Physical impairments and physical therapy services for minority and low-income breast cancer survivors
Identifieur interne : 000E61 ( Pmc/Curation ); précédent : 000E60; suivant : 000E62Physical impairments and physical therapy services for minority and low-income breast cancer survivors
Auteurs : Ann Marie Flores [États-Unis] ; Jason Nelson [États-Unis] ; Lee Sowles [États-Unis] ; Karen Bienenstock [États-Unis] ; William J. Blot [États-Unis]Source :
- SpringerPlus [ 2193-1801 ] ; 2016.
Abstract
We describe impairments after breast cancer and its treatment for African American (AA), non-Hispanic white and low-income breast cancer survivors (BCS) and whether physical therapy (PT) was utilized to address these impairments.
BCS from the Southern Community Cohort Study (SCCS) were surveyed about self-reported BC treatment-related impairments (shoulder impairment, muscle weakness, pain, fatigue, skin numbness, abnormal posture) and referral to PT for impairments. We compared impairments by race, income and PT utilization. We used a cross-sectional design.
Among 528 BCS interviewed (266 whites; 262 AA), mean age 64, those with low incomes were more likely to report muscle weakness, pain and postural abnormalities, and a greater total number of impairments than those with higher incomes. Racial differences were few. PT utilization tended to be low, with AAs more likely than whites to utilize PT if they had shoulder impairment or pain, whereas no monotonic trends across income levels were seen in PT utilization.
Low-income level was associated with greater prevalence of BC-related physical impairments, but not higher PT utilization. There appears to be a possible under-utilization of PT, particularly for those with low incomes.
Url:
DOI: 10.1186/s40064-016-2455-3
PubMed: 27536511
PubMed Central: 4971004
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<author><name sortKey="Flores, Ann Marie" sort="Flores, Ann Marie" uniqKey="Flores A" first="Ann Marie" last="Flores">Ann Marie Flores</name>
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<wicri:cityArea>Department of Physical Therapy, Movement and Rehabilitation Sciences, Center for Cancer Survivorship Studies (CCSL), Northeastern University, Boston</wicri:cityArea>
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<author><name sortKey="Nelson, Jason" sort="Nelson, Jason" uniqKey="Nelson J" first="Jason" last="Nelson">Jason Nelson</name>
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<author><name sortKey="Nelson, Jason" sort="Nelson, Jason" uniqKey="Nelson J" first="Jason" last="Nelson">Jason Nelson</name>
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<author><name sortKey="Blot, William J" sort="Blot, William J" uniqKey="Blot W" first="William J." last="Blot">William J. Blot</name>
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<front><div type="abstract" xml:lang="en"><sec><title>Purpose</title>
<p>We describe impairments after breast cancer and its treatment for African American (AA), non-Hispanic white and low-income breast cancer survivors (BCS) and whether physical therapy (PT) was utilized to address these impairments.</p>
</sec>
<sec><title>Methods</title>
<p>BCS from the Southern Community Cohort Study (SCCS) were surveyed about self-reported BC treatment-related impairments (shoulder impairment, muscle weakness, pain, fatigue, skin numbness, abnormal posture) and referral to PT for impairments. We compared impairments by race, income and PT utilization. We used a cross-sectional design.</p>
</sec>
<sec><title>Results</title>
<p>Among 528 BCS interviewed (266 whites; 262 AA), mean age 64, those with low incomes were more likely to report muscle weakness, pain and postural abnormalities, and a greater total number of impairments than those with higher incomes. Racial differences were few. PT utilization tended to be low, with AAs more likely than whites to utilize PT if they had shoulder impairment or pain, whereas no monotonic trends across income levels were seen in PT utilization.</p>
</sec>
<sec><title>Conclusions</title>
<p>Low-income level was associated with greater prevalence of BC-related physical impairments, but not higher PT utilization. There appears to be a possible under-utilization of PT, particularly for those with low incomes.</p>
</sec>
</div>
</front>
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</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">Springerplus</journal-id>
<journal-id journal-id-type="iso-abbrev">Springerplus</journal-id>
<journal-title-group><journal-title>SpringerPlus</journal-title>
</journal-title-group>
<issn pub-type="epub">2193-1801</issn>
<publisher><publisher-name>Springer International Publishing</publisher-name>
<publisher-loc>Cham</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">27536511</article-id>
<article-id pub-id-type="pmc">4971004</article-id>
<article-id pub-id-type="publisher-id">2455</article-id>
<article-id pub-id-type="doi">10.1186/s40064-016-2455-3</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Research</subject>
</subj-group>
</article-categories>
<title-group><article-title>Physical impairments and physical therapy services for minority and low-income breast cancer survivors</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Flores</surname>
<given-names>Ann Marie</given-names>
</name>
<address><email>am.flores@neu.edu</email>
</address>
<xref ref-type="aff" rid="Aff1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Nelson</surname>
<given-names>Jason</given-names>
</name>
<address><email>jnelson2@tuftsmedicalcenter.org</email>
</address>
<xref ref-type="aff" rid="Aff2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Sowles</surname>
<given-names>Lee</given-names>
</name>
<address><email>lee.sowles@maine.gov</email>
</address>
<xref ref-type="aff" rid="Aff3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Bienenstock</surname>
<given-names>Karen</given-names>
</name>
<address><email>bienenstock.k@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Blot</surname>
<given-names>William J.</given-names>
</name>
<address><email>blotw@iei.us</email>
</address>
<xref ref-type="aff" rid="Aff4">4</xref>
<xref ref-type="aff" rid="Aff5">5</xref>
</contrib>
<aff id="Aff1"><label>1</label>
Department of Physical Therapy, Movement and Rehabilitation Sciences, Center for Cancer Survivorship Studies (CCSL), Northeastern University, Boston, MA USA</aff>
<aff id="Aff2"><label>2</label>
Biostatistics Research Center, Institute for Clinical Research and Health Policy Studies, Tufts University Medical Center, Boston, MA USA</aff>
<aff id="Aff3"><label>3</label>
Office of Health Equity, Maine Center for Disease Control and Prevention, Augusta, ME USA</aff>
<aff id="Aff4"><label>4</label>
International Epidemiology Institute, Rockville, MD USA</aff>
<aff id="Aff5"><label>5</label>
Vanderbilt-Ingram Cancer Center, Vanderbilt University Medical Center, Nashville, TN USA</aff>
</contrib-group>
<pub-date pub-type="epub"><day>2</day>
<month>8</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>2</day>
<month>8</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="collection"><year>2016</year>
</pub-date>
<volume>5</volume>
<issue>1</issue>
<elocation-id>1227</elocation-id>
<history><date date-type="received"><day>26</day>
<month>5</month>
<year>2016</year>
</date>
<date date-type="accepted"><day>27</day>
<month>5</month>
<year>2016</year>
</date>
</history>
<permissions><copyright-statement>© The Author(s) 2016</copyright-statement>
<license license-type="OpenAccess"><license-p><bold>Open Access</bold>
This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>
), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.</license-p>
</license>
</permissions>
<abstract id="Abs1"><sec><title>Purpose</title>
<p>We describe impairments after breast cancer and its treatment for African American (AA), non-Hispanic white and low-income breast cancer survivors (BCS) and whether physical therapy (PT) was utilized to address these impairments.</p>
</sec>
<sec><title>Methods</title>
<p>BCS from the Southern Community Cohort Study (SCCS) were surveyed about self-reported BC treatment-related impairments (shoulder impairment, muscle weakness, pain, fatigue, skin numbness, abnormal posture) and referral to PT for impairments. We compared impairments by race, income and PT utilization. We used a cross-sectional design.</p>
</sec>
<sec><title>Results</title>
<p>Among 528 BCS interviewed (266 whites; 262 AA), mean age 64, those with low incomes were more likely to report muscle weakness, pain and postural abnormalities, and a greater total number of impairments than those with higher incomes. Racial differences were few. PT utilization tended to be low, with AAs more likely than whites to utilize PT if they had shoulder impairment or pain, whereas no monotonic trends across income levels were seen in PT utilization.</p>
</sec>
<sec><title>Conclusions</title>
<p>Low-income level was associated with greater prevalence of BC-related physical impairments, but not higher PT utilization. There appears to be a possible under-utilization of PT, particularly for those with low incomes.</p>
</sec>
</abstract>
<kwd-group xml:lang="en"><title>Keywords</title>
<kwd>Impairments</kwd>
<kwd>Income</kwd>
<kwd>Race</kwd>
<kwd>Physical therapy</kwd>
<kwd>Breast cancer</kwd>
</kwd-group>
<funding-group><award-group><funding-source><institution-wrap><institution-id institution-id-type="FundRef">http://dx.doi.org/10.13039/100000054</institution-id>
<institution>National Cancer Institute</institution>
</institution-wrap>
</funding-source>
<award-id>R21 CA137483</award-id>
<award-id>R01 CA092447</award-id>
<principal-award-recipient><name><surname>Flores</surname>
<given-names>Ann Marie</given-names>
</name>
<name><surname>Blot</surname>
<given-names>William J.</given-names>
</name>
</principal-award-recipient>
</award-group>
<award-group><funding-source><institution-wrap><institution-id institution-id-type="FundRef">http://dx.doi.org/10.13039/100000002</institution-id>
<institution>National Institutes of Health</institution>
</institution-wrap>
</funding-source>
<award-id>P30 CA68485</award-id>
</award-group>
</funding-group>
<custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name>
<meta-value>© The Author(s) 2016</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
</pmc>
</record>
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