Objective and subjective upper body function six months following diagnosis of breast cancer.
Identifieur interne : 007F30 ( Main/Exploration ); précédent : 007F29; suivant : 007F31Objective and subjective upper body function six months following diagnosis of breast cancer.
Auteurs : Sandi Hayes [Australie] ; Diana Battistutta ; Beth NewmanSource :
- Breast cancer research and treatment [ 0167-6806 ] ; 2005.
Descripteurs français
- KwdFr :
- Activités de la vie quotidienne, Adulte, Adulte d'âge moyen, Analyse multivariée, Endurance physique, Facteurs de risque, Femelle, Force de préhension manuelle, Humains, Lymphadénectomie (effets indésirables), Maladies ostéomusculaires (épidémiologie), Maladies ostéomusculaires (étiologie), Membre supérieur, Modèles linéaires, Queensland (épidémiologie), Radiothérapie (effets indésirables), Sujet âgé, Tumeurs du sein (), Tumeurs du sein (rééducation et réadaptation), Études transversales, Évaluation de l'incapacité.
- MESH :
- effets indésirables : Lymphadénectomie, Radiothérapie.
- rééducation et réadaptation : Tumeurs du sein.
- épidémiologie : Maladies ostéomusculaires, Queensland.
- étiologie : Maladies ostéomusculaires.
- Activités de la vie quotidienne, Adulte, Adulte d'âge moyen, Analyse multivariée, Endurance physique, Facteurs de risque, Femelle, Force de préhension manuelle, Humains, Membre supérieur, Modèles linéaires, Sujet âgé, Tumeurs du sein, Études transversales, Évaluation de l'incapacité.
English descriptors
- KwdEn :
- Activities of Daily Living, Adult, Aged, Breast Neoplasms (complications), Breast Neoplasms (rehabilitation), Breast Neoplasms (therapy), Cross-Sectional Studies, Disability Evaluation, Female, Hand Strength, Humans, Linear Models, Lymph Node Excision (adverse effects), Middle Aged, Multivariate Analysis, Musculoskeletal Diseases (epidemiology), Musculoskeletal Diseases (etiology), Physical Endurance, Queensland (epidemiology), Radiotherapy (adverse effects), Risk Factors, Upper Extremity.
- MESH :
- geographic , epidemiology : Queensland.
- adverse effects : Lymph Node Excision, Radiotherapy.
- complications : Breast Neoplasms.
- epidemiology : Musculoskeletal Diseases.
- etiology : Musculoskeletal Diseases.
- rehabilitation : Breast Neoplasms.
- therapy : Breast Neoplasms.
- Activities of Daily Living, Adult, Aged, Cross-Sectional Studies, Disability Evaluation, Female, Hand Strength, Humans, Linear Models, Middle Aged, Multivariate Analysis, Physical Endurance, Risk Factors, Upper Extremity.
Abstract
Whether based on self-reported disability or direct physical measurements, studies of upper body function (UBF) among women with breast cancer consistently reveal high prevalence of limitation. Unfortunately, limited research and conflicting results undermine the ability to identify those factors that contribute to these UBF problems. This study describes the influence of selected personal and treatment characteristics on UBF, six-months following treatment for unilateral breast cancer, in a population-based sample of women residing in Southeast Queensland, Australia (n = 214). UBF was assessed by three objective measures (upper body strength and endurance, flexibility and hand grip strength) and two subjective measures (Disability of the Arm, Shoulder and Hand questionnaire and arm morbidity scale of the Functional Assessment of Cancer Treatment, Breast questionnaire). Modest correlations between the various UBF measures suggest that each captures a somewhat different dimension of physical function and disability. Advancing age, being treated on the non-dominant side, more childcare responsibilities, lower socioeconomic status, more extensive lymph node removal, having lymphoedema, and UBF scores of the untreated side emerged as significant correlates depending on whether UBF was assessed objectively or subjectively. There also was evidence that the relationships between the UBF measure of flexibility and (i) radiation treatment and (ii) side of treatment were modified depending on dominance. These results highlight the necessity of taking dominance into account when assessing functional impairment among breast cancer survivors. The findings also highlight the importance of considering whether subjective or objective UBF measures are more relevant in the design of future studies.
DOI: 10.1007/s10549-005-5991-z
PubMed: 16172793
Affiliations:
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xml:lang="en"><term>Queensland</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lymph Node Excision</term><term>Radiotherapy</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Lymphadénectomie</term><term>Radiothérapie</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Musculoskeletal Diseases</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Musculoskeletal Diseases</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="therapy" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Maladies ostéomusculaires</term><term>Queensland</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Maladies ostéomusculaires</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Activities of Daily Living</term><term>Adult</term><term>Aged</term><term>Cross-Sectional Studies</term><term>Disability Evaluation</term><term>Female</term><term>Hand Strength</term><term>Humans</term><term>Linear Models</term><term>Middle Aged</term><term>Multivariate Analysis</term><term>Physical Endurance</term><term>Risk Factors</term><term>Upper Extremity</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 multivariée</term><term>Endurance physique</term><term>Facteurs de risque</term><term>Femelle</term><term>Force de préhension manuelle</term><term>Humains</term><term>Membre supérieur</term><term>Modèles linéaires</term><term>Sujet âgé</term><term>Tumeurs du sein</term><term>Études transversales</term><term>Évaluation de l'incapacité</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Whether based on self-reported disability or direct physical measurements, studies of upper body function (UBF) among women with breast cancer consistently reveal high prevalence of limitation. Unfortunately, limited research and conflicting results undermine the ability to identify those factors that contribute to these UBF problems. This study describes the influence of selected personal and treatment characteristics on UBF, six-months following treatment for unilateral breast cancer, in a population-based sample of women residing in Southeast Queensland, Australia (n = 214). UBF was assessed by three objective measures (upper body strength and endurance, flexibility and hand grip strength) and two subjective measures (Disability of the Arm, Shoulder and Hand questionnaire and arm morbidity scale of the Functional Assessment of Cancer Treatment, Breast questionnaire). Modest correlations between the various UBF measures suggest that each captures a somewhat different dimension of physical function and disability. Advancing age, being treated on the non-dominant side, more childcare responsibilities, lower socioeconomic status, more extensive lymph node removal, having lymphoedema, and UBF scores of the untreated side emerged as significant correlates depending on whether UBF was assessed objectively or subjectively. There also was evidence that the relationships between the UBF measure of flexibility and (i) radiation treatment and (ii) side of treatment were modified depending on dominance. These results highlight the necessity of taking dominance into account when assessing functional impairment among breast cancer survivors. The findings also highlight the importance of considering whether subjective or objective UBF measures are more relevant in the design of future studies.</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></noCountry><country name="Australie"><noRegion><name sortKey="Hayes, Sandi" sort="Hayes, Sandi" uniqKey="Hayes S" first="Sandi" last="Hayes">Sandi Hayes</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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