Prognosis of the upper limb following surgery and radiation for breast cancer
Identifieur interne : 006F79 ( Main/Exploration ); précédent : 006F78; suivant : 006F80Prognosis of the upper limb following surgery and radiation for breast cancer
Auteurs : Teresa S. Lee [Australie] ; Sharon L. Kilbreath [Australie] ; Kathryn M. Refshauge [Australie] ; Robert D. Herbert [Australie] ; Jane M. Beith [Australie]Source :
- Breast cancer research and treatment [ 0167-6806 ] ; 2008.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Amplitude articulaire, Facteurs de l'âge, Femelle, Humains, Lymphadénectomie (effets indésirables), Lymphoedème (étiologie), Mastectomie (effets indésirables), Pronostic, Qualité de vie, Radiothérapie (effets indésirables), Scapulalgie (étiologie), Sujet âgé, Tumeurs du sein (), Tumeurs du sein (psychologie), Tumeurs du sein (radiothérapie).
- MESH :
- effets indésirables : Lymphadénectomie, Mastectomie, Radiothérapie.
- psychologie : Tumeurs du sein.
- radiothérapie : Tumeurs du sein.
- étiologie : Lymphoedème, Scapulalgie.
- Pascal (Inist)
English descriptors
- KwdEn :
- Adult, Age Factors, Aged, Breast Neoplasms (psychology), Breast Neoplasms (radiotherapy), Breast Neoplasms (surgery), Breast cancer, Female, Humans, Lymph Node Excision (adverse effects), Lymphedema, Lymphedema (etiology), Mastectomy (adverse effects), Middle Aged, Motion, Pain, Prognosis, Quality of Life, Quality of life, Radiosurgery, Radiotherapy (adverse effects), Range of Motion, Articular, Shoulder, Shoulder Pain (etiology), Treatment, Upper limb.
- MESH :
- adverse effects : Lymph Node Excision, Mastectomy, Radiotherapy.
- etiology : Lymphedema, Shoulder Pain.
- psychology : Breast Neoplasms.
- radiotherapy : Breast Neoplasms.
- surgery : Breast Neoplasms.
- Adult, Age Factors, Aged, Female, Humans, Middle Aged, Prognosis, Quality of Life, Range of Motion, Articular.
Abstract
The aim of this systematic review was to identify the prevalence and severity of upper limb problems following surgery and radiation for early breast cancer. Additionally, the independent prognostic contribution of radiation, type of breast surgery, type of axillary surgery, age and body mass index (BMI) was evaluated. Searches of electronic databases were conducted to identify articles that reported upper limb and quality of life outcomes after breast cancer surgery and external radiation. Eligible studies for prognosis were longitudinal in design, with ≥95% of patients treated by surgery and radiation that excluded the axilla. Cross-sectional studies were also included for identification of prognostic factors. Where possible, the contribution of independent prognostic factors was analyzed. The review identified 32 relevant studies. Shoulder restriction was reported in between <1% and 67% of participants, lymphedema was reported in between 0 and 34% of participants, shoulder/arm pain was reported in between 9 and 68% of participants and arm weakness was reported in between 9 and 28% of participants. Quality of life was high across studies. Irradiated patients had slightly increased odds of lymphedema (OR = 1.46, 95% CI 1.16-1.84) and shoulder restriction (OR = 1.67, 95% CI 0.98-2.86) compared with non-irradiated patients. For patients undergoing surgery and radiation for breast cancer, the prognosis is good in terms of the upper limb and quality of life. Radiation that excludes the axilla does not appear to be a strong prognostic indicator of adverse upper limb outcomes.
Affiliations:
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Lee</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Discipline of Physiotherapy, University of Sydney, PO Box 170</s1><s2>Lidcombe, NSW 2141</s2><s3>AUS</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Australie</country><wicri:noRegion>Lidcombe, NSW 2141</wicri:noRegion></affiliation></author><author><name sortKey="Kilbreath, Sharon L" sort="Kilbreath, Sharon L" uniqKey="Kilbreath S" first="Sharon L." last="Kilbreath">Sharon L. Kilbreath</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Discipline of Physiotherapy, University of Sydney, PO Box 170</s1><s2>Lidcombe, NSW 2141</s2><s3>AUS</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Australie</country><wicri:noRegion>Lidcombe, NSW 2141</wicri:noRegion></affiliation></author><author><name sortKey="Refshauge, Kathryn M" sort="Refshauge, Kathryn M" uniqKey="Refshauge K" first="Kathryn M." last="Refshauge">Kathryn M. Refshauge</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Discipline of Physiotherapy, University of Sydney, PO Box 170</s1><s2>Lidcombe, NSW 2141</s2><s3>AUS</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Australie</country><wicri:noRegion>Lidcombe, NSW 2141</wicri:noRegion></affiliation></author><author><name sortKey="Herbert, Robert D" sort="Herbert, Robert D" uniqKey="Herbert R" first="Robert D." last="Herbert">Robert D. Herbert</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Discipline of Physiotherapy, University of Sydney, PO Box 170</s1><s2>Lidcombe, NSW 2141</s2><s3>AUS</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Australie</country><wicri:noRegion>Lidcombe, NSW 2141</wicri:noRegion></affiliation></author><author><name sortKey="Beith, Jane M" sort="Beith, Jane M" uniqKey="Beith J" first="Jane M." last="Beith">Jane M. Beith</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Sydney Cancer Centre, Royal Prince Alfred Hospital, Missenden Rd</s1><s2>Camperdown, NSW 2050</s2><s3>AUS</s3><sZ>5 aut.</sZ></inist:fA14><country>Australie</country><wicri:noRegion>Camperdown, NSW 2050</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">Breast cancer research and treatment</title><title level="j" type="abbreviated">Breast cancer res. treat.</title><idno type="ISSN">0167-6806</idno><imprint><date when="2008">2008</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Breast cancer research and treatment</title><title level="j" type="abbreviated">Breast cancer res. treat.</title><idno type="ISSN">0167-6806</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Age Factors</term><term>Aged</term><term>Breast Neoplasms (psychology)</term><term>Breast Neoplasms (radiotherapy)</term><term>Breast Neoplasms (surgery)</term><term>Breast cancer</term><term>Female</term><term>Humans</term><term>Lymph Node Excision (adverse effects)</term><term>Lymphedema</term><term>Lymphedema (etiology)</term><term>Mastectomy (adverse effects)</term><term>Middle Aged</term><term>Motion</term><term>Pain</term><term>Prognosis</term><term>Quality of Life</term><term>Quality of life</term><term>Radiosurgery</term><term>Radiotherapy (adverse effects)</term><term>Range of Motion, Articular</term><term>Shoulder</term><term>Shoulder Pain (etiology)</term><term>Treatment</term><term>Upper limb</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Amplitude articulaire</term><term>Facteurs de l'âge</term><term>Femelle</term><term>Humains</term><term>Lymphadénectomie (effets indésirables)</term><term>Lymphoedème (étiologie)</term><term>Mastectomie (effets indésirables)</term><term>Pronostic</term><term>Qualité de vie</term><term>Radiothérapie (effets indésirables)</term><term>Scapulalgie (étiologie)</term><term>Sujet âgé</term><term>Tumeurs du sein ()</term><term>Tumeurs du sein (psychologie)</term><term>Tumeurs du sein (radiothérapie)</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lymph Node Excision</term><term>Mastectomy</term><term>Radiotherapy</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Lymphadénectomie</term><term>Mastectomie</term><term>Radiothérapie</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term><term>Shoulder Pain</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="radiotherapy" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="radiothérapie" 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="étiologie" xml:lang="fr"><term>Lymphoedème</term><term>Scapulalgie</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Age Factors</term><term>Aged</term><term>Female</term><term>Humans</term><term>Middle Aged</term><term>Prognosis</term><term>Quality of Life</term><term>Range of Motion, Articular</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Amplitude articulaire</term><term>Facteurs de l'âge</term><term>Femelle</term><term>Humains</term><term>Pronostic</term><term>Membre supérieur</term><term>Qualité de vie</term><term>Radiochirurgie</term><term>Cancer du sein</term><term>Lymphoedème</term><term>Douleur</term><term>Qualité de vie</term><term>Mouvement</term><term>Epaule</term><term>Sujet âgé</term><term>Traitement</term><term>Tumeurs du sein</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The aim of this systematic review was to identify the prevalence and severity of upper limb problems following surgery and radiation for early breast cancer. Additionally, the independent prognostic contribution of radiation, type of breast surgery, type of axillary surgery, age and body mass index (BMI) was evaluated. Searches of electronic databases were conducted to identify articles that reported upper limb and quality of life outcomes after breast cancer surgery and external radiation. Eligible studies for prognosis were longitudinal in design, with ≥95% of patients treated by surgery and radiation that excluded the axilla. Cross-sectional studies were also included for identification of prognostic factors. Where possible, the contribution of independent prognostic factors was analyzed. The review identified 32 relevant studies. Shoulder restriction was reported in between <1% and 67% of participants, lymphedema was reported in between 0 and 34% of participants, shoulder/arm pain was reported in between 9 and 68% of participants and arm weakness was reported in between 9 and 28% of participants. Quality of life was high across studies. Irradiated patients had slightly increased odds of lymphedema (OR = 1.46, 95% CI 1.16-1.84) and shoulder restriction (OR = 1.67, 95% CI 0.98-2.86) compared with non-irradiated patients. For patients undergoing surgery and radiation for breast cancer, the prognosis is good in terms of the upper limb and quality of life. Radiation that excludes the axilla does not appear to be a strong prognostic indicator of adverse upper limb outcomes.</div></front></TEI><affiliations><list><country><li>Australie</li></country></list><tree><country name="Australie"><noRegion><name sortKey="Lee, Teresa S" sort="Lee, Teresa S" uniqKey="Lee T" first="Teresa S." last="Lee">Teresa S. Lee</name></noRegion><name sortKey="Beith, Jane M" sort="Beith, Jane M" uniqKey="Beith J" first="Jane M." last="Beith">Jane M. Beith</name><name sortKey="Herbert, Robert D" sort="Herbert, Robert D" uniqKey="Herbert R" first="Robert D." last="Herbert">Robert D. Herbert</name><name sortKey="Kilbreath, Sharon L" sort="Kilbreath, Sharon L" uniqKey="Kilbreath S" first="Sharon L." last="Kilbreath">Sharon L. Kilbreath</name><name sortKey="Refshauge, Kathryn M" sort="Refshauge, Kathryn M" uniqKey="Refshauge K" first="Kathryn M." last="Refshauge">Kathryn M. Refshauge</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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