Treatment Related Impairments in Arm and Shoulder in Patients with Breast Cancer: A Systematic Review
Identifieur interne : 004504 ( Pmc/Curation ); précédent : 004503; suivant : 004505Treatment Related Impairments in Arm and Shoulder in Patients with Breast Cancer: A Systematic Review
Auteurs : Janine T. Hidding [Pays-Bas] ; Carien H. G. Beurskens [Pays-Bas] ; Philip J. Van Der Wees [Pays-Bas] ; Hanneke W. M. Van Laarhoven [Pays-Bas] ; Maria W. G. Nijhuis-Van Der Sanden [Pays-Bas]Source :
- PLoS ONE [ 1932-6203 ] ; 2014.
Abstract
Breast cancer is the most common type of cancer in women in the developed world. As a result of breast cancer treatment, many patients suffer from serious complaints in their arm and shoulder, leading to limitations in activities of daily living and participation. In this systematic literature review we present an overview of the adverse effects of the integrated breast cancer treatment related to impairment in functions and structures in the upper extremity and upper body and limitations in daily activities. Patients at highest risk were defined.
We conducted a systematic literature search using the databases of PubMed, Embase, CINAHL and Cochrane from 2000 to October 2012, according to the PRISMA guidelines. Included were studies with patients with stage I–III breast cancer, treated with surgery and additional treatments (radiotherapy, chemotherapy and hormonal therapy). The following health outcomes were extracted: reduced joint mobility, reduced muscle strength, pain, lymphedema and limitations in daily activities. Outcomes were divided in within the first 12 months and >12 months post-operatively. Patients treated with ALND are at the highest risk of developing impairments of the arm and shoulder. Reduced ROM and muscle strength, pain, lymphedema and decreased degree of activities in daily living were reported most frequently in relation to ALND. Lumpectomy was related to a decline in the level of activities of daily living. Radiotherapy and hormonal therapy were the main risk factors for pain.
Patients treated with ALND require special attention to detect and consequently address impairments in the arm and shoulder. Patients with pain should be monitored carefully, because pain limits the degree of daily activities. Future research has to describe a complete overview of the medical treatment and analyze outcome in relation to the treatment. Utilization of uniform validated measurement instruments has to be encouraged.
Url:
DOI: 10.1371/journal.pone.0096748
PubMed: 24816774
PubMed Central: 4016041
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Hidding</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Radboud university medical center, Department of Orthopedics, Section of Physical Therapy, Nijmegen, The Netherlands</addr-line></nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Radboud university medical center, Department of Orthopedics, Section of Physical Therapy, Nijmegen</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Radboud university medical center, Scientific Institute for Quality of Healthcare, Nijmegen, The Netherlands</addr-line></nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Radboud university medical center, Scientific Institute for Quality of Healthcare, Nijmegen</wicri:regionArea></affiliation></author><author><name sortKey="Beurskens, Carien H G" sort="Beurskens, Carien H G" uniqKey="Beurskens C" first="Carien H. G." last="Beurskens">Carien H. G. Beurskens</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Radboud university medical center, Department of Orthopedics, Section of Physical Therapy, Nijmegen, The Netherlands</addr-line></nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Radboud university medical center, Department of Orthopedics, Section of Physical Therapy, Nijmegen</wicri:regionArea></affiliation></author><author><name sortKey="Van Der Wees, Philip J" sort="Van Der Wees, Philip J" uniqKey="Van Der Wees P" first="Philip J." last="Van Der Wees">Philip J. Van Der Wees</name><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Radboud university medical center, Scientific Institute for Quality of Healthcare, Nijmegen, The Netherlands</addr-line></nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Radboud university medical center, Scientific Institute for Quality of Healthcare, Nijmegen</wicri:regionArea></affiliation></author><author><name sortKey="Van Laarhoven, Hanneke W M" sort="Van Laarhoven, Hanneke W M" uniqKey="Van Laarhoven H" first="Hanneke W. M." last="Van Laarhoven">Hanneke W. M. Van Laarhoven</name><affiliation wicri:level="1"><nlm:aff id="aff3"><addr-line>Academic Medical Center, Department of Medical Oncology, University of Amsterdam, Amsterdam, The Netherlands</addr-line></nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Academic Medical Center, Department of Medical Oncology, University of Amsterdam, Amsterdam</wicri:regionArea></affiliation></author><author><name sortKey="Nijhuis Van Der Sanden, Maria W G" sort="Nijhuis Van Der Sanden, Maria W G" uniqKey="Nijhuis Van Der Sanden M" first="Maria W. G." last="Nijhuis-Van Der Sanden">Maria W. G. Nijhuis-Van Der Sanden</name><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Radboud university medical center, Scientific Institute for Quality of Healthcare, Nijmegen, The Netherlands</addr-line></nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Radboud university medical center, Scientific Institute for Quality of Healthcare, Nijmegen</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24816774</idno><idno type="pmc">4016041</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4016041</idno><idno type="RBID">PMC:4016041</idno><idno type="doi">10.1371/journal.pone.0096748</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">004505</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">004505</idno><idno type="wicri:Area/Pmc/Curation">004504</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">004504</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Treatment Related Impairments in Arm and Shoulder in Patients with Breast Cancer: A Systematic Review</title><author><name sortKey="Hidding, Janine T" sort="Hidding, Janine T" uniqKey="Hidding J" first="Janine T." last="Hidding">Janine T. Hidding</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Radboud university medical center, Department of Orthopedics, Section of Physical Therapy, Nijmegen, The Netherlands</addr-line></nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Radboud university medical center, Department of Orthopedics, Section of Physical Therapy, Nijmegen</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Radboud university medical center, Scientific Institute for Quality of Healthcare, Nijmegen, The Netherlands</addr-line></nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Radboud university medical center, Scientific Institute for Quality of Healthcare, Nijmegen</wicri:regionArea></affiliation></author><author><name sortKey="Beurskens, Carien H G" sort="Beurskens, Carien H G" uniqKey="Beurskens C" first="Carien H. G." last="Beurskens">Carien H. G. Beurskens</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Radboud university medical center, Department of Orthopedics, Section of Physical Therapy, Nijmegen, The Netherlands</addr-line></nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Radboud university medical center, Department of Orthopedics, Section of Physical Therapy, Nijmegen</wicri:regionArea></affiliation></author><author><name sortKey="Van Der Wees, Philip J" sort="Van Der Wees, Philip J" uniqKey="Van Der Wees P" first="Philip J." last="Van Der Wees">Philip J. Van Der Wees</name><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Radboud university medical center, Scientific Institute for Quality of Healthcare, Nijmegen, The Netherlands</addr-line></nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Radboud university medical center, Scientific Institute for Quality of Healthcare, Nijmegen</wicri:regionArea></affiliation></author><author><name sortKey="Van Laarhoven, Hanneke W M" sort="Van Laarhoven, Hanneke W M" uniqKey="Van Laarhoven H" first="Hanneke W. M." last="Van Laarhoven">Hanneke W. M. Van Laarhoven</name><affiliation wicri:level="1"><nlm:aff id="aff3"><addr-line>Academic Medical Center, Department of Medical Oncology, University of Amsterdam, Amsterdam, The Netherlands</addr-line></nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Academic Medical Center, Department of Medical Oncology, University of Amsterdam, Amsterdam</wicri:regionArea></affiliation></author><author><name sortKey="Nijhuis Van Der Sanden, Maria W G" sort="Nijhuis Van Der Sanden, Maria W G" uniqKey="Nijhuis Van Der Sanden M" first="Maria W. G." last="Nijhuis-Van Der Sanden">Maria W. G. Nijhuis-Van Der Sanden</name><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Radboud university medical center, Scientific Institute for Quality of Healthcare, Nijmegen, The Netherlands</addr-line></nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Radboud university medical center, Scientific Institute for Quality of Healthcare, Nijmegen</wicri:regionArea></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Breast cancer is the most common type of cancer in women in the developed world. As a result of breast cancer treatment, many patients suffer from serious complaints in their arm and shoulder, leading to limitations in activities of daily living and participation. In this systematic literature review we present an overview of the adverse effects of the integrated breast cancer treatment related to impairment in functions and structures in the upper extremity and upper body and limitations in daily activities. Patients at highest risk were defined.</p></sec><sec><title>Methods and Findings</title><p>We conducted a systematic literature search using the databases of PubMed, Embase, CINAHL and Cochrane from 2000 to October 2012, according to the PRISMA guidelines. Included were studies with patients with stage I–III breast cancer, treated with surgery and additional treatments (radiotherapy, chemotherapy and hormonal therapy). The following health outcomes were extracted: reduced joint mobility, reduced muscle strength, pain, lymphedema and limitations in daily activities. Outcomes were divided in within the first 12 months and >12 months post-operatively. Patients treated with ALND are at the highest risk of developing impairments of the arm and shoulder. Reduced ROM and muscle strength, pain, lymphedema and decreased degree of activities in daily living were reported most frequently in relation to ALND. Lumpectomy was related to a decline in the level of activities of daily living. Radiotherapy and hormonal therapy were the main risk factors for pain.</p></sec><sec><title>Conclusions</title><p>Patients treated with ALND require special attention to detect and consequently address impairments in the arm and shoulder. Patients with pain should be monitored carefully, because pain limits the degree of daily activities. Future research has to describe a complete overview of the medical treatment and analyze outcome in relation to the treatment. 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<front><journal-meta><journal-id journal-id-type="nlm-ta">PLoS One</journal-id><journal-id journal-id-type="iso-abbrev">PLoS ONE</journal-id><journal-id journal-id-type="publisher-id">plos</journal-id><journal-id journal-id-type="pmc">plosone</journal-id><journal-title-group><journal-title>PLoS ONE</journal-title></journal-title-group><issn pub-type="epub">1932-6203</issn><publisher><publisher-name>Public Library of Science</publisher-name><publisher-loc>San Francisco, USA</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">24816774</article-id><article-id pub-id-type="pmc">4016041</article-id><article-id pub-id-type="publisher-id">PONE-D-14-00967</article-id><article-id pub-id-type="doi">10.1371/journal.pone.0096748</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Medicine and Health Sciences</subject><subj-group><subject>Health Care</subject><subj-group><subject>Nursing Science</subject><subj-group><subject>Nursing Education</subject></subj-group></subj-group></subj-group><subj-group><subject>Oncology</subject><subj-group><subject>Cancers and Neoplasms</subject><subj-group><subject>Breast Tumors</subject></subj-group></subj-group></subj-group></subj-group></article-categories><title-group><article-title>Treatment Related Impairments in Arm and Shoulder in Patients with Breast Cancer: A Systematic Review</article-title><alt-title alt-title-type="running-head">Impairments in Arm and Shoulder in Breast Cancer</alt-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Hidding</surname><given-names>Janine T.</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="aff" rid="aff2"><sup>2</sup></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib><contrib contrib-type="author"><name><surname>Beurskens</surname><given-names>Carien H. G.</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>van der Wees</surname><given-names>Philip J.</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>van Laarhoven</surname><given-names>Hanneke W. M.</given-names></name><xref ref-type="aff" rid="aff3"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>Nijhuis-van der Sanden</surname><given-names>Maria W. G.</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib></contrib-group><aff id="aff1"><label>1</label><addr-line>Radboud university medical center, Department of Orthopedics, Section of Physical Therapy, Nijmegen, The Netherlands</addr-line></aff><aff id="aff2"><label>2</label><addr-line>Radboud university medical center, Scientific Institute for Quality of Healthcare, Nijmegen, The Netherlands</addr-line></aff><aff id="aff3"><label>3</label><addr-line>Academic Medical Center, Department of Medical Oncology, University of Amsterdam, Amsterdam, The Netherlands</addr-line></aff><contrib-group><contrib contrib-type="editor"><name><surname>Macleod</surname><given-names>Una</given-names></name><role>Editor</role><xref ref-type="aff" rid="edit1"></xref></contrib></contrib-group><aff id="edit1"><addr-line>Supportive care, Early DIagnosis and Advanced disease (SEDA) research group, United Kingdom</addr-line></aff><author-notes><corresp id="cor1">* E-mail: <email>Janine.Hidding@radboudumc.nl</email></corresp><fn fn-type="conflict"><p><bold>Competing Interests: </bold>No authors have any competing interests.</p></fn><fn fn-type="con"><p>Conceived and designed the experiments: JTH CHGB PJW HWML MWGN. Analyzed the data: JTH CHGB PJW HWML MWGN. Contributed reagents/materials/analysis tools: JTH CHGB PJW HWML MWGN. Wrote the paper: JTH CHGB PJW HWML MWGN. Search/data extraction carried out by: JTH CHGB. Contributed in analysis: JTH CHGB HWML MWGN. Contributed in synthesis: JTH CHGB PJW HMWL MWGN.</p></fn></author-notes><pub-date pub-type="collection"><year>2014</year></pub-date><pub-date pub-type="epub"><day>9</day><month>5</month><year>2014</year></pub-date><volume>9</volume><issue>5</issue><elocation-id>e96748</elocation-id><history><date date-type="received"><day>10</day><month>1</month><year>2014</year></date><date date-type="accepted"><day>10</day><month>4</month><year>2014</year></date></history><permissions><copyright-year>2014</copyright-year><copyright-holder>Hidding et al</copyright-holder><license><license-p>This is an open-access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution License</ext-link>, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</license-p></license></permissions><abstract><sec><title>Background</title><p>Breast cancer is the most common type of cancer in women in the developed world. As a result of breast cancer treatment, many patients suffer from serious complaints in their arm and shoulder, leading to limitations in activities of daily living and participation. In this systematic literature review we present an overview of the adverse effects of the integrated breast cancer treatment related to impairment in functions and structures in the upper extremity and upper body and limitations in daily activities. Patients at highest risk were defined.</p></sec><sec><title>Methods and Findings</title><p>We conducted a systematic literature search using the databases of PubMed, Embase, CINAHL and Cochrane from 2000 to October 2012, according to the PRISMA guidelines. Included were studies with patients with stage I–III breast cancer, treated with surgery and additional treatments (radiotherapy, chemotherapy and hormonal therapy). The following health outcomes were extracted: reduced joint mobility, reduced muscle strength, pain, lymphedema and limitations in daily activities. Outcomes were divided in within the first 12 months and >12 months post-operatively. Patients treated with ALND are at the highest risk of developing impairments of the arm and shoulder. Reduced ROM and muscle strength, pain, lymphedema and decreased degree of activities in daily living were reported most frequently in relation to ALND. Lumpectomy was related to a decline in the level of activities of daily living. Radiotherapy and hormonal therapy were the main risk factors for pain.</p></sec><sec><title>Conclusions</title><p>Patients treated with ALND require special attention to detect and consequently address impairments in the arm and shoulder. Patients with pain should be monitored carefully, because pain limits the degree of daily activities. Future research has to describe a complete overview of the medical treatment and analyze outcome in relation to the treatment. Utilization of uniform validated measurement instruments has to be encouraged.</p></sec></abstract><funding-group><funding-statement>The Dutch Society for Lymphology, part of the Royal Dutch Society for Physical Therapy, has funded submission of this manuscript in PLOS ONE. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.</funding-statement></funding-group><counts><page-count count="17"></page-count></counts></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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