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Chronic post-treatment symptoms in patients with breast cancer operated in different surgical units.

Identifieur interne : 000057 ( Ncbi/Merge ); précédent : 000056; suivant : 000058

Chronic post-treatment symptoms in patients with breast cancer operated in different surgical units.

Auteurs : T. Tasmuth [Finlande] ; C. Blomqvist ; E. Kalso

Source :

RBID : pubmed:10188853

Descripteurs français

English descriptors

Abstract

This study was designed to find out whether women operated in high volume surgical units have less chronic symptoms than women operated in smaller volume units.

DOI: 10.1053/ejso.1998.0597
PubMed: 10188853

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pubmed:10188853

Le document en format XML

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<title xml:lang="en">Chronic post-treatment symptoms in patients with breast cancer operated in different surgical units.</title>
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<name sortKey="Tasmuth, T" sort="Tasmuth, T" uniqKey="Tasmuth T" first="T" last="Tasmuth">T. Tasmuth</name>
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<nlm:affiliation>Department of Anaesthesia, Helsinki University Central Hospital, Finland.</nlm:affiliation>
<country xml:lang="fr">Finlande</country>
<wicri:regionArea>Department of Anaesthesia, Helsinki University Central Hospital</wicri:regionArea>
<wicri:noRegion>Helsinki University Central Hospital</wicri:noRegion>
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<name sortKey="Blomqvist, C" sort="Blomqvist, C" uniqKey="Blomqvist C" first="C" last="Blomqvist">C. Blomqvist</name>
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<term>Adult</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
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<term>Département hospitalier de chirurgie ()</term>
<term>Dépression (étiologie)</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Finlande</term>
<term>Humains</term>
<term>Incidence</term>
<term>Lymphoedème (étiologie)</term>
<term>Maladie chronique</term>
<term>Mastectomie ()</term>
<term>Mastectomie (effets indésirables)</term>
<term>Modèles logistiques</term>
<term>Paresthésie (étiologie)</term>
<term>Résultat thérapeutique</term>
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<term>Mastectomy</term>
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<term>Lymphedema</term>
<term>Pain</term>
<term>Paresthesia</term>
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<term>Douleur</term>
<term>Dépression</term>
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<term>Paresthésie</term>
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<term>Adult</term>
<term>Aged</term>
<term>Chronic Disease</term>
<term>Female</term>
<term>Humans</term>
<term>Incidence</term>
<term>Logistic Models</term>
<term>Middle Aged</term>
<term>Risk Factors</term>
<term>Treatment Outcome</term>
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<term>Adulte d'âge moyen</term>
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<term>Facteurs de risque</term>
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<term>Incidence</term>
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<div type="abstract" xml:lang="en">This study was designed to find out whether women operated in high volume surgical units have less chronic symptoms than women operated in smaller volume units.</div>
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<Title>European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology</Title>
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<ArticleTitle>Chronic post-treatment symptoms in patients with breast cancer operated in different surgical units.</ArticleTitle>
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<AbstractText Label="AIMS" NlmCategory="OBJECTIVE">This study was designed to find out whether women operated in high volume surgical units have less chronic symptoms than women operated in smaller volume units.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A questionnaire was sent to 265 consecutive women treated at the Department of Oncology, Helsinki University Central Hospital, from January to June 1996. Of the patients, 129 were operated in hospitals experienced in breast cancer surgery (high volume units = HVU) and 92 patients in district hospitals with less experience in breast surgery (low volume units = LVU).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Chronic symptoms were less common in HVU than in LVU: chronic pain (56 vs. 43%, P<0.05) or strange sensations (45 vs. 26%, P<0.01) in the ipsilateral arm or phantom sensations in the removed breast (66 vs. 26%, P<0.001). The risk factors included in the multivariate model for chronic pain in the breast area were: intensity of acute post-operative pain, radiotherapy and depression and for the chronic arm pain: low volume unit and depression.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">More careful surgical technique seems to reduce the risk of chronic pain following treatment of breast cancer. Chronic pain is associated with more intense post-operative pain and depression.</AbstractText>
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