The impact of rehabilitation support services on health-related quality of life for women with breast cancer.
Identifieur interne : 007E55 ( Main/Exploration ); précédent : 007E54; suivant : 007E56The impact of rehabilitation support services on health-related quality of life for women with breast cancer.
Auteurs : Louisa G. Gordon [Australie] ; Diana Battistutta ; Paul Scuffham ; Margaret Tweeddale ; Beth NewmanSource :
- Breast cancer research and treatment [ 0167-6806 ] ; 2005.
Descripteurs français
- KwdFr :
- Activités de la vie quotidienne, Adulte, Adulte d'âge moyen, Analyse de régression, Analyse multivariée, Bras, Complications postopératoires (rééducation et réadaptation), Exercice physique, Femelle, Groupes d'entraide, Humains, Lymphoedème (rééducation et réadaptation), Qualité de vie, Queensland, Statistique non paramétrique, Sujet âgé, Survivants (psychologie), Techniques de physiothérapie, Tumeurs du sein (), Tumeurs du sein (rééducation et réadaptation), État de santé.
- MESH :
- psychologie : Survivants.
- rééducation et réadaptation : Complications postopératoires, Lymphoedème, Tumeurs du sein.
- Activités de la vie quotidienne, Adulte, Adulte d'âge moyen, Analyse de régression, Analyse multivariée, Bras, Exercice physique, Femelle, Groupes d'entraide, Humains, Qualité de vie, Queensland, Statistique non paramétrique, Sujet âgé, Techniques de physiothérapie, Tumeurs du sein, État de santé.
English descriptors
- KwdEn :
- Activities of Daily Living, Adult, Aged, Arm, Breast Neoplasms (rehabilitation), Breast Neoplasms (surgery), Exercise, Female, Health Status, Humans, Lymphedema (rehabilitation), Middle Aged, Multivariate Analysis, Physical Therapy Modalities, Postoperative Complications (rehabilitation), Quality of Life, Queensland, Regression Analysis, Self-Help Groups, Statistics, Nonparametric, Survivors (psychology).
- MESH :
- geographic : Queensland.
- psychology : Survivors.
- rehabilitation : Breast Neoplasms, Lymphedema, Postoperative Complications.
- surgery : Breast Neoplasms.
- Activities of Daily Living, Adult, Aged, Arm, Exercise, Female, Health Status, Humans, Middle Aged, Multivariate Analysis, Physical Therapy Modalities, Quality of Life, Regression Analysis, Self-Help Groups, Statistics, Nonparametric.
Abstract
As the number of women surviving breast cancer increases, with implications for the health system, research into the physical and psychosocial sequelae of the cancer and its treatment is a priority. This research estimated self-reported health-related quality of life (HRQoL) associated with two rehabilitation interventions for breast cancer survivors, compared to a non-intervention group. Women were selected if they received an early home-based physiotherapy intervention (DAART, n = 36) or a group-based exercise and psychosocial intervention (STRETCH, n = 31). Questionnaires on HRQoL, using the Functional Assessment of Cancer Therapy - Breast Cancer plus Arm Morbidity module, were administered at pre-, post-intervention, 6- and 12-months post-diagnosis. Data on a non-intervention group (n = 208) were available 6- and 12-months post-diagnosis. Comparing pre/post-intervention measures, benefits were evident for functional well-being, including reductions in arm morbidity and upper-body disability for participants completing the DAART service at one-to-two months following diagnosis. In contrast, minimal changes were observed between pre/post-intervention measures for the STRETCH group at approximately 4-months post-diagnosis. Overall, mean HRQoL scores (adjusted for age, chemotherapy, hormone therapy, high blood pressure and occupation type) improved gradually across all groups from 6- to 12-months post-diagnosis, and no prominent differences were found. However, this obscured declining HRQoL scores for 20-40% of women at 12 months post-diagnosis, despite receiving supportive care services. Greater awareness and screening for adjustment problems among breast cancer survivors is required throughout the disease trajectory. Early physiotherapy after surgery has the potential for short-term functional, physical and overall HRQoL benefits.
DOI: 10.1007/s10549-005-5151-5
PubMed: 16136270
Affiliations:
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Gordon</name><affiliation wicri:level="1"><nlm:affiliation>Centre for Health Research School of Public Health, Queensland University of Technology, Kelvin Grove, Brisbane, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Centre for Health Research School of Public Health, Queensland University of Technology, Kelvin Grove, Brisbane</wicri:regionArea><wicri:noRegion>Brisbane</wicri:noRegion></affiliation></author><author><name sortKey="Battistutta, Diana" sort="Battistutta, Diana" uniqKey="Battistutta D" first="Diana" last="Battistutta">Diana Battistutta</name></author><author><name sortKey="Scuffham, Paul" sort="Scuffham, Paul" uniqKey="Scuffham P" first="Paul" last="Scuffham">Paul Scuffham</name></author><author><name sortKey="Tweeddale, Margaret" sort="Tweeddale, Margaret" uniqKey="Tweeddale M" first="Margaret" last="Tweeddale">Margaret Tweeddale</name></author><author><name sortKey="Newman, Beth" sort="Newman, Beth" uniqKey="Newman B" first="Beth" last="Newman">Beth Newman</name></author></analytic><series><title level="j">Breast cancer research and treatment</title><idno type="ISSN">0167-6806</idno><imprint><date when="2005" type="published">2005</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Activities of Daily Living</term><term>Adult</term><term>Aged</term><term>Arm</term><term>Breast Neoplasms (rehabilitation)</term><term>Breast Neoplasms (surgery)</term><term>Exercise</term><term>Female</term><term>Health Status</term><term>Humans</term><term>Lymphedema (rehabilitation)</term><term>Middle Aged</term><term>Multivariate Analysis</term><term>Physical Therapy Modalities</term><term>Postoperative Complications (rehabilitation)</term><term>Quality of Life</term><term>Queensland</term><term>Regression Analysis</term><term>Self-Help Groups</term><term>Statistics, Nonparametric</term><term>Survivors (psychology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Activités de la vie quotidienne</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Analyse de régression</term><term>Analyse multivariée</term><term>Bras</term><term>Complications postopératoires (rééducation et réadaptation)</term><term>Exercice physique</term><term>Femelle</term><term>Groupes d'entraide</term><term>Humains</term><term>Lymphoedème (rééducation et réadaptation)</term><term>Qualité de vie</term><term>Queensland</term><term>Statistique non paramétrique</term><term>Sujet âgé</term><term>Survivants (psychologie)</term><term>Techniques de physiothérapie</term><term>Tumeurs du sein ()</term><term>Tumeurs du sein (rééducation et réadaptation)</term><term>État de santé</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Queensland</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Survivants</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Survivors</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Breast Neoplasms</term><term>Lymphedema</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Complications postopératoires</term><term>Lymphoedème</term><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Activities of Daily Living</term><term>Adult</term><term>Aged</term><term>Arm</term><term>Exercise</term><term>Female</term><term>Health Status</term><term>Humans</term><term>Middle Aged</term><term>Multivariate Analysis</term><term>Physical Therapy Modalities</term><term>Quality of Life</term><term>Regression Analysis</term><term>Self-Help Groups</term><term>Statistics, Nonparametric</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Activités de la vie quotidienne</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Analyse de régression</term><term>Analyse multivariée</term><term>Bras</term><term>Exercice physique</term><term>Femelle</term><term>Groupes d'entraide</term><term>Humains</term><term>Qualité de vie</term><term>Queensland</term><term>Statistique non paramétrique</term><term>Sujet âgé</term><term>Techniques de physiothérapie</term><term>Tumeurs du sein</term><term>État de santé</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">As the number of women surviving breast cancer increases, with implications for the health system, research into the physical and psychosocial sequelae of the cancer and its treatment is a priority. This research estimated self-reported health-related quality of life (HRQoL) associated with two rehabilitation interventions for breast cancer survivors, compared to a non-intervention group. Women were selected if they received an early home-based physiotherapy intervention (DAART, n = 36) or a group-based exercise and psychosocial intervention (STRETCH, n = 31). Questionnaires on HRQoL, using the Functional Assessment of Cancer Therapy - Breast Cancer plus Arm Morbidity module, were administered at pre-, post-intervention, 6- and 12-months post-diagnosis. Data on a non-intervention group (n = 208) were available 6- and 12-months post-diagnosis. Comparing pre/post-intervention measures, benefits were evident for functional well-being, including reductions in arm morbidity and upper-body disability for participants completing the DAART service at one-to-two months following diagnosis. In contrast, minimal changes were observed between pre/post-intervention measures for the STRETCH group at approximately 4-months post-diagnosis. Overall, mean HRQoL scores (adjusted for age, chemotherapy, hormone therapy, high blood pressure and occupation type) improved gradually across all groups from 6- to 12-months post-diagnosis, and no prominent differences were found. However, this obscured declining HRQoL scores for 20-40% of women at 12 months post-diagnosis, despite receiving supportive care services. Greater awareness and screening for adjustment problems among breast cancer survivors is required throughout the disease trajectory. Early physiotherapy after surgery has the potential for short-term functional, physical and overall HRQoL benefits.</div></front></TEI><affiliations><list><country><li>Australie</li></country></list><tree><noCountry><name sortKey="Battistutta, Diana" sort="Battistutta, Diana" uniqKey="Battistutta D" first="Diana" last="Battistutta">Diana Battistutta</name><name sortKey="Newman, Beth" sort="Newman, Beth" uniqKey="Newman B" first="Beth" last="Newman">Beth Newman</name><name sortKey="Scuffham, Paul" sort="Scuffham, Paul" uniqKey="Scuffham P" first="Paul" last="Scuffham">Paul Scuffham</name><name sortKey="Tweeddale, Margaret" sort="Tweeddale, Margaret" uniqKey="Tweeddale M" first="Margaret" last="Tweeddale">Margaret Tweeddale</name></noCountry><country name="Australie"><noRegion><name sortKey="Gordon, Louisa G" sort="Gordon, Louisa G" uniqKey="Gordon L" first="Louisa G" last="Gordon">Louisa G. 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