A prospective model of care for breast cancer rehabilitation: postoperative and postreconstructive issues.
Identifieur interne : 002172 ( PubMed/Corpus ); précédent : 002171; suivant : 002173A prospective model of care for breast cancer rehabilitation: postoperative and postreconstructive issues.
Auteurs : Margaret L. Mcneely ; Jill M. Binkley ; Andrea L. Pusic ; Kristin L. Campbell ; Sheryl Gabram ; Peter W. SoballeSource :
- Cancer [ 1097-0142 ] ; 2012.
English descriptors
- KwdEn :
- Adult, Age Factors, Aged, American Cancer Society, Breast Neoplasms (mortality), Breast Neoplasms (rehabilitation), Breast Neoplasms (surgery), Congresses as Topic, Exercise (physiology), Female, Follow-Up Studies, Humans, Longitudinal Studies, Lymphedema (etiology), Lymphedema (rehabilitation), Mammaplasty (adverse effects), Mammaplasty (methods), Mammaplasty (rehabilitation), Mastectomy (adverse effects), Mastectomy (methods), Mastectomy (rehabilitation), Middle Aged, Pain, Postoperative (diagnosis), Pain, Postoperative (rehabilitation), Physical Therapy Modalities, Postoperative Care (methods), Postoperative Complications (diagnosis), Postoperative Complications (rehabilitation), Prospective Studies, Quality of Life, Recovery of Function, Risk Assessment, Survival Rate, Time Factors, Treatment Outcome, United States.
- MESH :
- geographic : United States.
- adverse effects : Mammaplasty, Mastectomy.
- diagnosis : Pain, Postoperative, Postoperative Complications.
- etiology : Lymphedema.
- methods : Mammaplasty, Mastectomy, Postoperative Care.
- mortality : Breast Neoplasms.
- physiology : Exercise.
- rehabilitation : Breast Neoplasms, Lymphedema, Mammaplasty, Mastectomy, Pain, Postoperative, Postoperative Complications.
- surgery : Breast Neoplasms.
- Adult, Age Factors, Aged, American Cancer Society, Congresses as Topic, Female, Follow-Up Studies, Humans, Longitudinal Studies, Middle Aged, Physical Therapy Modalities, Prospective Studies, Quality of Life, Recovery of Function, Risk Assessment, Survival Rate, Time Factors, Treatment Outcome.
Abstract
Appropriate and timely rehabilitation is vital in the recovery from breast cancer surgeries, including breast conserving surgery, mastectomy, axillary lymph node dissection (ALND), and breast reconstruction. This article describes the incidence, prevalence, risk factors and time course for early postoperative effects and the role of prospective surveillance as a rehabilitation strategy to prevent and mitigate them. The most common early postoperative effects include wound issues such as cellulitis, flap necrosis, abscess, dehiscence, hematoma, and seroma. Appropriate treatment is necessary to avoid delay in wound healing that may increase the risk of long-term morbidity, unduly postpone systemic and radiation therapy, and delay rehabilitation. The presence of upper quarter dysfunction (UQD), defined as restricted upper quarter mobility, pain, lymphedema, and impaired sensation and strength, has been reported in over half of survivors after treatment for breast cancer. Moreover, evidence suggests that survivors who undergo breast reconstruction may be at higher risk of UQD. Ensuring the survivor's optimum functioning in the early postoperative time period is critical in the overall recovery from breast cancer. The formal collection of objective measures along with patient-reported outcome measures is recommended for the early detection of postoperative morbidity. Prospective surveillance, including preoperative assessment and structured surveillance, allows for early identification and timely rehabilitation. Early evidence supports a prospective approach to address and minimize postoperative effects.
DOI: 10.1002/cncr.27468
PubMed: 22488697
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pubmed:22488697Le document en format XML
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Campbell</name></author><author><name sortKey="Gabram, Sheryl" sort="Gabram, Sheryl" uniqKey="Gabram S" first="Sheryl" last="Gabram">Sheryl Gabram</name></author><author><name sortKey="Soballe, Peter W" sort="Soballe, Peter W" uniqKey="Soballe P" first="Peter W" last="Soballe">Peter W. Soballe</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2012">2012</date><idno type="RBID">pubmed:22488697</idno><idno type="pmid">22488697</idno><idno type="doi">10.1002/cncr.27468</idno><idno type="wicri:Area/PubMed/Corpus">002172</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">002172</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">A prospective model of care for breast cancer rehabilitation: postoperative and postreconstructive issues.</title><author><name sortKey="Mcneely, Margaret L" sort="Mcneely, Margaret L" uniqKey="Mcneely M" first="Margaret L" last="Mcneely">Margaret L. 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This article describes the incidence, prevalence, risk factors and time course for early postoperative effects and the role of prospective surveillance as a rehabilitation strategy to prevent and mitigate them. The most common early postoperative effects include wound issues such as cellulitis, flap necrosis, abscess, dehiscence, hematoma, and seroma. Appropriate treatment is necessary to avoid delay in wound healing that may increase the risk of long-term morbidity, unduly postpone systemic and radiation therapy, and delay rehabilitation. The presence of upper quarter dysfunction (UQD), defined as restricted upper quarter mobility, pain, lymphedema, and impaired sensation and strength, has been reported in over half of survivors after treatment for breast cancer. Moreover, evidence suggests that survivors who undergo breast reconstruction may be at higher risk of UQD. Ensuring the survivor's optimum functioning in the early postoperative time period is critical in the overall recovery from breast cancer. The formal collection of objective measures along with patient-reported outcome measures is recommended for the early detection of postoperative morbidity. Prospective surveillance, including preoperative assessment and structured surveillance, allows for early identification and timely rehabilitation. Early evidence supports a prospective approach to address and minimize postoperative effects.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">22488697</PMID><DateCreated><Year>2012</Year><Month>04</Month><Day>10</Day></DateCreated><DateCompleted><Year>2012</Year><Month>05</Month><Day>30</Day></DateCompleted><DateRevised><Year>2012</Year><Month>04</Month><Day>10</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1097-0142</ISSN><JournalIssue CitedMedium="Internet"><Volume>118</Volume><Issue>8 Suppl</Issue><PubDate><Year>2012</Year><Month>Apr</Month><Day>15</Day></PubDate></JournalIssue><Title>Cancer</Title><ISOAbbreviation>Cancer</ISOAbbreviation></Journal><ArticleTitle>A prospective model of care for breast cancer rehabilitation: postoperative and postreconstructive issues.</ArticleTitle><Pagination><MedlinePgn>2226-36</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1002/cncr.27468</ELocationID><Abstract><AbstractText>Appropriate and timely rehabilitation is vital in the recovery from breast cancer surgeries, including breast conserving surgery, mastectomy, axillary lymph node dissection (ALND), and breast reconstruction. This article describes the incidence, prevalence, risk factors and time course for early postoperative effects and the role of prospective surveillance as a rehabilitation strategy to prevent and mitigate them. The most common early postoperative effects include wound issues such as cellulitis, flap necrosis, abscess, dehiscence, hematoma, and seroma. Appropriate treatment is necessary to avoid delay in wound healing that may increase the risk of long-term morbidity, unduly postpone systemic and radiation therapy, and delay rehabilitation. The presence of upper quarter dysfunction (UQD), defined as restricted upper quarter mobility, pain, lymphedema, and impaired sensation and strength, has been reported in over half of survivors after treatment for breast cancer. Moreover, evidence suggests that survivors who undergo breast reconstruction may be at higher risk of UQD. Ensuring the survivor's optimum functioning in the early postoperative time period is critical in the overall recovery from breast cancer. The formal collection of objective measures along with patient-reported outcome measures is recommended for the early detection of postoperative morbidity. Prospective surveillance, including preoperative assessment and structured surveillance, allows for early identification and timely rehabilitation. Early evidence supports a prospective approach to address and minimize postoperative effects.</AbstractText><CopyrightInformation>Copyright © 2012 American Cancer Society.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>McNeely</LastName><ForeName>Margaret L</ForeName><Initials>ML</Initials><AffiliationInfo><Affiliation>Department of Physical Therapy and Oncology, University of Alberta and Cross Cancer Institute, Edmonton, Alberta, Canada. mmcneely@ualberta.ca</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Binkley</LastName><ForeName>Jill M</ForeName><Initials>JM</Initials></Author><Author ValidYN="Y"><LastName>Pusic</LastName><ForeName>Andrea L</ForeName><Initials>AL</Initials></Author><Author ValidYN="Y"><LastName>Campbell</LastName><ForeName>Kristin L</ForeName><Initials>KL</Initials></Author><Author ValidYN="Y"><LastName>Gabram</LastName><ForeName>Sheryl</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Soballe</LastName><ForeName>Peter W</ForeName><Initials>PW</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Cancer</MedlineTA><NlmUniqueID>0374236</NlmUniqueID><ISSNLinking>0008-543X</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000367" MajorTopicYN="N">Age Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000570" MajorTopicYN="N">American Cancer Society</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName><QualifierName UI="Q000401" MajorTopicYN="N">mortality</QualifierName><QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003226" MajorTopicYN="N">Congresses as Topic</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015444" MajorTopicYN="N">Exercise</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008137" MajorTopicYN="N">Longitudinal 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MajorTopicYN="Y">Quality of Life</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D020127" MajorTopicYN="N">Recovery of Function</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018570" MajorTopicYN="N">Risk Assessment</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015996" MajorTopicYN="N">Survival Rate</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013997" MajorTopicYN="N">Time Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014481" MajorTopicYN="N" Type="Geographic">United States</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2012</Year><Month>4</Month><Day>11</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate 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