Use of the International Classification of Functioning, Disability and Health as a Functional Assessment Tool for Breast Cancer Survivors
Identifieur interne : 003D61 ( Main/Exploration ); précédent : 003D60; suivant : 003D62Use of the International Classification of Functioning, Disability and Health as a Functional Assessment Tool for Breast Cancer Survivors
Auteurs : Eun Joo Yang [Corée du Sud] ; Bo-Ram Kim [Corée du Sud] ; Hyung Ik Shin [Corée du Sud] ; Jae-Young Lim [Corée du Sud]Source :
- Journal of Breast Cancer [ 1738-6756 ] ; 2012.
Abstract
To develop a patient self-completed questionnaire from the items of the Brief Core Set Questionnaire for Breast Cancer (BCSQ-BC) and to investigate the prevalence of specific dysfunctions throughout the course of cancer and treatments.
From January 2010 to February 2011, 96 breast cancer patients were evaluated with BCSQ-BC developed for clinical application of International Classification of Functioning, Disability and Health (ICF). Quality of life and upper limb dysfunction using disabilities of arm, shoulder and hand (DASH) were assessed. Content validity was evaluated using correlations between BCSQ-BC and European Organization for Research and Treatment of Cancer (EORTC) QLQ and DASH scores. Construct validity was computed using exploratory factor analysis. Kappa statistics were computed for agreement between test-retest ICF data. The level of significance and odds ratios were reported for individuals with early post-acute and long-term context and with total mastectomy and breast conservative surgery.
There was
consistently good test-retest agreement in patient-completed questionnaires (kappa value, 0.76). Body function, activity and participation subscales are significantly related with EORTC QLQ and DASH. Problems with activity and participation were strongly associated with physical functional domains of EORTC QLQ (r=-0.708,
The BCSQ-BC identifies the problems comprehensively in functioning of patients with breast cancer. We revealed the interaction with the ICF framework adopting a multifactor understanding of function and disability.
Url:
DOI: 10.4048/jbc.2012.15.1.43
PubMed: 22493627
PubMed Central: 3318173
Affiliations:
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Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seongnam</wicri:regionArea><wicri:noRegion>Seongnam</wicri:noRegion></affiliation></author><author><name sortKey="Shin, Hyung Ik" sort="Shin, Hyung Ik" uniqKey="Shin H" first="Hyung Ik" last="Shin">Hyung Ik Shin</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seongnam</wicri:regionArea><wicri:noRegion>Seongnam</wicri:noRegion></affiliation></author><author><name sortKey="Lim, Jae Young" sort="Lim, Jae Young" uniqKey="Lim J" first="Jae-Young" last="Lim">Jae-Young Lim</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seongnam</wicri:regionArea><wicri:noRegion>Seongnam</wicri:noRegion></affiliation><affiliation wicri:level="3"><nlm:aff id="A2">Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">22493627</idno><idno type="pmc">3318173</idno><idno 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type="wicri:Area/Main/Exploration">003D61</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Use of the International Classification of Functioning, Disability and Health as a Functional Assessment Tool for Breast Cancer Survivors</title><author><name sortKey="Yang, Eun Joo" sort="Yang, Eun Joo" uniqKey="Yang E" first="Eun Joo" last="Yang">Eun Joo Yang</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seongnam</wicri:regionArea><wicri:noRegion>Seongnam</wicri:noRegion></affiliation></author><author><name sortKey="Kim, Bo Ram" sort="Kim, Bo Ram" uniqKey="Kim B" first="Bo-Ram" last="Kim">Bo-Ram Kim</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seongnam</wicri:regionArea><wicri:noRegion>Seongnam</wicri:noRegion></affiliation></author><author><name sortKey="Shin, Hyung Ik" sort="Shin, Hyung Ik" uniqKey="Shin H" first="Hyung Ik" last="Shin">Hyung Ik Shin</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seongnam</wicri:regionArea><wicri:noRegion>Seongnam</wicri:noRegion></affiliation></author><author><name sortKey="Lim, Jae Young" sort="Lim, Jae Young" uniqKey="Lim J" first="Jae-Young" last="Lim">Jae-Young Lim</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seongnam</wicri:regionArea><wicri:noRegion>Seongnam</wicri:noRegion></affiliation><affiliation wicri:level="3"><nlm:aff id="A2">Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author></analytic><series><title level="j">Journal of Breast Cancer</title><idno type="ISSN">1738-6756</idno><idno type="eISSN">2092-9900</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Purpose</title><p>To develop a patient self-completed questionnaire from the items of the Brief Core Set Questionnaire for Breast Cancer (BCSQ-BC) and to investigate the prevalence of specific dysfunctions throughout the course of cancer and treatments.</p></sec><sec><title>Methods</title><p>From January 2010 to February 2011, 96 breast cancer patients were evaluated with BCSQ-BC developed for clinical application of International Classification of Functioning, Disability and Health (ICF). Quality of life and upper limb dysfunction using disabilities of arm, shoulder and hand (DASH) were assessed. Content validity was evaluated using correlations between BCSQ-BC and European Organization for Research and Treatment of Cancer (EORTC) QLQ and DASH scores. Construct validity was computed using exploratory factor analysis. Kappa statistics were computed for agreement between test-retest ICF data. The level of significance and odds ratios were reported for individuals with early post-acute and long-term context and with total mastectomy and breast conservative surgery.</p></sec><sec><title>Results</title><p>There was
consistently good test-retest agreement in patient-completed questionnaires (kappa value, 0.76). Body function, activity and participation subscales are significantly related with EORTC QLQ and DASH. Problems with activity and participation were strongly associated with physical functional domains of EORTC QLQ (r=-0.708, <italic>p</italic><0.001) and DASH (r=0.761, <italic>p</italic><0.001). The prevalence of dysfunctions varied with type of surgery and time after cancer. Immobility of joint (15% vs. 7%) and lymphatic dysfunction (17% vs. 3%) were indexed more frequently in extensive surgery cases than in conservative surgery. Muscle power (16% vs. 8%), exercise tolerance functions (12% vs. 4%) and looking after one's health (10% vs. 2%) were impaired within 1 year after surgery, while sleep dysfunction (8% vs. 14%) was a major problem over 1 year after surgery.</p></sec><sec><title>Conclusion</title><p>The BCSQ-BC identifies the problems comprehensively in functioning of patients with breast cancer. We revealed the interaction with the ICF framework adopting a multifactor understanding of function and disability.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Parkin, Dm" uniqKey="Parkin D">DM Parkin</name></author><author><name sortKey="Pisani, P" uniqKey="Pisani P">P Pisani</name></author><author><name sortKey="Ferlay, J" uniqKey="Ferlay J">J Ferlay</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fialka Moser, V" uniqKey="Fialka Moser V">V Fialka-Moser</name></author><author><name sortKey="Crevenna, R" uniqKey="Crevenna R">R Crevenna</name></author><author><name sortKey="Korpan, M" uniqKey="Korpan M">M Korpan</name></author><author><name sortKey="Quittan, M" uniqKey="Quittan M">M Quittan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tasmuth, T" uniqKey="Tasmuth T">T Tasmuth</name></author><author><name sortKey="Von Smitten, K" uniqKey="Von 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Kim</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Corée du Sud</li></country><region><li>Région capitale de Séoul</li></region><settlement><li>Séoul</li></settlement></list><tree><country name="Corée du Sud"><noRegion><name sortKey="Yang, Eun Joo" sort="Yang, Eun Joo" uniqKey="Yang E" first="Eun Joo" last="Yang">Eun Joo Yang</name></noRegion><name sortKey="Kim, Bo Ram" sort="Kim, Bo Ram" uniqKey="Kim B" first="Bo-Ram" last="Kim">Bo-Ram Kim</name><name sortKey="Lim, Jae Young" sort="Lim, Jae Young" uniqKey="Lim J" first="Jae-Young" last="Lim">Jae-Young Lim</name><name sortKey="Lim, Jae Young" sort="Lim, Jae Young" uniqKey="Lim J" first="Jae-Young" last="Lim">Jae-Young Lim</name><name sortKey="Shin, Hyung Ik" sort="Shin, Hyung Ik" uniqKey="Shin H" first="Hyung Ik" last="Shin">Hyung Ik Shin</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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