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Relationship between arm morbidity and patient-reported outcomes following surgery in women with node-negative breast cancer: NSABP protocol B-32.

Identifieur interne : 001F71 ( PubMed/Corpus ); précédent : 001F70; suivant : 001F72

Relationship between arm morbidity and patient-reported outcomes following surgery in women with node-negative breast cancer: NSABP protocol B-32.

Auteurs : Jacek A. Kopec ; Linda H. Colangelo ; Stephanie R. Land ; Thomas B. Julian ; Ann M. Brown ; Stewart J. Anderson ; David N. Krag ; Takamaru Ashikaga ; Joseph P. Costatino ; Norman Wolmark ; Patricia A. Ganz

Source :

RBID : pubmed:22951047

English descriptors

Abstract

The impact of arm morbidity following breast cancer surgery on patient-observed changes in daily functioning and health-related quality of life (HRQoL) has not been well-studied.

DOI: 10.1016/j.suponc.2012.05.003
PubMed: 22951047

Links to Exploration step

pubmed:22951047

Le document en format XML

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<term>Activities of Daily Living</term>
<term>Arm (physiopathology)</term>
<term>Arm (surgery)</term>
<term>Breast Neoplasms (complications)</term>
<term>Breast Neoplasms (surgery)</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Lymphedema (etiology)</term>
<term>Mastectomy (adverse effects)</term>
<term>Middle Aged</term>
<term>Morbidity</term>
<term>Outcome Assessment (Health Care)</term>
<term>Patient Participation</term>
<term>Postoperative Complications</term>
<term>Prognosis</term>
<term>Quality of Life</term>
<term>Range of Motion, Articular</term>
<term>Self Report (utilization)</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en">
<term>Mastectomy</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en">
<term>Arm</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Arm</term>
<term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="utilization" xml:lang="en">
<term>Self Report</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Activities of Daily Living</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Middle Aged</term>
<term>Morbidity</term>
<term>Outcome Assessment (Health Care)</term>
<term>Patient Participation</term>
<term>Postoperative Complications</term>
<term>Prognosis</term>
<term>Quality of Life</term>
<term>Range of Motion, Articular</term>
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<front>
<div type="abstract" xml:lang="en">The impact of arm morbidity following breast cancer surgery on patient-observed changes in daily functioning and health-related quality of life (HRQoL) has not been well-studied.</div>
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<DateCreated>
<Year>2013</Year>
<Month>05</Month>
<Day>29</Day>
</DateCreated>
<DateCompleted>
<Year>2013</Year>
<Month>06</Month>
<Day>27</Day>
</DateCompleted>
<DateRevised>
<Year>2017</Year>
<Month>02</Month>
<Day>20</Day>
</DateRevised>
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<Journal>
<ISSN IssnType="Print">1544-6794</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>11</Volume>
<Issue>1</Issue>
<PubDate>
<Year>2013</Year>
<Month>Mar</Month>
</PubDate>
</JournalIssue>
<Title>The journal of supportive oncology</Title>
<ISOAbbreviation>J Support Oncol</ISOAbbreviation>
</Journal>
<ArticleTitle>Relationship between arm morbidity and patient-reported outcomes following surgery in women with node-negative breast cancer: NSABP protocol B-32.</ArticleTitle>
<Pagination>
<MedlinePgn>22-30</MedlinePgn>
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<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The impact of arm morbidity following breast cancer surgery on patient-observed changes in daily functioning and health-related quality of life (HRQoL) has not been well-studied.</AbstractText>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To examine the association of objective measures such as range of motion (ROM) and lymphedema, with patient-reported outcomes (PROs) in the arm and breast, upper extremity function, activities, and HRQoL.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">The National Surgical Adjuvant Breast and Bowel Project Protocol B-32 was a randomized trial comparing sentinel node resection (SNR) with axillary dissection (AD) in women with node-negative breast cancer. ROM and arm volume were measured objectively. PROs included symptoms; arm function; limitations in social, recreational, occupational, and other regular activities; and a global index of HRQoL. Statistical methods included cross-tabulations and multivariable linear regression models.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">In all, 744 women provided at least 1 postsurgery assessment. About one-third of the patients experienced arm mobility restrictions. A similar number of patients avoided the use of the arm 6 months after surgery. Limitations in work and other regular activities were reported by about a quarter of the patients. In this multivariable analysis, arm mobility and sensory neuropathy were predictors of patient-reported arm function and overall HRQoL. Predictors for activity limitations also included side of surgery (dominant vs nondominant). Edema was not significant after adjustment for sensory neuropathy and ROM.</AbstractText>
<AbstractText Label="LIMITATIONS" NlmCategory="CONCLUSIONS">Arm mobility and edema were measured simultaneously only once during the follow-up (6 months).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Clinical measures of sensory neuropathy and restrictions in arm mobility following breast cancer surgery are associated with self-reported limitations in activity and reductions in overall HRQoL.</AbstractText>
</Abstract>
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<ForeName>Jacek A</ForeName>
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</AffiliationInfo>
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<ForeName>Linda H</ForeName>
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<LastName>Land</LastName>
<ForeName>Stephanie R</ForeName>
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<Acronym>CA</Acronym>
<Agency>NCI NIH HHS</Agency>
<Country>United States</Country>
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<MeshHeading>
<DescriptorName UI="D000203" MajorTopicYN="N">Activities of Daily Living</DescriptorName>
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<DescriptorName UI="D001132" MajorTopicYN="N">Arm</DescriptorName>
<QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
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<DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
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<DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName>
<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008408" MajorTopicYN="N">Mastectomy</DescriptorName>
<QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName>
</MeshHeading>
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<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D009017" MajorTopicYN="Y">Morbidity</DescriptorName>
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<DescriptorName UI="D017063" MajorTopicYN="Y">Outcome Assessment (Health Care)</DescriptorName>
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<DescriptorName UI="D010358" MajorTopicYN="N">Patient Participation</DescriptorName>
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<DescriptorName UI="D011183" MajorTopicYN="Y">Postoperative Complications</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D011379" MajorTopicYN="N">Prognosis</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D011788" MajorTopicYN="N">Quality of Life</DescriptorName>
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<DescriptorName UI="D016059" MajorTopicYN="N">Range of Motion, Articular</DescriptorName>
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<Year>2011</Year>
<Month>07</Month>
<Day>21</Day>
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<Month>05</Month>
<Day>07</Day>
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<Month>06</Month>
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