LymphedemaV1, Main, Exploration, bibRecord, 004957

A Prospective Model of Care for Breast Cancer Rehabilitation: Postoperative and Postreconstructive Issues

Identifieur interne : 004957 ( Main/Exploration ); précédent : 004956; suivant : 004958

A Prospective Model of Care for Breast Cancer Rehabilitation: Postoperative and Postreconstructive Issues

Auteurs : Margaret L. Mcneely [Canada] ; Jill M. Binkley [États-Unis] ; Andrea L. Pusic [États-Unis] ; Kristin L. Campbell [Canada] ; Sheryl Gabram [États-Unis] ; Peter W. Soballe [États-Unis]

Source :

Cancer [ 0008-543X ] ; 2012.

RBID : Pascal:12-0207321

Descripteurs français

Pascal (Inist)
- Cancer du sein, Prospective, Modèle, Lymphoedème, Soin, Réhabilitation, Chirurgie, Postopératoire, Mastectomie, Ganglion lymphatique, Excision, Glande mammaire, Epaule, Qualité de vie, Cancérologie, Traitement.
Wicri :
- topic : Prospective, Chirurgie.

English descriptors

KwdEn :
- Breast cancer, Cancerology, Care, Excision, Lymph node, Lymphedema, Mammary gland, Mastectomy, Models, Postoperative, Prospective, Quality of life, Rehabilitation, Shoulder, Surgery, Treatment.

Abstract

Appropriate and timely rehabilitation is vital in the recovery from breast cancer surgeries, including breast conserving surgery, mastectomy, axillary lymph node dissection (ALND), and breast reconstruction. This article describes the incidence, prevalence, risk factors and time course for early postoperative effects and the role of prospective surveillance as a rehabilitation strategy to prevent and mitigate them. The most common early postoperative effects include wound issues such as cellulitis, flap necrosis, abscess, dehiscence, hematoma, and seroma. Appropriate treatment is necessary to avoid delay in wound healing that may increase the risk of long-term morbidity, unduly postpone systemic and radiation therapy, and delay rehabilitation. The presence of upper quarter dysfunction (UQD), defined as restricted upper quarter mobility, pain, lymphedema, and impaired sensation and strength, has been reported in over half of survivors after treatment for breast cancer. Moreover, evidence suggests that survivors who undergo breast reconstruction may be at higher risk of UQD. Ensuring the survivor's optimum functioning in the early postoperative time period is critical in the overall recovery from breast cancer. The formal collection of objective measures along with patient-reported outcome measures is recommended for the early detection of postoperative morbidity. Prospective surveillance, including preoperative assessment and structured surveillance, allows for early identification and timely rehabilitation. Early evidence supports a prospective approach to address and minimize postoperative effects. C.

Affiliations:

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Le document en format XML

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<author><name sortKey="Mcneely, Margaret L" sort="Mcneely, Margaret L" uniqKey="Mcneely M" first="Margaret L." last="Mcneely">Margaret L. Mcneely</name>
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<author><name sortKey="Pusic, Andrea L" sort="Pusic, Andrea L" uniqKey="Pusic A" first="Andrea L." last="Pusic">Andrea L. Pusic</name>
<affiliation wicri:level="2"><inist:fA14 i1="03"><s1>Division of Plastic and Reconstructive Surgery, Memorial Sloan-Kettering Cancer Center</s1>
<s2>New York, New York</s2>
<s3>USA</s3>
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<country>États-Unis</country>
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<author><name sortKey="Campbell, Kristin L" sort="Campbell, Kristin L" uniqKey="Campbell K" first="Kristin L." last="Campbell">Kristin L. Campbell</name>
<affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Department of Physical Therapy, Faculty of Medicine, University of British Columbia</s1>
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<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="05"><s1>Winship Cancer Institute of Emory University</s1>
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<s3>USA</s3>
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<author><name sortKey="Soballe, Peter W" sort="Soballe, Peter W" uniqKey="Soballe P" first="Peter W." last="Soballe">Peter W. Soballe</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Breast cancer</term>
<term>Cancerology</term>
<term>Care</term>
<term>Excision</term>
<term>Lymph node</term>
<term>Lymphedema</term>
<term>Mammary gland</term>
<term>Mastectomy</term>
<term>Models</term>
<term>Postoperative</term>
<term>Prospective</term>
<term>Quality of life</term>
<term>Rehabilitation</term>
<term>Shoulder</term>
<term>Surgery</term>
<term>Treatment</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Cancer du sein</term>
<term>Prospective</term>
<term>Modèle</term>
<term>Lymphoedème</term>
<term>Soin</term>
<term>Réhabilitation</term>
<term>Chirurgie</term>
<term>Postopératoire</term>
<term>Mastectomie</term>
<term>Ganglion lymphatique</term>
<term>Excision</term>
<term>Glande mammaire</term>
<term>Epaule</term>
<term>Qualité de vie</term>
<term>Cancérologie</term>
<term>Traitement</term>
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<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Prospective</term>
<term>Chirurgie</term>
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<front><div type="abstract" xml:lang="en">Appropriate and timely rehabilitation is vital in the recovery from breast cancer surgeries, including breast conserving surgery, mastectomy, axillary lymph node dissection (ALND), and breast reconstruction. This article describes the incidence, prevalence, risk factors and time course for early postoperative effects and the role of prospective surveillance as a rehabilitation strategy to prevent and mitigate them. The most common early postoperative effects include wound issues such as cellulitis, flap necrosis, abscess, dehiscence, hematoma, and seroma. Appropriate treatment is necessary to avoid delay in wound healing that may increase the risk of long-term morbidity, unduly postpone systemic and radiation therapy, and delay rehabilitation. The presence of upper quarter dysfunction (UQD), defined as restricted upper quarter mobility, pain, lymphedema, and impaired sensation and strength, has been reported in over half of survivors after treatment for breast cancer. Moreover, evidence suggests that survivors who undergo breast reconstruction may be at higher risk of UQD. Ensuring the survivor's optimum functioning in the early postoperative time period is critical in the overall recovery from breast cancer. The formal collection of objective measures along with patient-reported outcome measures is recommended for the early detection of postoperative morbidity. Prospective surveillance, including preoperative assessment and structured surveillance, allows for early identification and timely rehabilitation. Early evidence supports a prospective approach to address and minimize postoperative effects. C.</div>
</front>
</TEI>
<affiliations><list><country><li>Canada</li>
<li>États-Unis</li>
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<region><li>Californie</li>
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<tree><country name="Canada"><noRegion><name sortKey="Mcneely, Margaret L" sort="Mcneely, Margaret L" uniqKey="Mcneely M" first="Margaret L." last="Mcneely">Margaret L. Mcneely</name>
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<country name="États-Unis"><region name="Géorgie (États-Unis)"><name sortKey="Binkley, Jill M" sort="Binkley, Jill M" uniqKey="Binkley J" first="Jill M." last="Binkley">Jill M. Binkley</name>
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<name sortKey="Gabram, Sheryl" sort="Gabram, Sheryl" uniqKey="Gabram S" first="Sheryl" last="Gabram">Sheryl Gabram</name>
<name sortKey="Pusic, Andrea L" sort="Pusic, Andrea L" uniqKey="Pusic A" first="Andrea L." last="Pusic">Andrea L. Pusic</name>
<name sortKey="Soballe, Peter W" sort="Soballe, Peter W" uniqKey="Soballe P" first="Peter W." last="Soballe">Peter W. Soballe</name>
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A Prospective Model of Care for Breast Cancer Rehabilitation: Postoperative and Postreconstructive Issues

A Prospective Model of Care for Breast Cancer Rehabilitation: Postoperative and Postreconstructive Issues

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri