IDENTIFICATION OF PATIENT SUBGROUPS AND RISK FACTORS FOR PERSISTENT ARM/SHOULDER PAIN FOLLOWING BREAST CANCER SURGERY
Identifieur interne : 002A15 ( Main/Exploration ); précédent : 002A14; suivant : 002A16IDENTIFICATION OF PATIENT SUBGROUPS AND RISK FACTORS FOR PERSISTENT ARM/SHOULDER PAIN FOLLOWING BREAST CANCER SURGERY
Auteurs : Christine Miaskowski [États-Unis] ; Steven M. Paul [États-Unis] ; Bruce Cooper [États-Unis] ; Claudia West [États-Unis] ; Jon D. Levine [États-Unis] ; Charles Elboim [États-Unis] ; Deborah Hamolsky [États-Unis] ; Gary Abrams [États-Unis] ; Judith Luce [États-Unis] ; Anand Dhruva [États-Unis] ; Dale J. Langford [États-Unis] ; John D. Merriman [États-Unis] ; Kord Kober [États-Unis] ; Christina Baggott [États-Unis] ; Heather Leutwyler [États-Unis] ; Bradley E. Aouizerat [États-Unis]Source :
- European journal of oncology nursing : the official journal of European Oncology Nursing Society [ 1462-3889 ] ; 2014.
Abstract
In this prospective, longitudinal study, we extend our findings on persistent breast pain in patients (n=398) following breast cancer surgery and evaluate the prevalence and characteristics of persistent pain in the arm/shoulder In addition, differences in the severity of common symptoms and quality of life outcomes measured prior to surgery, among the arm pain classes, were evaluated.
Patients were recruited from Breast Care Centers located in a Comprehensive Cancer Center, two public hospitals, and four community practices. Patients were assessed prior to and monthly for six months following breast cancer surgery.
Using growth mixture modeling, patients were classified into no (41.6%), mild (23.6%), and moderate (34.8%) arm pain classes based on ratings of worst arm/shoulder pain. Compared to the no pain class, patients in the moderate pain class were significantly younger, had a higher body mass index, and were more likely to report preoperative breast pain and swelling in the affected breast. In addition, patients in the moderate pain class reported higher levels of depression, anxiety, and sleep disturbance than the no pain class.
Findings suggest that approximately 35% of women experience persistent levels of moderate arm/shoulder pain in the first six months following breast cancer surgery. Moderate arm/shoulder pain is associated with clinically meaningful decrements in functional status and quality of life.
Url:
DOI: 10.1016/j.ejon.2013.12.002
PubMed: 24485012
PubMed Central: 4013216
Affiliations:
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Paul</name><affiliation wicri:level="2"><nlm:aff id="A1">School of Nursing University of California, San Francisco, CA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>School of Nursing University of California, San Francisco</wicri:cityArea></affiliation></author><author><name sortKey="Cooper, Bruce" sort="Cooper, Bruce" uniqKey="Cooper B" first="Bruce" last="Cooper">Bruce Cooper</name><affiliation wicri:level="2"><nlm:aff id="A1">School of Nursing University of California, San Francisco, CA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>School of Nursing University of California, San Francisco</wicri:cityArea></affiliation></author><author><name sortKey="West, Claudia" sort="West, Claudia" uniqKey="West C" first="Claudia" last="West">Claudia West</name><affiliation wicri:level="2"><nlm:aff id="A1">School of Nursing University of California, San Francisco, CA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>School of Nursing University of California, San Francisco</wicri:cityArea></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 wicri:level="2"><nlm:aff id="A2">School of Medicine University of California, San Francisco, CA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>School of Medicine University of California, San Francisco</wicri:cityArea></affiliation></author><author><name sortKey="Elboim, Charles" sort="Elboim, Charles" uniqKey="Elboim C" first="Charles" last="Elboim">Charles Elboim</name><affiliation wicri:level="2"><nlm:aff id="A4">Redwood Regional Medical Group, Santa Rosa, CA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>Redwood Regional Medical Group, Santa Rosa</wicri:cityArea></affiliation></author><author><name sortKey="Hamolsky, Deborah" sort="Hamolsky, Deborah" uniqKey="Hamolsky D" first="Deborah" last="Hamolsky">Deborah Hamolsky</name><affiliation wicri:level="2"><nlm:aff id="A1">School of Nursing University of California, San Francisco, CA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>School of Nursing University of California, San Francisco</wicri:cityArea></affiliation></author><author><name sortKey="Abrams, Gary" sort="Abrams, Gary" uniqKey="Abrams G" first="Gary" last="Abrams">Gary Abrams</name><affiliation wicri:level="2"><nlm:aff id="A2">School of Medicine University of California, San Francisco, CA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>School of Medicine University of California, San Francisco</wicri:cityArea></affiliation></author><author><name sortKey="Luce, Judith" sort="Luce, Judith" uniqKey="Luce J" first="Judith" last="Luce">Judith Luce</name><affiliation wicri:level="2"><nlm:aff id="A2">School of Medicine University of California, San Francisco, CA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>School of Medicine University of California, San Francisco</wicri:cityArea></affiliation></author><author><name sortKey="Dhruva, Anand" sort="Dhruva, Anand" uniqKey="Dhruva A" first="Anand" last="Dhruva">Anand Dhruva</name><affiliation wicri:level="2"><nlm:aff id="A2">School of Medicine University of California, San Francisco, CA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>School of Medicine University of California, San Francisco</wicri:cityArea></affiliation></author><author><name sortKey="Langford, Dale J" sort="Langford, Dale J" uniqKey="Langford D" first="Dale J." last="Langford">Dale J. Langford</name><affiliation wicri:level="2"><nlm:aff id="A1">School of Nursing University of California, San Francisco, CA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>School of Nursing University of California, San Francisco</wicri:cityArea></affiliation></author><author><name sortKey="Merriman, John D" sort="Merriman, John D" uniqKey="Merriman J" first="John D." last="Merriman">John D. Merriman</name><affiliation wicri:level="2"><nlm:aff id="A1">School of Nursing University of California, San Francisco, CA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>School of Nursing University of California, San Francisco</wicri:cityArea></affiliation></author><author><name sortKey="Kober, Kord" sort="Kober, Kord" uniqKey="Kober K" first="Kord" last="Kober">Kord Kober</name><affiliation wicri:level="2"><nlm:aff id="A1">School of Nursing University of California, San Francisco, CA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>School of Nursing University of California, San Francisco</wicri:cityArea></affiliation></author><author><name sortKey="Baggott, Christina" sort="Baggott, Christina" uniqKey="Baggott C" first="Christina" last="Baggott">Christina Baggott</name><affiliation wicri:level="2"><nlm:aff id="A1">School of Nursing University of California, San Francisco, CA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>School of Nursing University of California, San Francisco</wicri:cityArea></affiliation></author><author><name sortKey="Leutwyler, Heather" sort="Leutwyler, Heather" uniqKey="Leutwyler H" first="Heather" last="Leutwyler">Heather Leutwyler</name><affiliation wicri:level="2"><nlm:aff id="A1">School of Nursing University of California, San Francisco, CA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>School of Nursing University of California, San Francisco</wicri:cityArea></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 wicri:level="2"><nlm:aff id="A1">School of Nursing University of California, San Francisco, CA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>School of Nursing University of California, San Francisco</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:aff id="A3">Institute for Human Genetics, University of California, San Francisco, CA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>Institute for Human Genetics, University of California, San Francisco</wicri:cityArea></affiliation></author></analytic><series><title level="j">European journal of oncology nursing : the official journal of European Oncology Nursing Society</title><idno type="ISSN">1462-3889</idno><idno type="eISSN">1532-2122</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Purpose</title><p id="P1">In this prospective, longitudinal study, we extend our findings on persistent breast pain in patients (n=398) following breast cancer surgery and evaluate the prevalence and characteristics of persistent pain in the arm/shoulder In addition, differences in the severity of common symptoms and quality of life outcomes measured prior to surgery, among the arm pain classes, were evaluated.</p></sec><sec id="S2"><title>Methods and sample</title><p id="P2">Patients were recruited from Breast Care Centers located in a Comprehensive Cancer Center, two public hospitals, and four community practices. Patients were assessed prior to and monthly for six months following breast cancer surgery.</p></sec><sec id="S3"><title>Results</title><p id="P3">Using growth mixture modeling, patients were classified into no (41.6%), mild (23.6%), and moderate (34.8%) arm pain classes based on ratings of worst arm/shoulder pain. Compared to the no pain class, patients in the moderate pain class were significantly younger, had a higher body mass index, and were more likely to report preoperative breast pain and swelling in the affected breast. In addition, patients in the moderate pain class reported higher levels of depression, anxiety, and sleep disturbance than the no pain class.</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">Findings suggest that approximately 35% of women experience persistent levels of moderate arm/shoulder pain in the first six months following breast cancer surgery. Moderate arm/shoulder pain is associated with clinically meaningful decrements in functional status and quality of life.</p></sec></div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Californie</li></region></list><tree><country name="États-Unis"><region name="Californie"><name sortKey="Miaskowski, Christine" sort="Miaskowski, Christine" uniqKey="Miaskowski C" first="Christine" last="Miaskowski">Christine Miaskowski</name></region><name sortKey="Abrams, Gary" sort="Abrams, Gary" uniqKey="Abrams G" first="Gary" last="Abrams">Gary Abrams</name><name sortKey="Aouizerat, Bradley E" sort="Aouizerat, Bradley E" uniqKey="Aouizerat B" first="Bradley E." last="Aouizerat">Bradley E. Aouizerat</name><name sortKey="Aouizerat, Bradley E" sort="Aouizerat, Bradley E" uniqKey="Aouizerat B" first="Bradley E." last="Aouizerat">Bradley E. Aouizerat</name><name sortKey="Baggott, Christina" sort="Baggott, Christina" uniqKey="Baggott C" first="Christina" last="Baggott">Christina Baggott</name><name sortKey="Cooper, Bruce" sort="Cooper, Bruce" uniqKey="Cooper B" first="Bruce" last="Cooper">Bruce Cooper</name><name sortKey="Dhruva, Anand" sort="Dhruva, Anand" uniqKey="Dhruva A" first="Anand" last="Dhruva">Anand Dhruva</name><name sortKey="Elboim, Charles" sort="Elboim, Charles" uniqKey="Elboim C" first="Charles" last="Elboim">Charles Elboim</name><name sortKey="Hamolsky, Deborah" sort="Hamolsky, Deborah" uniqKey="Hamolsky D" first="Deborah" last="Hamolsky">Deborah Hamolsky</name><name sortKey="Kober, Kord" sort="Kober, Kord" uniqKey="Kober K" first="Kord" last="Kober">Kord Kober</name><name sortKey="Langford, Dale J" sort="Langford, Dale J" uniqKey="Langford D" first="Dale J." last="Langford">Dale J. Langford</name><name sortKey="Leutwyler, Heather" sort="Leutwyler, Heather" uniqKey="Leutwyler H" first="Heather" last="Leutwyler">Heather Leutwyler</name><name sortKey="Levine, Jon D" sort="Levine, Jon D" uniqKey="Levine J" first="Jon D." last="Levine">Jon D. Levine</name><name sortKey="Luce, Judith" sort="Luce, Judith" uniqKey="Luce J" first="Judith" last="Luce">Judith Luce</name><name sortKey="Merriman, John D" sort="Merriman, John D" uniqKey="Merriman J" first="John D." last="Merriman">John D. Merriman</name><name sortKey="Paul, Steven M" sort="Paul, Steven M" uniqKey="Paul S" first="Steven M." last="Paul">Steven M. Paul</name><name sortKey="West, Claudia" sort="West, Claudia" uniqKey="West C" first="Claudia" last="West">Claudia West</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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