Predictors of arm morbidity following breast cancer surgery
Identifieur interne : 005C26 ( Main/Exploration ); précédent : 005C25; suivant : 005C27Predictors of arm morbidity following breast cancer surgery
Auteurs : Thomas F. Hack [Canada] ; Winkle B. Kwan [Canada] ; Roanne L. Thomas-Maclean [Canada] ; Anna Towers [Canada] ; Baukje Miedema [Canada] ; Andrea Tilley [Canada] ; Dan Chateau [Canada]Source :
- Psycho‐Oncology [ 1057-9249 ] ; 2010-11.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Aisselle, Amplitude articulaire (physiologie), Biopsie de noeud lymphatique sentinelle (effets indésirables), Bras, Canada (épidémiologie), Complications postopératoires (diagnostic), Complications postopératoires (physiopathologie), Enquêtes et questionnaires, Femelle, Humains, Lymphoedème (diagnostic), Lymphoedème (physiopathologie), Lymphoedème (étiologie), Mastectomie (effets indésirables), Mesure de la douleur, Morbidité, Psychométrie, Stade de la tumeur, Sujet âgé, Tumeurs du sein (), Tumeurs du sein (physiopathologie), Tumeurs du sein (épidémiologie), Études de cohortes.
- MESH :
- diagnostic : Complications postopératoires, Lymphoedème.
- effets indésirables : Biopsie de noeud lymphatique sentinelle, Mastectomie.
- physiologie : Amplitude articulaire.
- physiopathologie : Complications postopératoires, Lymphoedème, Tumeurs du sein.
- épidémiologie : Canada, Tumeurs du sein.
- étiologie : Lymphoedème.
- Adulte, Adulte d'âge moyen, Aisselle, Bras, Enquêtes et questionnaires, Femelle, Humains, Mesure de la douleur, Morbidité, Psychométrie, Stade de la tumeur, Sujet âgé, Tumeurs du sein, Études de cohortes.
- Wicri :
- geographic : Canada.
English descriptors
- KwdEn :
- Adult, Aged, Arm, Axilla, Breast Neoplasms (epidemiology), Breast Neoplasms (physiopathology), Breast Neoplasms (surgery), Canada (epidemiology), Cohort Studies, Female, Humans, Lymphedema (diagnosis), Lymphedema (etiology), Lymphedema (physiopathology), Mastectomy (adverse effects), Middle Aged, Morbidity, Neoplasm Staging, Pain Measurement, Postoperative Complications (diagnosis), Postoperative Complications (physiopathology), Psychometrics, Range of Motion, Articular (physiology), Sentinel Lymph Node Biopsy (adverse effects), Surveys and Questionnaires.
- MESH :
- geographic , epidemiology : Canada.
- adverse effects : Mastectomy, Sentinel Lymph Node Biopsy.
- diagnosis : Lymphedema, Postoperative Complications.
- epidemiology : Breast Neoplasms.
- etiology : Lymphedema.
- physiology : Range of Motion, Articular.
- physiopathology : Breast Neoplasms, Lymphedema, Postoperative Complications.
- surgery : Breast Neoplasms.
- Adult, Aged, Arm, Axilla, Cohort Studies, Female, Humans, Middle Aged, Morbidity, Neoplasm Staging, Pain Measurement, Psychometrics, Surveys and Questionnaires.
Abstract
Objective: Arm morbidity post‐breast cancer surgery is increasingly being recognized as a chronic problem for some women following breast cancer surgery. The purpose of this study was to examine demographic, disease, and treatment‐related predictors of a comprehensive array of chronic arm morbidity (pain, lymphedema, functional disability, and range of motion) post‐breast cancer surgery. Methods: Women (n=316) with a non‐metastatic primary diagnosis of breast cancer were accrued from cancer centers in four Canadian cities. Patients completed a clinical assessment and measures of arm morbidity at 6–12 months post‐breast cancer surgery. The independent variables in the MANOVA to predict arm morbidity included: Lymph node management type, number of axillary nodes dissected, type of surgery, disease stage, presence of post‐operative infection, radiation to the axilla, body mass index (BMI), assessment time post‐surgery, education, and partner status. Results: Pain was significantly predicted by axillary lymph node management, lack of a partner, and post‐operative infection; lymphedema by axillary lymph node management, number of axillary nodes dissected, radiation to the axilla, and having a modified radical mastectomy; functional disability by post‐operative infection and high BMI; and restricted external rotation by axillary lymph node management, low educational attainment, and advanced disease. Conclusion: Comprehensive behavioral management and rehabilitation programs are needed to treat arm morbidity following breast cancer surgery. These programs should address the full scope of symptoms and associated psychosocial and functional sequelae. Copyright © 2010 John Wiley & Sons, Ltd.
Url:
DOI: 10.1002/pon.1685
Affiliations:
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Hack</name><affiliation wicri:level="4"><country xml:lang="fr">Canada</country><wicri:regionArea>Faculty of Nursing, University of Manitoba, Winnipeg, MB</wicri:regionArea><orgName type="university">Université du Manitoba</orgName><placeName><settlement type="city">Winnipeg</settlement><region type="state">Manitoba</region></placeName></affiliation><affiliation wicri:level="1"><country>Canada</country><wicri:regionArea>Room CR3018, Asper Clinical Research Institute/St. Boniface Research Centre, 369 Taché Avenue, Winnipeg, Man.</wicri:regionArea><wicri:noRegion>Man.</wicri:noRegion></affiliation></author><author><name sortKey="Kwan, Winkle B" sort="Kwan, Winkle B" uniqKey="Kwan W" first="Winkle B." last="Kwan">Winkle B. Kwan</name><affiliation wicri:level="1"><country xml:lang="fr">Canada</country><wicri:regionArea>British Columbia Cancer Agency, Surrey, BC</wicri:regionArea><wicri:noRegion>BC</wicri:noRegion></affiliation></author><author><name sortKey="Thomas Aclean, Roanne L" sort="Thomas Aclean, Roanne L" uniqKey="Thomas Aclean R" first="Roanne L." last="Thomas-Maclean">Roanne L. Thomas-Maclean</name><affiliation wicri:level="1"><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Sociology, University of Saskatchewan, Saskatoon, SK</wicri:regionArea><wicri:noRegion>SK</wicri:noRegion></affiliation></author><author><name sortKey="Towers, Anna" sort="Towers, Anna" uniqKey="Towers A" first="Anna" last="Towers">Anna Towers</name><affiliation wicri:level="4"><country xml:lang="fr">Canada</country><wicri:regionArea>Faculty of Medicine, McGill University, Montreal, QC</wicri:regionArea><orgName type="university">Université McGill</orgName><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation></author><author><name sortKey="Miedema, Baukje" sort="Miedema, Baukje" uniqKey="Miedema B" first="Baukje" last="Miedema">Baukje Miedema</name><affiliation wicri:level="1"><country xml:lang="fr">Canada</country><wicri:regionArea>Family Medicine Teaching Unit, Dalhousie University, Halifax, NS</wicri:regionArea><wicri:noRegion>NS</wicri:noRegion></affiliation></author><author><name sortKey="Tilley, Andrea" sort="Tilley, Andrea" uniqKey="Tilley A" first="Andrea" last="Tilley">Andrea Tilley</name><affiliation wicri:level="1"><country xml:lang="fr">Canada</country><wicri:regionArea>Atlantic Health Sciences, St. John, NB</wicri:regionArea><wicri:noRegion>NB</wicri:noRegion></affiliation></author><author><name sortKey="Chateau, Dan" sort="Chateau, Dan" uniqKey="Chateau D" first="Dan" last="Chateau">Dan Chateau</name><affiliation wicri:level="4"><country xml:lang="fr">Canada</country><wicri:regionArea>Faculty of Medicine, University of Manitoba, Winnipeg, MB</wicri:regionArea><orgName type="university">Université du Manitoba</orgName><placeName><settlement type="city">Winnipeg</settlement><region type="state">Manitoba</region></placeName></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Psycho‐Oncology</title><title level="j" type="alt">PSYCHO-ONCOLOGY</title><idno type="ISSN">1057-9249</idno><idno type="eISSN">1099-1611</idno><imprint><biblScope unit="vol">19</biblScope><biblScope unit="issue">11</biblScope><biblScope unit="page" from="1205">1205</biblScope><biblScope unit="page" to="1212">1212</biblScope><biblScope unit="page-count">8</biblScope><publisher>John Wiley & Sons, Ltd.</publisher><pubPlace>Chichester, UK</pubPlace><date type="published" when="2010-11">2010-11</date></imprint><idno type="ISSN">1057-9249</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1057-9249</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Arm</term><term>Axilla</term><term>Breast Neoplasms (epidemiology)</term><term>Breast Neoplasms (physiopathology)</term><term>Breast Neoplasms (surgery)</term><term>Canada (epidemiology)</term><term>Cohort Studies</term><term>Female</term><term>Humans</term><term>Lymphedema (diagnosis)</term><term>Lymphedema (etiology)</term><term>Lymphedema (physiopathology)</term><term>Mastectomy (adverse effects)</term><term>Middle Aged</term><term>Morbidity</term><term>Neoplasm Staging</term><term>Pain Measurement</term><term>Postoperative Complications (diagnosis)</term><term>Postoperative Complications (physiopathology)</term><term>Psychometrics</term><term>Range of Motion, Articular (physiology)</term><term>Sentinel Lymph Node Biopsy (adverse effects)</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Aisselle</term><term>Amplitude articulaire (physiologie)</term><term>Biopsie de noeud lymphatique sentinelle (effets indésirables)</term><term>Bras</term><term>Canada (épidémiologie)</term><term>Complications postopératoires (diagnostic)</term><term>Complications postopératoires (physiopathologie)</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Humains</term><term>Lymphoedème (diagnostic)</term><term>Lymphoedème (physiopathologie)</term><term>Lymphoedème (étiologie)</term><term>Mastectomie (effets indésirables)</term><term>Mesure de la douleur</term><term>Morbidité</term><term>Psychométrie</term><term>Stade de la tumeur</term><term>Sujet âgé</term><term>Tumeurs du sein ()</term><term>Tumeurs du sein (physiopathologie)</term><term>Tumeurs du sein (épidémiologie)</term><term>Études de cohortes</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Canada</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Mastectomy</term><term>Sentinel Lymph Node Biopsy</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Lymphedema</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Complications postopératoires</term><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Biopsie de noeud lymphatique sentinelle</term><term>Mastectomie</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</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>Complications postopératoires</term><term>Lymphoedème</term><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Breast Neoplasms</term><term>Lymphedema</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Canada</term><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Arm</term><term>Axilla</term><term>Cohort Studies</term><term>Female</term><term>Humans</term><term>Middle Aged</term><term>Morbidity</term><term>Neoplasm Staging</term><term>Pain Measurement</term><term>Psychometrics</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Aisselle</term><term>Bras</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Humains</term><term>Mesure de la douleur</term><term>Morbidité</term><term>Psychométrie</term><term>Stade de la tumeur</term><term>Sujet âgé</term><term>Tumeurs du sein</term><term>Études de cohortes</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Canada</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Objective: Arm morbidity post‐breast cancer surgery is increasingly being recognized as a chronic problem for some women following breast cancer surgery. The purpose of this study was to examine demographic, disease, and treatment‐related predictors of a comprehensive array of chronic arm morbidity (pain, lymphedema, functional disability, and range of motion) post‐breast cancer surgery. Methods: Women (n=316) with a non‐metastatic primary diagnosis of breast cancer were accrued from cancer centers in four Canadian cities. Patients completed a clinical assessment and measures of arm morbidity at 6–12 months post‐breast cancer surgery. The independent variables in the MANOVA to predict arm morbidity included: Lymph node management type, number of axillary nodes dissected, type of surgery, disease stage, presence of post‐operative infection, radiation to the axilla, body mass index (BMI), assessment time post‐surgery, education, and partner status. Results: Pain was significantly predicted by axillary lymph node management, lack of a partner, and post‐operative infection; lymphedema by axillary lymph node management, number of axillary nodes dissected, radiation to the axilla, and having a modified radical mastectomy; functional disability by post‐operative infection and high BMI; and restricted external rotation by axillary lymph node management, low educational attainment, and advanced disease. Conclusion: Comprehensive behavioral management and rehabilitation programs are needed to treat arm morbidity following breast cancer surgery. These programs should address the full scope of symptoms and associated psychosocial and functional sequelae. Copyright © 2010 John Wiley & Sons, Ltd.</div></front></TEI><affiliations><list><country><li>Canada</li></country><region><li>Manitoba</li><li>Québec</li></region><settlement><li>Montréal</li><li>Winnipeg</li></settlement><orgName><li>Université McGill</li><li>Université du Manitoba</li></orgName></list><tree><country name="Canada"><region name="Manitoba"><name sortKey="Hack, Thomas F" sort="Hack, Thomas F" uniqKey="Hack T" first="Thomas F." last="Hack">Thomas F. Hack</name></region><name sortKey="Chateau, Dan" sort="Chateau, Dan" uniqKey="Chateau D" first="Dan" last="Chateau">Dan Chateau</name><name sortKey="Hack, Thomas F" sort="Hack, Thomas F" uniqKey="Hack T" first="Thomas F." last="Hack">Thomas F. Hack</name><name sortKey="Kwan, Winkle B" sort="Kwan, Winkle B" uniqKey="Kwan W" first="Winkle B." last="Kwan">Winkle B. Kwan</name><name sortKey="Miedema, Baukje" sort="Miedema, Baukje" uniqKey="Miedema B" first="Baukje" last="Miedema">Baukje Miedema</name><name sortKey="Thomas Aclean, Roanne L" sort="Thomas Aclean, Roanne L" uniqKey="Thomas Aclean R" first="Roanne L." last="Thomas-Maclean">Roanne L. Thomas-Maclean</name><name sortKey="Tilley, Andrea" sort="Tilley, Andrea" uniqKey="Tilley A" first="Andrea" last="Tilley">Andrea Tilley</name><name sortKey="Towers, Anna" sort="Towers, Anna" uniqKey="Towers A" first="Anna" last="Towers">Anna Towers</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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