Upper-body morbidity following breast cancer treatment is common, may persist longer-term and adversely influences quality of life
Identifieur interne : 003162 ( Pmc/Checkpoint ); précédent : 003161; suivant : 003163Upper-body morbidity following breast cancer treatment is common, may persist longer-term and adversely influences quality of life
Auteurs : Sandra C. Hayes [Australie] ; Sheree Rye [Australie] ; Diana Battistutta [Australie] ; Tracey Disipio [Australie] ; Beth Newman [Australie]Source :
- Health and Quality of Life Outcomes [ 1477-7525 ] ; 2010.
Abstract
Impairments in upper-body function (UBF) are common following breast cancer. However, the relationship between arm morbidity and quality of life (QoL) remains unclear. This investigation uses longitudinal data to describe UBF in a population-based sample of women with breast cancer and examines its relationship with QoL.
Australian women (n = 287) with unilateral breast cancer were assessed at three-monthly intervals, from six- to 18-months post-surgery (PS). Strength, endurance and flexibility were used to assess objective UBF, while the Disability of the Arm, Shoulder and Hand questionnaire and the Functional Assessment of Cancer Therapy-Breast questionnaire were used to assess self-reported UBF and QoL, respectively.
Although mean UBF improved over time, up to 41% of women revealed declines in UBF between six- and 18-months PS. Older age, lower socioeconomic position, treatment on the dominant side, mastectomy, more extensive lymph node removal and having lymphoedema each increased odds of declines in UBF by at least two-fold (p < 0.05). Lower baseline and declines in perceived UBF between six- and 18-months PS were each associated with poorer QoL at 18-months PS (p < 0.05).
Significant upper-body morbidity is experienced by many following breast cancer treatment, persisting longer term, and adversely influencing the QoL of breast cancer survivors.
Url:
DOI: 10.1186/1477-7525-8-92
PubMed: 20804558
PubMed Central: 2940926
Affiliations:
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Hayes</name><affiliation wicri:level="1"><nlm:aff id="I1">School of Public Health, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Queensland, 4059, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>School of Public Health, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Queensland, 4059</wicri:regionArea><wicri:noRegion>4059</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I2">Institute of Health and Biomedical Innovation, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Queensland, 4059, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Institute of Health and Biomedical Innovation, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Queensland, 4059</wicri:regionArea><wicri:noRegion>4059</wicri:noRegion></affiliation></author><author><name sortKey="Rye, Sheree" sort="Rye, Sheree" uniqKey="Rye S" first="Sheree" last="Rye">Sheree Rye</name><affiliation wicri:level="1"><nlm:aff id="I1">School of Public Health, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Queensland, 4059, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>School of Public Health, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Queensland, 4059</wicri:regionArea><wicri:noRegion>4059</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I2">Institute of Health and Biomedical Innovation, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Queensland, 4059, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Institute of Health and Biomedical Innovation, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Queensland, 4059</wicri:regionArea><wicri:noRegion>4059</wicri:noRegion></affiliation></author><author><name sortKey="Battistutta, Diana" sort="Battistutta, Diana" uniqKey="Battistutta D" first="Diana" last="Battistutta">Diana Battistutta</name><affiliation wicri:level="1"><nlm:aff id="I2">Institute of Health and Biomedical Innovation, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Queensland, 4059, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Institute of Health and Biomedical Innovation, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Queensland, 4059</wicri:regionArea><wicri:noRegion>4059</wicri:noRegion></affiliation></author><author><name sortKey="Disipio, Tracey" sort="Disipio, Tracey" uniqKey="Disipio T" first="Tracey" last="Disipio">Tracey Disipio</name><affiliation wicri:level="1"><nlm:aff id="I1">School of Public Health, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Queensland, 4059, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>School of Public Health, Queensland University of Technology, Victoria 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Hayes</name><affiliation wicri:level="1"><nlm:aff id="I1">School of Public Health, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Queensland, 4059, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>School of Public Health, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Queensland, 4059</wicri:regionArea><wicri:noRegion>4059</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I2">Institute of Health and Biomedical Innovation, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Queensland, 4059, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Institute of Health and Biomedical Innovation, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Queensland, 4059</wicri:regionArea><wicri:noRegion>4059</wicri:noRegion></affiliation></author><author><name sortKey="Rye, Sheree" sort="Rye, Sheree" uniqKey="Rye S" first="Sheree" last="Rye">Sheree Rye</name><affiliation wicri:level="1"><nlm:aff id="I1">School of Public Health, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Queensland, 4059, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>School of Public Health, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Queensland, 4059</wicri:regionArea><wicri:noRegion>4059</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I2">Institute of Health and Biomedical Innovation, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Queensland, 4059, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Institute of Health and Biomedical Innovation, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Queensland, 4059</wicri:regionArea><wicri:noRegion>4059</wicri:noRegion></affiliation></author><author><name sortKey="Battistutta, Diana" sort="Battistutta, Diana" uniqKey="Battistutta D" first="Diana" last="Battistutta">Diana Battistutta</name><affiliation wicri:level="1"><nlm:aff id="I2">Institute of Health and Biomedical Innovation, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Queensland, 4059, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Institute of Health and Biomedical Innovation, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Queensland, 4059</wicri:regionArea><wicri:noRegion>4059</wicri:noRegion></affiliation></author><author><name sortKey="Disipio, Tracey" sort="Disipio, Tracey" uniqKey="Disipio T" first="Tracey" last="Disipio">Tracey Disipio</name><affiliation wicri:level="1"><nlm:aff id="I1">School of Public Health, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Queensland, 4059, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>School of Public Health, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Queensland, 4059</wicri:regionArea><wicri:noRegion>4059</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I2">Institute of Health and Biomedical Innovation, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Queensland, 4059, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Institute of Health and Biomedical Innovation, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Queensland, 4059</wicri:regionArea><wicri:noRegion>4059</wicri:noRegion></affiliation></author><author><name sortKey="Newman, Beth" sort="Newman, Beth" uniqKey="Newman B" first="Beth" last="Newman">Beth Newman</name><affiliation wicri:level="1"><nlm:aff id="I1">School of Public Health, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Queensland, 4059, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>School of Public Health, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Queensland, 4059</wicri:regionArea><wicri:noRegion>4059</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I2">Institute of Health and Biomedical Innovation, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Queensland, 4059, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Institute of Health and Biomedical Innovation, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Queensland, 4059</wicri:regionArea><wicri:noRegion>4059</wicri:noRegion></affiliation></author></analytic><series><title level="j">Health and Quality of Life Outcomes</title><idno type="eISSN">1477-7525</idno><imprint><date when="2010">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Impairments in upper-body function (UBF) are common following breast cancer. However, the relationship between arm morbidity and quality of life (QoL) remains unclear. This investigation uses longitudinal data to describe UBF in a population-based sample of women with breast cancer and examines its relationship with QoL.</p></sec><sec><title>Methods</title><p>Australian women (n = 287) with unilateral breast cancer were assessed at three-monthly intervals, from six- to 18-months post-surgery (PS). Strength, endurance and flexibility were used to assess objective UBF, while the Disability of the Arm, Shoulder and Hand questionnaire and the Functional Assessment of Cancer Therapy-Breast questionnaire were used to assess self-reported UBF and QoL, respectively.</p></sec><sec><title>Results</title><p>Although mean UBF improved over time, up to 41% of women revealed declines in UBF between six- and 18-months PS. Older age, lower socioeconomic position, treatment on the dominant side, mastectomy, more extensive lymph node removal and having lymphoedema each increased odds of declines in UBF by at least two-fold (p < 0.05). Lower baseline and declines in perceived UBF between six- and 18-months PS were each associated with poorer QoL at 18-months PS (p < 0.05).</p></sec><sec><title>Conclusions</title><p>Significant upper-body morbidity is experienced by many following breast cancer treatment, persisting longer term, and adversely influencing the QoL of breast cancer survivors.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Satariano, W" uniqKey="Satariano W">W Satariano</name></author><author><name sortKey="Ragland, D" uniqKey="Ragland D">D Ragland</name></author><author><name sortKey="Delorenze, Gn" uniqKey="Delorenze G">GN DeLorenze</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hladiuk, M" uniqKey="Hladiuk M">M Hladiuk</name></author><author><name sortKey="Huchcroft, S" uniqKey="Huchcroft S">S Huchcroft</name></author><author><name sortKey="Temple, W" uniqKey="Temple W">W 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Newman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ververs, Jm" uniqKey="Ververs J">JM Ververs</name></author><author><name sortKey="Roumen, Rm" uniqKey="Roumen R">RM Roumen</name></author><author><name sortKey="Vingerhoets, Aj" uniqKey="Vingerhoets A">AJ Vingerhoets</name></author><author><name sortKey="Vreugdenhil, G" uniqKey="Vreugdenhil G">G Vreugdenhil</name></author><author><name sortKey="Coebergh, Jww" uniqKey="Coebergh J">JWW Coebergh</name></author><author><name sortKey="Crommelin, Ma" uniqKey="Crommelin M">MA Crommelin</name></author><author><name sortKey="Luiten, Ejt" uniqKey="Luiten E">EJT Luiten</name></author><author><name sortKey="Repelaer Van Driel, Oj" uniqKey="Repelaer Van Driel O">OJ Repelaer van Driel</name></author><author><name sortKey="Schijven, M" uniqKey="Schijven M">M Schijven</name></author><author><name sortKey="Wissing, Jc" uniqKey="Wissing J">JC Wissing</name></author><author><name sortKey="Voogd, Ac" uniqKey="Voogd A">AC Voogd</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hayes, S" uniqKey="Hayes S">S Hayes</name></author><author><name sortKey="Spence, R" uniqKey="Spence R">R Spence</name></author><author><name sortKey="Galvao, D" uniqKey="Galvao D">D Galvao</name></author><author><name sortKey="Newton, R" uniqKey="Newton R">R Newton</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Health Qual Life Outcomes</journal-id><journal-title-group><journal-title>Health and Quality of Life Outcomes</journal-title></journal-title-group><issn pub-type="epub">1477-7525</issn><publisher><publisher-name>BioMed Central</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">20804558</article-id><article-id pub-id-type="pmc">2940926</article-id><article-id pub-id-type="publisher-id">1477-7525-8-92</article-id><article-id pub-id-type="doi">10.1186/1477-7525-8-92</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research</subject></subj-group></article-categories><title-group><article-title>Upper-body morbidity following breast cancer treatment is common, may persist longer-term and adversely influences quality of life</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes" id="A1"><name><surname>Hayes</surname><given-names>Sandra C</given-names></name><xref ref-type="aff" rid="I1">1</xref><xref ref-type="aff" rid="I2">2</xref><email>sc.hayes@qut.edu.au</email></contrib><contrib contrib-type="author" id="A2"><name><surname>Rye</surname><given-names>Sheree</given-names></name><xref ref-type="aff" rid="I1">1</xref><xref ref-type="aff" rid="I2">2</xref><email>sa.rye@qut.edu.au</email></contrib><contrib contrib-type="author" id="A3"><name><surname>Battistutta</surname><given-names>Diana</given-names></name><xref ref-type="aff" rid="I2">2</xref><email>d.battistutta@qut.edu.au</email></contrib><contrib contrib-type="author" id="A4"><name><surname>DiSipio</surname><given-names>Tracey</given-names></name><xref ref-type="aff" rid="I1">1</xref><xref ref-type="aff" rid="I2">2</xref><email>t.disipio@qut.edu.au</email></contrib><contrib contrib-type="author" id="A5"><name><surname>Newman</surname><given-names>Beth</given-names></name><xref ref-type="aff" rid="I1">1</xref><xref ref-type="aff" rid="I2">2</xref><email>b.newman@qut.edu.au</email></contrib></contrib-group><aff id="I1"><label>1</label>School of Public Health, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Queensland, 4059, Australia</aff><aff id="I2"><label>2</label>Institute of Health and Biomedical Innovation, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Queensland, 4059, Australia</aff><pub-date pub-type="collection"><year>2010</year></pub-date><pub-date pub-type="epub"><day>31</day><month>8</month><year>2010</year></pub-date><volume>8</volume><fpage>92</fpage><lpage>92</lpage><history><date date-type="received"><day>20</day><month>4</month><year>2010</year></date><date date-type="accepted"><day>31</day><month>8</month><year>2010</year></date></history><permissions><copyright-statement>Copyright ©2010 Hayes et al; licensee BioMed Central Ltd.</copyright-statement><copyright-year>2010</copyright-year><copyright-holder>Hayes et al; licensee BioMed Central Ltd.</copyright-holder><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.0"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/2.0">http://creativecommons.org/licenses/by/2.0</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><self-uri xlink:href="http://www.hqlo.com/content/8/1/92"></self-uri><abstract><sec><title>Background</title><p>Impairments in upper-body function (UBF) are common following breast cancer. However, the relationship between arm morbidity and quality of life (QoL) remains unclear. This investigation uses longitudinal data to describe UBF in a population-based sample of women with breast cancer and examines its relationship with QoL.</p></sec><sec><title>Methods</title><p>Australian women (n = 287) with unilateral breast cancer were assessed at three-monthly intervals, from six- to 18-months post-surgery (PS). Strength, endurance and flexibility were used to assess objective UBF, while the Disability of the Arm, Shoulder and Hand questionnaire and the Functional Assessment of Cancer Therapy-Breast questionnaire were used to assess self-reported UBF and QoL, respectively.</p></sec><sec><title>Results</title><p>Although mean UBF improved over time, up to 41% of women revealed declines in UBF between six- and 18-months PS. Older age, lower socioeconomic position, treatment on the dominant side, mastectomy, more extensive lymph node removal and having lymphoedema each increased odds of declines in UBF by at least two-fold (p < 0.05). Lower baseline and declines in perceived UBF between six- and 18-months PS were each associated with poorer QoL at 18-months PS (p < 0.05).</p></sec><sec><title>Conclusions</title><p>Significant upper-body morbidity is experienced by many following breast cancer treatment, persisting longer term, and adversely influencing the QoL of breast cancer survivors.</p></sec></abstract></article-meta></front></pmc><affiliations><list><country><li>Australie</li></country></list><tree><country name="Australie"><noRegion><name sortKey="Hayes, Sandra C" sort="Hayes, Sandra C" uniqKey="Hayes S" first="Sandra C" last="Hayes">Sandra C. Hayes</name></noRegion><name sortKey="Battistutta, Diana" sort="Battistutta, Diana" uniqKey="Battistutta D" first="Diana" last="Battistutta">Diana Battistutta</name><name sortKey="Disipio, Tracey" sort="Disipio, Tracey" uniqKey="Disipio T" first="Tracey" last="Disipio">Tracey Disipio</name><name sortKey="Disipio, Tracey" sort="Disipio, Tracey" uniqKey="Disipio T" first="Tracey" last="Disipio">Tracey Disipio</name><name sortKey="Hayes, Sandra C" sort="Hayes, Sandra C" uniqKey="Hayes S" first="Sandra C" last="Hayes">Sandra C. Hayes</name><name sortKey="Newman, Beth" sort="Newman, Beth" uniqKey="Newman B" first="Beth" last="Newman">Beth Newman</name><name sortKey="Newman, Beth" sort="Newman, Beth" uniqKey="Newman B" first="Beth" last="Newman">Beth Newman</name><name sortKey="Rye, Sheree" sort="Rye, Sheree" uniqKey="Rye S" first="Sheree" last="Rye">Sheree Rye</name><name sortKey="Rye, Sheree" sort="Rye, Sheree" uniqKey="Rye S" first="Sheree" last="Rye">Sheree Rye</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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