The relation between arm/shoulder problems and quality of life in breast cancer survivors: a cross-sectional and longitudinal study
Identifieur interne : 005560 ( Main/Exploration ); précédent : 005559; suivant : 005561The relation between arm/shoulder problems and quality of life in breast cancer survivors: a cross-sectional and longitudinal study
Auteurs : Inger-Lise Nesvold [Norvège] ; Kristin Valborg Reinertsen [Norvège] ; Sophie D. Foss [Norvège] ; Alv A. Dahl [Norvège]Source :
- Journal of Cancer Survivorship [ 1932-2259 ] ; 2010.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Algorithmes, Bras (anatomopathologie), Carcinomes (), Carcinomes (rééducation et réadaptation), Carcinomes (épidémiologie), Douleur (anatomopathologie), Douleur (psychologie), Douleur (étiologie), Enquêtes et questionnaires, Femelle, Humains, Lymphadénectomie, Lymphoedème (anatomopathologie), Lymphoedème (psychologie), Lymphoedème (épidémiologie), Mastectomie, Mouvement (physiologie), Qualité de vie, Sujet âgé, Survivants, Tumeurs du sein (), Tumeurs du sein (rééducation et réadaptation), Tumeurs du sein (épidémiologie), Épaule (anatomopathologie), Études longitudinales, Études transversales.
- MESH :
- anatomopathologie : Bras, Douleur, Lymphoedème, Épaule.
- physiologie : Mouvement.
- psychologie : Douleur, Lymphoedème.
- rééducation et réadaptation : Carcinomes, Tumeurs du sein.
- épidémiologie : Carcinomes, Lymphoedème, Tumeurs du sein.
- étiologie : Douleur.
- Adulte d'âge moyen, Algorithmes, Carcinomes, Enquêtes et questionnaires, Femelle, Humains, Lymphadénectomie, Mastectomie, Qualité de vie, Sujet âgé, Survivants, Tumeurs du sein, Études longitudinales, Études transversales.
English descriptors
- KwdEn :
- Aged, Algorithms, Arm (pathology), Breast Neoplasms (complications), Breast Neoplasms (epidemiology), Breast Neoplasms (rehabilitation), Breast Neoplasms (surgery), Carcinoma (complications), Carcinoma (epidemiology), Carcinoma (rehabilitation), Carcinoma (surgery), Cross-Sectional Studies, Female, Humans, Longitudinal Studies, Lymph Node Excision, Lymphedema (epidemiology), Lymphedema (pathology), Lymphedema (psychology), Mastectomy, Middle Aged, Movement (physiology), Pain (etiology), Pain (pathology), Pain (psychology), Quality of Life, Shoulder (pathology), Surveys and Questionnaires, Survivors.
- MESH :
- complications : Breast Neoplasms, Carcinoma.
- epidemiology : Breast Neoplasms, Carcinoma, Lymphedema.
- etiology : Pain.
- pathology : Arm, Lymphedema, Pain, Shoulder.
- physiology : Movement.
- psychology : Lymphedema, Pain.
- rehabilitation : Breast Neoplasms, Carcinoma.
- surgery : Breast Neoplasms, Carcinoma.
- Aged, Algorithms, Cross-Sectional Studies, Female, Humans, Longitudinal Studies, Lymph Node Excision, Mastectomy, Middle Aged, Quality of Life, Surveys and Questionnaires, Survivors.
Abstract
This cross-sectional and longitudinal study of breast cancer survivors (BCSs) examines the associations between arm/shoulder problems (ASPs), which consist of pain, restricted mobility and lymphedema, and different aspects of quality of life (QoL).
BCSs who had breast surgery, axillary lymph node dissection and radiotherapy (
In 2004 BCSs with ASPs showed significantly poorer mean scores in most SF-36 domains compared to those without. No group differences were observed for positive IOC domains, while BCSs with ASPs showed significantly poorer mean scores in the negative ones. BCSs with clinically defined movement restriction showed significantly poorer SF-36 and negative IOC mean scores than those with clinically defined lymphedema. The longitudinal sub-study of self-rated pain, restricted mobility and lymphedema showed significant changes over time only for negative IOC domains in the pain group. Self-rated restricted mobility and lymphedema were significantly associated with most SF-36 domains both in 2004 and 2007, while few were associated with pain. Self-rated pain and restricted mobility showed significant associations with negative IOC domains.
Not only lymphedema, but pain and restricted mobility in the arm/shoulder are significantly associated with poor QoL in BCSs at long-term. These problems should be diagnosed and treated in order to improve QoL.
Url:
DOI: 10.1007/s11764-010-0156-4
PubMed: 20972640
PubMed Central: 3040353
Affiliations:
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Foss</name><affiliation wicri:level="3"><nlm:aff id="Aff1">National Resource Center for Late Effects, Department of Oncology, Oslo University Hospital and University of Oslo, Oslo, Norway</nlm:aff><country xml:lang="fr">Norvège</country><wicri:regionArea>National Resource Center for Late Effects, Department of Oncology, Oslo University Hospital and University of Oslo, Oslo</wicri:regionArea><placeName><settlement type="city">Oslo</settlement><region nuts="2">Østlandet</region></placeName></affiliation></author><author><name sortKey="Dahl, Alv A" sort="Dahl, Alv A" uniqKey="Dahl A" first="Alv A." last="Dahl">Alv A. Dahl</name><affiliation wicri:level="3"><nlm:aff id="Aff1">National Resource Center for Late Effects, Department of Oncology, Oslo University Hospital and University of Oslo, Oslo, Norway</nlm:aff><country xml:lang="fr">Norvège</country><wicri:regionArea>National Resource Center for Late Effects, Department of Oncology, Oslo University Hospital and University of Oslo, Oslo</wicri:regionArea><placeName><settlement type="city">Oslo</settlement><region nuts="2">Østlandet</region></placeName></affiliation></author></analytic><series><title level="j">Journal of Cancer Survivorship</title><idno type="ISSN">1932-2259</idno><idno type="eISSN">1932-2267</idno><imprint><date when="2010">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Algorithms</term><term>Arm (pathology)</term><term>Breast Neoplasms (complications)</term><term>Breast Neoplasms (epidemiology)</term><term>Breast Neoplasms (rehabilitation)</term><term>Breast Neoplasms (surgery)</term><term>Carcinoma (complications)</term><term>Carcinoma (epidemiology)</term><term>Carcinoma (rehabilitation)</term><term>Carcinoma (surgery)</term><term>Cross-Sectional Studies</term><term>Female</term><term>Humans</term><term>Longitudinal Studies</term><term>Lymph Node Excision</term><term>Lymphedema (epidemiology)</term><term>Lymphedema (pathology)</term><term>Lymphedema (psychology)</term><term>Mastectomy</term><term>Middle Aged</term><term>Movement (physiology)</term><term>Pain (etiology)</term><term>Pain (pathology)</term><term>Pain (psychology)</term><term>Quality of Life</term><term>Shoulder (pathology)</term><term>Surveys and Questionnaires</term><term>Survivors</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Algorithmes</term><term>Bras (anatomopathologie)</term><term>Carcinomes ()</term><term>Carcinomes (rééducation et réadaptation)</term><term>Carcinomes (épidémiologie)</term><term>Douleur (anatomopathologie)</term><term>Douleur (psychologie)</term><term>Douleur (étiologie)</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Humains</term><term>Lymphadénectomie</term><term>Lymphoedème (anatomopathologie)</term><term>Lymphoedème (psychologie)</term><term>Lymphoedème (épidémiologie)</term><term>Mastectomie</term><term>Mouvement (physiologie)</term><term>Qualité de vie</term><term>Sujet âgé</term><term>Survivants</term><term>Tumeurs du sein ()</term><term>Tumeurs du sein (rééducation et réadaptation)</term><term>Tumeurs du sein (épidémiologie)</term><term>Épaule (anatomopathologie)</term><term>Études longitudinales</term><term>Études transversales</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Bras</term><term>Douleur</term><term>Lymphoedème</term><term>Épaule</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Breast Neoplasms</term><term>Carcinoma</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Breast Neoplasms</term><term>Carcinoma</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Pain</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Arm</term><term>Lymphedema</term><term>Pain</term><term>Shoulder</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Mouvement</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Movement</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Douleur</term><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Lymphedema</term><term>Pain</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Breast Neoplasms</term><term>Carcinoma</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Carcinomes</term><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term><term>Carcinoma</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Carcinomes</term><term>Lymphoedème</term><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Douleur</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Algorithms</term><term>Cross-Sectional Studies</term><term>Female</term><term>Humans</term><term>Longitudinal Studies</term><term>Lymph Node Excision</term><term>Mastectomy</term><term>Middle Aged</term><term>Quality of Life</term><term>Surveys and Questionnaires</term><term>Survivors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Algorithmes</term><term>Carcinomes</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Humains</term><term>Lymphadénectomie</term><term>Mastectomie</term><term>Qualité de vie</term><term>Sujet âgé</term><term>Survivants</term><term>Tumeurs du sein</term><term>Études longitudinales</term><term>Études transversales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>This cross-sectional and longitudinal study of breast cancer survivors (BCSs) examines the associations between arm/shoulder problems (ASPs), which consist of pain, restricted mobility and lymphedema, and different aspects of quality of life (QoL).</p></sec><sec><title>Methods</title><p>BCSs who had breast surgery, axillary lymph node dissection and radiotherapy (<italic>n</italic> = 255) were examined in 2004 (mean 4.1 years post-surgery) and a sub-sample (<italic>n</italic> = 187) was re-examined in 2007. ASPs was rated clinically in 2004 and by self-report (EORTC BR23) in 2004 and 2007. QoL was self-reported with The Short Form-36 (SF-36) and The Impact of Cancer scale (IOC).</p></sec><sec><title>Results</title><p>In 2004 BCSs with ASPs showed significantly poorer mean scores in most SF-36 domains compared to those without. No group differences were observed for positive IOC domains, while BCSs with ASPs showed significantly poorer mean scores in the negative ones. BCSs with clinically defined movement restriction showed significantly poorer SF-36 and negative IOC mean scores than those with clinically defined lymphedema. The longitudinal sub-study of self-rated pain, restricted mobility and lymphedema showed significant changes over time only for negative IOC domains in the pain group. Self-rated restricted mobility and lymphedema were significantly associated with most SF-36 domains both in 2004 and 2007, while few were associated with pain. Self-rated pain and restricted mobility showed significant associations with negative IOC domains.</p></sec><sec><title>Implications for cancer survivors</title><p>Not only lymphedema, but pain and restricted mobility in the arm/shoulder are significantly associated with poor QoL in BCSs at long-term. These problems should be diagnosed and treated in order to improve QoL.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Ahmed, Rl" uniqKey="Ahmed R">RL Ahmed</name></author><author><name sortKey="Prizment, A" uniqKey="Prizment A">A Prizment</name></author><author><name sortKey="Lazovich, Da" uniqKey="Lazovich D">DA Lazovich</name></author><author><name sortKey="Schmitz, Kh" uniqKey="Schmitz K">KH Schmitz</name></author><author><name sortKey="Folsom, Af" uniqKey="Folsom A">AF Folsom</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Norman, Sa" uniqKey="Norman S">SA Norman</name></author><author><name sortKey="Russel Locario, A" uniqKey="Russel Locario A">A Russel Locario</name></author><author><name sortKey="Potashnik, Sl" uniqKey="Potashnik S">SL Potashnik</name></author><author><name sortKey="Simoes Torpey, Ha" uniqKey="Simoes Torpey H">HA Simoes Torpey</name></author><author><name 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Fallowfield</name></author><author><name sortKey="Kissin, M" uniqKey="Kissin M">M Kissin</name></author><author><name sortKey="Goyal, A" uniqKey="Goyal A">A Goyal</name></author><author><name sortKey="Newcombe, Rg" uniqKey="Newcombe R">RG Newcombe</name></author><author><name sortKey="Dixon, Jm" uniqKey="Dixon J">JM Dixon</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Purushotham, Ad" uniqKey="Purushotham A">AD Purushotham</name></author><author><name sortKey="Upponi, S" uniqKey="Upponi S">S Upponi</name></author><author><name sortKey="Klevesath, Mb" uniqKey="Klevesath M">MB Klevesath</name></author><author><name sortKey="Bobrow, L" uniqKey="Bobrow L">L Bobrow</name></author><author><name sortKey="Millar, K" uniqKey="Millar K">K Millar</name></author><author><name sortKey="Myles, Jp" uniqKey="Myles J">JP Myles</name></author></analytic></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Norvège</li></country><region><li>Østlandet</li></region><settlement><li>Oslo</li></settlement></list><tree><country name="Norvège"><region name="Østlandet"><name sortKey="Nesvold, Inger Lise" sort="Nesvold, Inger Lise" uniqKey="Nesvold I" first="Inger-Lise" last="Nesvold">Inger-Lise Nesvold</name></region><name sortKey="Dahl, Alv A" sort="Dahl, Alv A" uniqKey="Dahl A" first="Alv A." last="Dahl">Alv A. Dahl</name><name sortKey="Foss, Sophie D" sort="Foss, Sophie D" uniqKey="Foss S" first="Sophie D." last="Foss">Sophie D. Foss</name><name sortKey="Nesvold, Inger Lise" sort="Nesvold, Inger Lise" uniqKey="Nesvold I" first="Inger-Lise" last="Nesvold">Inger-Lise Nesvold</name><name sortKey="Nesvold, Inger Lise" sort="Nesvold, Inger Lise" uniqKey="Nesvold I" first="Inger-Lise" last="Nesvold">Inger-Lise Nesvold</name><name sortKey="Nesvold, Inger Lise" sort="Nesvold, Inger Lise" uniqKey="Nesvold I" first="Inger-Lise" last="Nesvold">Inger-Lise Nesvold</name><name sortKey="Reinertsen, Kristin Valborg" sort="Reinertsen, Kristin Valborg" uniqKey="Reinertsen K" first="Kristin Valborg" last="Reinertsen">Kristin Valborg Reinertsen</name><name sortKey="Reinertsen, Kristin Valborg" sort="Reinertsen, Kristin Valborg" uniqKey="Reinertsen K" first="Kristin Valborg" last="Reinertsen">Kristin Valborg Reinertsen</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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