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 : 001F72Relationship 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. GanzSource :
- The journal of supportive oncology [ 1544-6794 ] ; 2013.
English descriptors
- KwdEn :
- Activities of Daily Living, Arm (physiopathology), Arm (surgery), Breast Neoplasms (complications), Breast Neoplasms (surgery), Female, Follow-Up Studies, Humans, Lymphedema (etiology), Mastectomy (adverse effects), Middle Aged, Morbidity, Outcome Assessment (Health Care), Patient Participation, Postoperative Complications, Prognosis, Quality of Life, Range of Motion, Articular, Self Report (utilization).
- MESH :
- adverse effects : Mastectomy.
- complications : Breast Neoplasms.
- etiology : Lymphedema.
- physiopathology : Arm.
- surgery : Arm, Breast Neoplasms.
- utilization : Self Report.
- Activities of Daily Living, Female, Follow-Up Studies, Humans, Middle Aged, Morbidity, Outcome Assessment (Health Care), Patient Participation, Postoperative Complications, Prognosis, Quality of Life, Range of Motion, Articular.
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:22951047Le document en format XML
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<series><title level="j">The journal of supportive oncology</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><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>
</keywords>
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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>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">22951047</PMID>
<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>
<Article PubModel="Print"><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>
</Pagination>
<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>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Kopec</LastName>
<ForeName>Jacek A</ForeName>
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<AffiliationInfo><Affiliation>National Surgical Adjuvant Breast and Bowel Project Operations and Biostatistical Center, Pittsburgh, Pennsylvania, USA. jkopec@ufcm.edu</Affiliation>
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<Author ValidYN="Y"><LastName>Land</LastName>
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<MeshHeadingList><MeshHeading><DescriptorName UI="D000203" MajorTopicYN="N">Activities of Daily Living</DescriptorName>
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