. Heppner</name>
<name sortKey="Lee, Jeffrey E" sort="Lee, Jeffrey E" uniqKey="Lee J" first="Jeffrey E." last="Lee">Jeffrey E. Lee</name>
<name sortKey="Lucci, Anthony" sort="Lucci, Anthony" uniqKey="Lucci A" first="Anthony" last="Lucci">Anthony Lucci</name>
<name sortKey="Mungovan, Kristi" sort="Mungovan, Kristi" uniqKey="Mungovan K" first="Kristi" last="Mungovan">Kristi Mungovan</name>
<name sortKey="Ross, Merrick I" sort="Ross, Merrick I" uniqKey="Ross M" first="Merrick I." last="Ross">Merrick I. Ross</name>
<name sortKey="Royal, Richard E" sort="Royal, Richard E" uniqKey="Royal R" first="Richard E." last="Royal">Richard E. Royal</name>
</country>
</tree>
</affiliations>
</record>
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