Upper-Body Morbidity After Breast Cancer*: Incidence and Evidence for Evaluation, Prevention, and Management Within a Prospective Surveillance Model of Care
Identifieur interne : 004916 ( Main/Exploration ); précédent : 004915; suivant : 004917Upper-Body Morbidity After Breast Cancer*: Incidence and Evidence for Evaluation, Prevention, and Management Within a Prospective Surveillance Model of Care
Auteurs : Sandra C. Hayes [Australie] ; Karin Johansson [Suède] ; Nicole L. Stout [États-Unis] ; Robert Prosnitz [États-Unis] ; Jane M. Armer [États-Unis] ; Sheryl Gabram [États-Unis] ; Kathryn H. Schmitz [États-Unis]Source :
- Cancer [ 0008-543X ] ; 2012.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Prospective.
English descriptors
- KwdEn :
Abstract
The purpose of this paper is to review the incidence of upper-body morbidity (arm and breast symptoms, impairments, and lymphedema), methods for diagnosis, and prevention and treatment strategies. It was also the purpose to highlight the evidence base for integration of prospective surveillance for upper-body morbidity within standard clinical care of women with breast cancer. Between 10% and 64% of women report upper-body symptoms between 6 months and 3 years after breast cancer, and approximately 20% develop lymphedema. Symptoms remain common into longer-term survivorship, and although lymphedema may be transient for some, those who present with mild lymphedema are at increased risk of developing moderate to severe lymphedema. The etiology of morbidity seems to be multifactorial, with the most consistent risk factors being those associated with extent of treatment. However, known risk factors cannot reliably distinguish between those who will and will not develop upper-body morbidity. Upper-body morbidity may be treatable with physical therapy. There is also evidence in support of integrating regular surveillance for upper-body morbidity into the routine care provided to women with breast cancer, with early diagnosis potentially contributing to more effective management and prevention of progression of these conditions.
Affiliations:
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Le document en format XML
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Hayes</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Queensland University of Technology, Institute of Health and Biomedical Innovation, School of Public Health</s1><s2>Brisbane</s2><s3>AUS</s3><sZ>1 aut.</sZ></inist:fA14><country>Australie</country><wicri:noRegion>Brisbane</wicri:noRegion></affiliation></author><author><name sortKey="Johansson, Karin" sort="Johansson, Karin" uniqKey="Johansson K" first="Karin" last="Johansson">Karin Johansson</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Oncology, Lund University Hospital</s1><s2>Lund</s2><s3>SWE</s3><sZ>2 aut.</sZ></inist:fA14><country>Suède</country><wicri:noRegion>Lund</wicri:noRegion></affiliation></author><author><name sortKey="Stout, Nicole L" sort="Stout, Nicole L" uniqKey="Stout N" first="Nicole L." last="Stout">Nicole L. 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Hayes</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Queensland University of Technology, Institute of Health and Biomedical Innovation, School of Public Health</s1><s2>Brisbane</s2><s3>AUS</s3><sZ>1 aut.</sZ></inist:fA14><country>Australie</country><wicri:noRegion>Brisbane</wicri:noRegion></affiliation></author><author><name sortKey="Johansson, Karin" sort="Johansson, Karin" uniqKey="Johansson K" first="Karin" last="Johansson">Karin Johansson</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Oncology, Lund University Hospital</s1><s2>Lund</s2><s3>SWE</s3><sZ>2 aut.</sZ></inist:fA14><country>Suède</country><wicri:noRegion>Lund</wicri:noRegion></affiliation></author><author><name sortKey="Stout, Nicole L" sort="Stout, Nicole L" uniqKey="Stout N" first="Nicole L." last="Stout">Nicole L. Stout</name><affiliation wicri:level="2"><inist:fA14 i1="03"><s1>Breast Care Center, Walter Reed National Military Medical Center</s1><s2>Bethesda, Maryland</s2><s3>USA</s3><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Prosnitz, Robert" sort="Prosnitz, Robert" uniqKey="Prosnitz R" first="Robert" last="Prosnitz">Robert Prosnitz</name><affiliation wicri:level="2"><inist:fA14 i1="04"><s1>Department of Radiation Oncology, University of Pennsylvania</s1><s2>Philadelphia, Pennsylvania</s2><s3>USA</s3><sZ>4 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Armer, Jane M" sort="Armer, Jane M" uniqKey="Armer J" first="Jane M." last="Armer">Jane M. Armer</name><affiliation wicri:level="2"><inist:fA14 i1="05"><s1>Sinclair School of Nursing, University of Missouri</s1><s2>Columbia, Missouri</s2><s3>USA</s3><sZ>5 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Missouri (État)</region></placeName></affiliation></author><author><name sortKey="Gabram, Sheryl" sort="Gabram, Sheryl" uniqKey="Gabram S" first="Sheryl" last="Gabram">Sheryl Gabram</name><affiliation wicri:level="2"><inist:fA14 i1="06"><s1>Winship Cancer Institute of Emory University</s1><s2>Atlanta, Georgia</s2><s3>USA</s3><sZ>6 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author><author><name sortKey="Schmitz, Kathryn H" sort="Schmitz, Kathryn H" uniqKey="Schmitz K" first="Kathryn H." last="Schmitz">Kathryn H. Schmitz</name><affiliation wicri:level="2"><inist:fA14 i1="07"><s1>Department of Biostatistics and Epidemiology, University of Pennsylvania</s1><s2>Philadelphia, Pennsylvania</s2><s3>USA</s3><sZ>7 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName></affiliation></author></analytic><series><title level="j" type="main">Cancer</title><title level="j" type="abbreviated">Cancer</title><idno type="ISSN">0008-543X</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Cancer</title><title level="j" type="abbreviated">Cancer</title><idno type="ISSN">0008-543X</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Breast cancer</term><term>Cancerology</term><term>Care</term><term>Clinical management</term><term>Epidemiology</term><term>Incidence</term><term>Lymphedema</term><term>Models</term><term>Morbidity</term><term>Prevention</term><term>Prospective</term><term>Surveillance</term><term>Treatment</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Cancer du sein</term><term>Morbidité</term><term>Incidence</term><term>Lymphoedème</term><term>Epidémiologie</term><term>Prévention</term><term>Conduite à tenir</term><term>Prospective</term><term>Surveillance</term><term>Modèle</term><term>Soin</term><term>Traitement</term><term>Cancérologie</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Prospective</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The purpose of this paper is to review the incidence of upper-body morbidity (arm and breast symptoms, impairments, and lymphedema), methods for diagnosis, and prevention and treatment strategies. It was also the purpose to highlight the evidence base for integration of prospective surveillance for upper-body morbidity within standard clinical care of women with breast cancer. Between 10% and 64% of women report upper-body symptoms between 6 months and 3 years after breast cancer, and approximately 20% develop lymphedema. Symptoms remain common into longer-term survivorship, and although lymphedema may be transient for some, those who present with mild lymphedema are at increased risk of developing moderate to severe lymphedema. The etiology of morbidity seems to be multifactorial, with the most consistent risk factors being those associated with extent of treatment. However, known risk factors cannot reliably distinguish between those who will and will not develop upper-body morbidity. Upper-body morbidity may be treatable with physical therapy. There is also evidence in support of integrating regular surveillance for upper-body morbidity into the routine care provided to women with breast cancer, with early diagnosis potentially contributing to more effective management and prevention of progression of these conditions.</div></front></TEI><affiliations><list><country><li>Australie</li><li>Suède</li><li>États-Unis</li></country><region><li>Géorgie (États-Unis)</li><li>Maryland</li><li>Missouri (État)</li><li>Pennsylvanie</li></region></list><tree><country name="Australie"><noRegion><name sortKey="Hayes, Sandra C" sort="Hayes, Sandra C" uniqKey="Hayes S" first="Sandra C." last="Hayes">Sandra C. Hayes</name></noRegion></country><country name="Suède"><noRegion><name sortKey="Johansson, Karin" sort="Johansson, Karin" uniqKey="Johansson K" first="Karin" last="Johansson">Karin Johansson</name></noRegion></country><country name="États-Unis"><region name="Maryland"><name sortKey="Stout, Nicole L" sort="Stout, Nicole L" uniqKey="Stout N" first="Nicole L." last="Stout">Nicole L. Stout</name></region><name sortKey="Armer, Jane M" sort="Armer, Jane M" uniqKey="Armer J" first="Jane M." last="Armer">Jane M. Armer</name><name sortKey="Gabram, Sheryl" sort="Gabram, Sheryl" uniqKey="Gabram S" first="Sheryl" last="Gabram">Sheryl Gabram</name><name sortKey="Prosnitz, Robert" sort="Prosnitz, Robert" uniqKey="Prosnitz R" first="Robert" last="Prosnitz">Robert Prosnitz</name><name sortKey="Schmitz, Kathryn H" sort="Schmitz, Kathryn H" uniqKey="Schmitz K" first="Kathryn H." last="Schmitz">Kathryn H. Schmitz</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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