Comparison of quality of life, satisfaction with surgery and shoulder-arm morbidity in breast cancer survivors submitted to breast-conserving therapy or mastectomy followed by immediate breast reconstruction
Identifieur interne : 005976 ( Main/Exploration ); précédent : 005975; suivant : 005977Comparison of quality of life, satisfaction with surgery and shoulder-arm morbidity in breast cancer survivors submitted to breast-conserving therapy or mastectomy followed by immediate breast reconstruction
Auteurs : Renata Freitas-Silva [Brésil] ; Délio Marques Conde [Brésil] ; Ruffo De Freitas-Júnior [Brésil] ; Edson Zangiacomi Martinez [Brésil]Source :
- Clinics [ 1807-5932 ] ; 2010.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Amplitude articulaire (physiologie), Articulation glénohumérale (physiopathologie), Bras (physiopathologie), Facteurs socioéconomiques, Femelle, Humains, Lymphadénectomie, Lymphoedème (épidémiologie), Lymphoedème (étiologie), Mammoplastie (), Mastectomie radicale modifiée (effets indésirables), Mastectomie radicale modifiée (psychologie), Qualité de vie (psychologie), Tumeurs du sein (), Tumeurs du sein (rééducation et réadaptation), Épaule (physiopathologie), Études transversales.
- MESH :
- effets indésirables : Mastectomie radicale modifiée.
- physiologie : Amplitude articulaire.
- physiopathologie : Articulation glénohumérale, Bras, Épaule.
- psychologie : Mastectomie radicale modifiée, Qualité de vie.
- rééducation et réadaptation : Tumeurs du sein.
- épidémiologie : Lymphoedème.
- étiologie : Lymphoedème.
- Adulte d'âge moyen, Facteurs socioéconomiques, Femelle, Humains, Lymphadénectomie, Mammoplastie, Tumeurs du sein, Études transversales.
English descriptors
- KwdEn :
- Arm (physiopathology), Breast Neoplasms (rehabilitation), Breast Neoplasms (surgery), Cross-Sectional Studies, Female, Humans, Lymph Node Excision, Lymphedema (epidemiology), Lymphedema (etiology), Mammaplasty (methods), Mastectomy, Modified Radical (adverse effects), Mastectomy, Modified Radical (psychology), Middle Aged, Quality of Life (psychology), Range of Motion, Articular (physiology), Shoulder (physiopathology), Shoulder Joint (physiopathology), Socioeconomic Factors.
- MESH :
- adverse effects : Mastectomy, Modified Radical.
- epidemiology : Lymphedema.
- etiology : Lymphedema.
- methods : Mammaplasty.
- physiology : Range of Motion, Articular.
- physiopathology : Arm, Shoulder, Shoulder Joint.
- psychology : Mastectomy, Modified Radical, Quality of Life.
- rehabilitation : Breast Neoplasms.
- surgery : Breast Neoplasms.
- Cross-Sectional Studies, Female, Humans, Lymph Node Excision, Middle Aged, Socioeconomic Factors.
Abstract
This study was designed to compare the prevalence of shoulder-arm morbidity, patient satisfaction with surgery and the quality of life of women submitted to breast-conserving therapy or modified radical mastectomy and immediate breast reconstruction.
This study was a cross-sectional study of women who underwent breast-conserving therapy (n = 44) or modified radical mastectomy and immediate breast reconstruction (n = 26). Quality of life was evaluated with the SF-36 Health Survey Questionnaire.
No differences were found in the prevalence of lymphedema. The movements that were most commonly affected by these procedures were abduction, flexion and external rotation. When the two groups were compared, however, we only found a statistically significant difference for the prevalence of restricted internal rotation, which occurred in 32% of women in the breast-conserving therapy group and 12% of those in the modified radical mastectomy and immediate breast reconstruction group (OR: 7.23; p = 0.03 following adjustment for potential confounding factors). No difference in quality of life or satisfaction with surgery was found between the two groups.
These data suggest that the type of surgery did not affect the occurrence of lymphedema. Breast-conserving therapy, however, increased the risk of shoulder movement limitation. No differences were found between the two surgical techniques with respect to quality of life or satisfaction with surgery.
Url:
DOI: 10.1590/S1807-59322010000800009
PubMed: 20835555
PubMed Central: 2933125
Affiliations:
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Le document en format XML
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Gynecology and Obstetrics, Universidade Federal de Goiás (UFG), Goiânia/GO</wicri:regionArea><placeName><region type="state">Goiás</region></placeName></affiliation></author><author><name sortKey="Conde, Delio Marques" sort="Conde, Delio Marques" uniqKey="Conde D" first="Délio Marques" last="Conde">Délio Marques Conde</name><affiliation wicri:level="2"><nlm:aff id="af2-cln_65p781">Breast Service, Hospital Materno Infantil (HMI), Goiânia/GO, Brasil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Breast Service, Hospital Materno Infantil (HMI), Goiânia/GO</wicri:regionArea><placeName><region type="state">Goiás</region></placeName></affiliation></author><author><name sortKey="De Freitas Junior, Ruffo" sort="De Freitas Junior, Ruffo" uniqKey="De Freitas Junior R" first="Ruffo" last="De Freitas-Júnior">Ruffo De Freitas-Júnior</name><affiliation wicri:level="2"><nlm:aff id="af1-cln_65p781">Department of Gynecology and Obstetrics, Universidade Federal de Goiás (UFG), Goiânia/GO, Brasil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Gynecology and Obstetrics, Universidade Federal de Goiás (UFG), Goiânia/GO</wicri:regionArea><placeName><region type="state">Goiás</region></placeName></affiliation></author><author><name sortKey="Martinez, Edson Zangiacomi" sort="Martinez, Edson Zangiacomi" uniqKey="Martinez E" first="Edson Zangiacomi" last="Martinez">Edson Zangiacomi Martinez</name><affiliation wicri:level="4"><nlm:aff id="af3-cln_65p781">Department of Social Medicine, Universidade de São Paulo (USP), Ribeirão Preto/SP, Brasil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Social Medicine, Universidade de São Paulo (USP), Ribeirão Preto/SP</wicri:regionArea><placeName><region type="state">État de São Paulo</region><settlement type="city">São Paulo</settlement></placeName><orgName type="university">Université de São Paulo</orgName></affiliation></author></analytic><series><title level="j">Clinics</title><idno type="ISSN">1807-5932</idno><idno type="eISSN">1980-5322</idno><imprint><date when="2010">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Arm (physiopathology)</term><term>Breast Neoplasms (rehabilitation)</term><term>Breast Neoplasms (surgery)</term><term>Cross-Sectional Studies</term><term>Female</term><term>Humans</term><term>Lymph Node Excision</term><term>Lymphedema (epidemiology)</term><term>Lymphedema (etiology)</term><term>Mammaplasty (methods)</term><term>Mastectomy, Modified Radical (adverse effects)</term><term>Mastectomy, Modified Radical (psychology)</term><term>Middle Aged</term><term>Quality of Life (psychology)</term><term>Range of Motion, Articular (physiology)</term><term>Shoulder (physiopathology)</term><term>Shoulder Joint (physiopathology)</term><term>Socioeconomic Factors</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Amplitude articulaire (physiologie)</term><term>Articulation glénohumérale (physiopathologie)</term><term>Bras (physiopathologie)</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Humains</term><term>Lymphadénectomie</term><term>Lymphoedème (épidémiologie)</term><term>Lymphoedème (étiologie)</term><term>Mammoplastie ()</term><term>Mastectomie radicale modifiée (effets indésirables)</term><term>Mastectomie radicale modifiée (psychologie)</term><term>Qualité de vie (psychologie)</term><term>Tumeurs du sein ()</term><term>Tumeurs du sein (rééducation et réadaptation)</term><term>Épaule (physiopathologie)</term><term>Études transversales</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Mastectomy, Modified Radical</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Mastectomie radicale modifiée</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Mammaplasty</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Amplitude articulaire</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Range of Motion, Articular</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Articulation glénohumérale</term><term>Bras</term><term>Épaule</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Arm</term><term>Shoulder</term><term>Shoulder Joint</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Mastectomie radicale modifiée</term><term>Qualité de vie</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Mastectomy, Modified Radical</term><term>Quality of Life</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Cross-Sectional Studies</term><term>Female</term><term>Humans</term><term>Lymph Node Excision</term><term>Middle Aged</term><term>Socioeconomic Factors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Humains</term><term>Lymphadénectomie</term><term>Mammoplastie</term><term>Tumeurs du sein</term><term>Études transversales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>OBJECTIVES:</title><p>This study was designed to compare the prevalence of shoulder-arm morbidity, patient satisfaction with surgery and the quality of life of women submitted to breast-conserving therapy or modified radical mastectomy and immediate breast reconstruction.</p></sec><sec><title>METHODS:</title><p>This study was a cross-sectional study of women who underwent breast-conserving therapy (n = 44) or modified radical mastectomy and immediate breast reconstruction (n = 26). Quality of life was evaluated with the SF-36 Health Survey Questionnaire.</p></sec><sec><title>RESULTS:</title><p>No differences were found in the prevalence of lymphedema. The movements that were most commonly affected by these procedures were abduction, flexion and external rotation. When the two groups were compared, however, we only found a statistically significant difference for the prevalence of restricted internal rotation, which occurred in 32% of women in the breast-conserving therapy group and 12% of those in the modified radical mastectomy and immediate breast reconstruction group (OR: 7.23; p = 0.03 following adjustment for potential confounding factors). No difference in quality of life or satisfaction with surgery was found between the two groups.</p></sec><sec><title>CONCLUSIONS:</title><p>These data suggest that the type of surgery did not affect the occurrence of lymphedema. Breast-conserving therapy, however, increased the risk of shoulder movement limitation. No differences were found between the two surgical techniques with respect to quality of life or satisfaction with surgery.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Veronesi, U" uniqKey="Veronesi U">U Veronesi</name></author><author><name sortKey="Cascinelli, N" uniqKey="Cascinelli N">N Cascinelli</name></author><author><name sortKey="Mariani, L" uniqKey="Mariani L">L Mariani</name></author><author><name sortKey="Greco, M" uniqKey="Greco M">M Greco</name></author><author><name sortKey="Saccozzi, R" uniqKey="Saccozzi R">R Saccozzi</name></author><author><name sortKey="Luini, A" uniqKey="Luini A">A Luini</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cocquyt, Vf" uniqKey="Cocquyt V">VF Cocquyt</name></author><author><name sortKey="Blondeel, Pn" uniqKey="Blondeel P">PN Blondeel</name></author><author><name sortKey="Depypere, Ht" uniqKey="Depypere H">HT 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uniqKey="Leedham B">B Leedham</name></author><author><name sortKey="Rowland, Jh" uniqKey="Rowland J">JH Rowland</name></author><author><name sortKey="Meyerowitz, Be" uniqKey="Meyerowitz B">BE Meyerowitz</name></author><author><name sortKey="Belin, Tr" uniqKey="Belin T">TR Belin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kenny, P" uniqKey="Kenny P">P Kenny</name></author><author><name sortKey="King, Mt" uniqKey="King M">MT King</name></author><author><name sortKey="Shiell, A" uniqKey="Shiell A">A Shiell</name></author><author><name sortKey="Seymour, J" uniqKey="Seymour J">J Seymour</name></author><author><name sortKey="Hall, J" uniqKey="Hall J">J Hall</name></author><author><name sortKey="Langlands, A" uniqKey="Langlands A">A Langlands</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lopes, Ad" uniqKey="Lopes A">AD Lopes</name></author><author><name sortKey="Vilar E Furtado, R" uniqKey="Vilar E Furtado R">R Vilar e Furtado</name></author><author><name sortKey="Silva, Ca" uniqKey="Silva C">CA Silva</name></author><author><name sortKey="Yi, Lc" uniqKey="Yi L">LC Yi</name></author><author><name sortKey="Malfatti, Ca" uniqKey="Malfatti C">CA Malfatti</name></author><author><name sortKey="Araujo, Sa" uniqKey="Araujo S">SA Araújo</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Brésil</li></country><region><li>Goiás</li><li>État de São Paulo</li></region><settlement><li>São Paulo</li></settlement><orgName><li>Université de São Paulo</li></orgName></list><tree><country name="Brésil"><region name="Goiás"><name sortKey="Freitas Silva, Renata" sort="Freitas Silva, Renata" uniqKey="Freitas Silva R" first="Renata" last="Freitas-Silva">Renata Freitas-Silva</name></region><name sortKey="Conde, Delio Marques" sort="Conde, Delio Marques" uniqKey="Conde D" first="Délio Marques" last="Conde">Délio Marques Conde</name><name sortKey="De Freitas Junior, Ruffo" sort="De Freitas Junior, Ruffo" uniqKey="De Freitas Junior R" first="Ruffo" last="De Freitas-Júnior">Ruffo De Freitas-Júnior</name><name sortKey="Martinez, Edson Zangiacomi" sort="Martinez, Edson Zangiacomi" uniqKey="Martinez E" first="Edson Zangiacomi" last="Martinez">Edson Zangiacomi Martinez</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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