Arm/Hand Swelling and Perceived Functioning among Breast Cancer Survivors 12 Years Post-diagnosis: CALGB 79804
Identifieur interne : 006C14 ( Main/Exploration ); précédent : 006C13; suivant : 006C15Arm/Hand Swelling and Perceived Functioning among Breast Cancer Survivors 12 Years Post-diagnosis: CALGB 79804
Auteurs : Jill M. Oliveri ; Jeannette M. Day ; Catherine M. Alfano [États-Unis] ; James E. Herndon ; Mira L. Katz [États-Unis] ; Marisa A. Bittoni ; Kathleen Donohue ; Electra D. Paskett [États-Unis]Source :
- Journal of cancer survivorship : research and practice [ 1932-2259 ] ; 2008.
Descripteurs français
- KwdFr :
- Activité motrice (physiologie), Adulte, Adulte d'âge moyen, Bras (physiopathologie), Femelle, Humains, Lymphoedème (physiopathologie), Lymphoedème (épidémiologie), Main (physiopathologie), Perception (physiologie), Pronostic, Récupération fonctionnelle (physiologie), Santé mentale (), Sujet âgé, Sujet âgé de 80 ans ou plus, Survivants, Tumeurs du sein (diagnostic), Tumeurs du sein (physiopathologie), Tumeurs du sein (rééducation et réadaptation), Tumeurs du sein (épidémiologie).
- MESH :
- diagnostic : Tumeurs du sein.
- physiologie : Activité motrice, Perception, Récupération fonctionnelle.
- physiopathologie : Bras, Lymphoedème, Main, Tumeurs du sein.
- rééducation et réadaptation : Tumeurs du sein.
- épidémiologie : Lymphoedème, Tumeurs du sein.
- Adulte, Adulte d'âge moyen, Femelle, Humains, Pronostic, Santé mentale, Sujet âgé, Sujet âgé de 80 ans ou plus, Survivants.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Arm (physiopathology), Breast Neoplasms (diagnosis), Breast Neoplasms (epidemiology), Breast Neoplasms (physiopathology), Breast Neoplasms (rehabilitation), Female, Hand (physiopathology), Humans, Lymphedema (epidemiology), Lymphedema (physiopathology), Mental Health (statistics & numerical data), Middle Aged, Motor Activity (physiology), Perception (physiology), Prognosis, Recovery of Function (physiology), Survivors.
- MESH :
- diagnosis : Breast Neoplasms.
- epidemiology : Breast Neoplasms, Lymphedema.
- physiology : Motor Activity, Perception, Recovery of Function.
- physiopathology : Arm, Breast Neoplasms, Hand, Lymphedema.
- rehabilitation : Breast Neoplasms.
- statistics & numerical data : Mental Health.
- Adult, Aged, Aged, 80 and over, Female, Humans, Middle Aged, Prognosis, Survivors.
Abstract
Lymphedema is an under-reported and debilitating consequence of axillary node dissection among breast cancer survivors. This study describes the characteristics of arm and hand swelling in relation to perceived physical and mental health functioning among breast cancer survivors 9–16 years post-diagnosis who previously participated in a clinical trial coordinated by the Cancer and Leukemia Group B (CALGB 8541).
Eligible survivors of CALGB 8541 completed questionnaires assessing demographics, arm/hand swelling, perceived physical functioning, and mental health.
245 women (94% white, mean age=63, on average 12.4 years post-diagnosis) completed questionnaires (participation rate=78%). Seventy-five women (31%) reported arm/hand swelling since their surgery. Of these women, 76% reported current swelling and half reported constant swelling, mainly in the upper arm. Swelling was reported as mild or moderate in 88% of the women. Women who reported severe swelling had significantly worse physical functioning and trended toward worse depressive symptoms and poorer mental health (lower mental SF-36 scores) as well. Activity-limiting swelling was also significantly associated with worse physical functioning. Although swelling interfered with wearing clothing (36%) and perceptions about general appearance (32%), only 37% of women sought treatment for swelling.
Arm/hand swelling is a chronic problem for a subgroup of long-term survivors of breast cancer, negatively affecting physical functioning.
Educational efforts are needed as part of a comprehensive survivorship care plan to raise awareness about lymphedema so that survivors may identify this complication, seek treatment early, and potentially improve their physical functioning.
Url:
DOI: 10.1007/s11764-008-0065-y
PubMed: 18792786
PubMed Central: 3910496
Affiliations:
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Le document en format XML
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Paskett</name><affiliation><nlm:aff id="A1"> Comprehensive Cancer Center, The Ohio State University, Columbus, OH, supported by CA77658</nlm:aff><wicri:noCountry code="subfield">supported by CA77658</wicri:noCountry></affiliation><affiliation wicri:level="2"><nlm:aff id="A3"> College of Public Health, The Ohio State University, Columbus, Ohio</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea> College of Public Health, The Ohio State University, Columbus</wicri:cityArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">18792786</idno><idno type="pmc">3910496</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3910496</idno><idno type="RBID">PMC:3910496</idno><idno type="doi">10.1007/s11764-008-0065-y</idno><date when="2008">2008</date><idno type="wicri:Area/Pmc/Corpus">003534</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">003534</idno><idno type="wicri:Area/Pmc/Curation">003533</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">003533</idno><idno type="wicri:Area/Pmc/Checkpoint">003A25</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">003A25</idno><idno type="wicri:source">PubMed</idno><idno type="wicri:Area/PubMed/Corpus">003144</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">003144</idno><idno type="wicri:Area/PubMed/Curation">003144</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">003144</idno><idno type="wicri:Area/PubMed/Checkpoint">003144</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">003144</idno><idno type="wicri:Area/Ncbi/Merge">002F45</idno><idno type="wicri:Area/Ncbi/Curation">002F45</idno><idno type="wicri:Area/Ncbi/Checkpoint">002F45</idno><idno type="wicri:doubleKey">1932-2259:2008:Oliveri J:arm:hand:swelling</idno><idno type="wicri:Area/Main/Merge">006D21</idno><idno type="wicri:Area/Main/Curation">006C14</idno><idno type="wicri:Area/Main/Exploration">006C14</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Arm/Hand Swelling and Perceived Functioning among Breast Cancer Survivors 12 Years Post-diagnosis: CALGB 79804</title><author><name sortKey="Oliveri, Jill M" sort="Oliveri, Jill M" uniqKey="Oliveri J" first="Jill M." last="Oliveri">Jill M. Oliveri</name><affiliation><nlm:aff id="A1"> Comprehensive Cancer Center, The Ohio State University, Columbus, OH, supported by CA77658</nlm:aff><wicri:noCountry code="subfield">supported by CA77658</wicri:noCountry></affiliation></author><author><name sortKey="Day, Jeannette M" sort="Day, Jeannette M" uniqKey="Day J" first="Jeannette M." last="Day">Jeannette M. Day</name><affiliation><nlm:aff id="A2"> CALGB Statistical Center, Duke University Medical Center, Durham, NC, supported by CA33601</nlm:aff><wicri:noCountry code="subfield">supported by CA33601</wicri:noCountry></affiliation></author><author><name sortKey="Alfano, Catherine M" sort="Alfano, Catherine M" uniqKey="Alfano C" first="Catherine M." last="Alfano">Catherine M. Alfano</name><affiliation><nlm:aff id="A1"> Comprehensive Cancer Center, The Ohio State University, Columbus, OH, supported by CA77658</nlm:aff><wicri:noCountry code="subfield">supported by CA77658</wicri:noCountry></affiliation><affiliation wicri:level="2"><nlm:aff id="A3"> College of Public Health, The Ohio State University, Columbus, Ohio</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea> College of Public Health, The Ohio State University, Columbus</wicri:cityArea></affiliation></author><author><name sortKey="Herndon, James E" sort="Herndon, James E" uniqKey="Herndon J" first="James E." last="Herndon">James E. Herndon</name><affiliation><nlm:aff id="A2"> CALGB Statistical Center, Duke University Medical Center, Durham, NC, supported by CA33601</nlm:aff><wicri:noCountry code="subfield">supported by CA33601</wicri:noCountry></affiliation></author><author><name sortKey="Katz, Mira L" sort="Katz, Mira L" uniqKey="Katz M" first="Mira L." last="Katz">Mira L. Katz</name><affiliation><nlm:aff id="A1"> Comprehensive Cancer Center, The Ohio State University, Columbus, OH, supported by CA77658</nlm:aff><wicri:noCountry code="subfield">supported by CA77658</wicri:noCountry></affiliation><affiliation wicri:level="2"><nlm:aff id="A3"> College of Public Health, The Ohio State University, Columbus, Ohio</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea> College of Public Health, The Ohio State University, Columbus</wicri:cityArea></affiliation></author><author><name sortKey="Bittoni, Marisa A" sort="Bittoni, Marisa A" uniqKey="Bittoni M" first="Marisa A." last="Bittoni">Marisa A. Bittoni</name><affiliation><nlm:aff id="A1"> Comprehensive Cancer Center, The Ohio State University, Columbus, OH, supported by CA77658</nlm:aff><wicri:noCountry code="subfield">supported by CA77658</wicri:noCountry></affiliation></author><author><name sortKey="Donohue, Kathleen" sort="Donohue, Kathleen" uniqKey="Donohue K" first="Kathleen" last="Donohue">Kathleen Donohue</name><affiliation><nlm:aff id="A2"> CALGB Statistical Center, Duke University Medical Center, Durham, NC, supported by CA33601</nlm:aff><wicri:noCountry code="subfield">supported by CA33601</wicri:noCountry></affiliation></author><author><name sortKey="Paskett, Electra D" sort="Paskett, Electra D" uniqKey="Paskett E" first="Electra D." last="Paskett">Electra D. Paskett</name><affiliation><nlm:aff id="A1"> Comprehensive Cancer Center, The Ohio State University, Columbus, OH, supported by CA77658</nlm:aff><wicri:noCountry code="subfield">supported by CA77658</wicri:noCountry></affiliation><affiliation wicri:level="2"><nlm:aff id="A3"> College of Public Health, The Ohio State University, Columbus, Ohio</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea> College of Public Health, The Ohio State University, Columbus</wicri:cityArea></affiliation></author></analytic><series><title level="j">Journal of cancer survivorship : research and practice</title><idno type="ISSN">1932-2259</idno><idno type="eISSN">1932-2267</idno><imprint><date when="2008">2008</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Arm (physiopathology)</term><term>Breast Neoplasms (diagnosis)</term><term>Breast Neoplasms (epidemiology)</term><term>Breast Neoplasms (physiopathology)</term><term>Breast Neoplasms (rehabilitation)</term><term>Female</term><term>Hand (physiopathology)</term><term>Humans</term><term>Lymphedema (epidemiology)</term><term>Lymphedema (physiopathology)</term><term>Mental Health (statistics & numerical data)</term><term>Middle Aged</term><term>Motor Activity (physiology)</term><term>Perception (physiology)</term><term>Prognosis</term><term>Recovery of Function (physiology)</term><term>Survivors</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Activité motrice (physiologie)</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Bras (physiopathologie)</term><term>Femelle</term><term>Humains</term><term>Lymphoedème (physiopathologie)</term><term>Lymphoedème (épidémiologie)</term><term>Main (physiopathologie)</term><term>Perception (physiologie)</term><term>Pronostic</term><term>Récupération fonctionnelle (physiologie)</term><term>Santé mentale ()</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Survivants</term><term>Tumeurs du sein (diagnostic)</term><term>Tumeurs du sein (physiopathologie)</term><term>Tumeurs du sein (rééducation et réadaptation)</term><term>Tumeurs du sein (épidémiologie)</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Breast Neoplasms</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Activité motrice</term><term>Perception</term><term>Récupération fonctionnelle</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Motor Activity</term><term>Perception</term><term>Recovery of Function</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Bras</term><term>Lymphoedème</term><term>Main</term><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Arm</term><term>Breast Neoplasms</term><term>Hand</term><term>Lymphedema</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="statistics & numerical data" xml:lang="en"><term>Mental Health</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Lymphoedème</term><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Humans</term><term>Middle Aged</term><term>Prognosis</term><term>Survivors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Pronostic</term><term>Santé mentale</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Survivants</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Introduction</title><p id="P1">Lymphedema is an under-reported and debilitating consequence of axillary node dissection among breast cancer survivors. This study describes the characteristics of arm and hand swelling in relation to perceived physical and mental health functioning among breast cancer survivors 9–16 years post-diagnosis who previously participated in a clinical trial coordinated by the Cancer and Leukemia Group B (CALGB 8541).</p></sec><sec id="S2"><title>Methods</title><p id="P2">Eligible survivors of CALGB 8541 completed questionnaires assessing demographics, arm/hand swelling, perceived physical functioning, and mental health.</p></sec><sec id="S3"><title>Results</title><p id="P3">245 women (94% white, mean age=63, on average 12.4 years post-diagnosis) completed questionnaires (participation rate=78%). Seventy-five women (31%) reported arm/hand swelling since their surgery. Of these women, 76% reported current swelling and half reported constant swelling, mainly in the upper arm. Swelling was reported as mild or moderate in 88% of the women. Women who reported severe swelling had significantly worse physical functioning and trended toward worse depressive symptoms and poorer mental health (lower mental SF-36 scores) as well. Activity-limiting swelling was also significantly associated with worse physical functioning. Although swelling interfered with wearing clothing (36%) and perceptions about general appearance (32%), only 37% of women sought treatment for swelling.</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">Arm/hand swelling is a chronic problem for a subgroup of long-term survivors of breast cancer, negatively affecting physical functioning.</p></sec><sec id="S5"><title>Implications for Cancer Survivors</title><p id="P5">Educational efforts are needed as part of a comprehensive survivorship care plan to raise awareness about lymphedema so that survivors may identify this complication, seek treatment early, and potentially improve their physical functioning.</p></sec></div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Ohio</li></region></list><tree><noCountry><name sortKey="Bittoni, Marisa A" sort="Bittoni, Marisa A" uniqKey="Bittoni M" first="Marisa A." last="Bittoni">Marisa A. Bittoni</name><name sortKey="Day, Jeannette M" sort="Day, Jeannette M" uniqKey="Day J" first="Jeannette M." last="Day">Jeannette M. Day</name><name sortKey="Donohue, Kathleen" sort="Donohue, Kathleen" uniqKey="Donohue K" first="Kathleen" last="Donohue">Kathleen Donohue</name><name sortKey="Herndon, James E" sort="Herndon, James E" uniqKey="Herndon J" first="James E." last="Herndon">James E. Herndon</name><name sortKey="Oliveri, Jill M" sort="Oliveri, Jill M" uniqKey="Oliveri J" first="Jill M." last="Oliveri">Jill M. Oliveri</name></noCountry><country name="États-Unis"><region name="Ohio"><name sortKey="Alfano, Catherine M" sort="Alfano, Catherine M" uniqKey="Alfano C" first="Catherine M." last="Alfano">Catherine M. Alfano</name></region><name sortKey="Katz, Mira L" sort="Katz, Mira L" uniqKey="Katz M" first="Mira L." last="Katz">Mira L. Katz</name><name sortKey="Paskett, Electra D" sort="Paskett, Electra D" uniqKey="Paskett E" first="Electra D." last="Paskett">Electra D. 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