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Analysis of factors related to arm weakness in patients with breast cancer-related lymphedema.

Identifieur interne : 001095 ( PubMed/Curation ); précédent : 001094; suivant : 001096

Analysis of factors related to arm weakness in patients with breast cancer-related lymphedema.

Auteurs : Daegu Lee [Corée du Sud] ; Ji Hye Hwang ; Inho Chu ; Hyun Ju Chang ; Young Hun Shim ; Jung Hyun Kim

Source :

RBID : pubmed:25576430

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English descriptors

Abstract

The aim of this study was to evaluate the ratio of significant weakness in the affected arm of breast cancer-related lymphedema patients to their unaffected side. Another purpose was to identify factors related to arm weakness and physical function in patients with breast cancer-related lymphedema.

DOI: 10.1007/s00520-014-2584-6
PubMed: 25576430

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pubmed:25576430

Le document en format XML

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<title xml:lang="en">Analysis of factors related to arm weakness in patients with breast cancer-related lymphedema.</title>
<author>
<name sortKey="Lee, Daegu" sort="Lee, Daegu" uniqKey="Lee D" first="Daegu" last="Lee">Daegu Lee</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul, 135-710, South Korea.</nlm:affiliation>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea>Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul, 135-710</wicri:regionArea>
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<name sortKey="Hwang, Ji Hye" sort="Hwang, Ji Hye" uniqKey="Hwang J" first="Ji Hye" last="Hwang">Ji Hye Hwang</name>
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<author>
<name sortKey="Chu, Inho" sort="Chu, Inho" uniqKey="Chu I" first="Inho" last="Chu">Inho Chu</name>
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<author>
<name sortKey="Chang, Hyun Ju" sort="Chang, Hyun Ju" uniqKey="Chang H" first="Hyun Ju" last="Chang">Hyun Ju Chang</name>
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<author>
<name sortKey="Shim, Young Hun" sort="Shim, Young Hun" uniqKey="Shim Y" first="Young Hun" last="Shim">Young Hun Shim</name>
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<name sortKey="Kim, Jung Hyun" sort="Kim, Jung Hyun" uniqKey="Kim J" first="Jung Hyun" last="Kim">Jung Hyun Kim</name>
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<name sortKey="Lee, Daegu" sort="Lee, Daegu" uniqKey="Lee D" first="Daegu" last="Lee">Daegu Lee</name>
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<nlm:affiliation>Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul, 135-710, South Korea.</nlm:affiliation>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea>Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul, 135-710</wicri:regionArea>
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<name sortKey="Hwang, Ji Hye" sort="Hwang, Ji Hye" uniqKey="Hwang J" first="Ji Hye" last="Hwang">Ji Hye Hwang</name>
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<name sortKey="Chu, Inho" sort="Chu, Inho" uniqKey="Chu I" first="Inho" last="Chu">Inho Chu</name>
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<name sortKey="Chang, Hyun Ju" sort="Chang, Hyun Ju" uniqKey="Chang H" first="Hyun Ju" last="Chang">Hyun Ju Chang</name>
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<name sortKey="Shim, Young Hun" sort="Shim, Young Hun" uniqKey="Shim Y" first="Young Hun" last="Shim">Young Hun Shim</name>
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<title level="j">Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer</title>
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<term>Adult</term>
<term>Aged</term>
<term>Arm (physiopathology)</term>
<term>Breast Neoplasms (complications)</term>
<term>Breast Neoplasms (physiopathology)</term>
<term>Female</term>
<term>Hand Strength</term>
<term>Humans</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (physiopathology)</term>
<term>Middle Aged</term>
<term>Pain (physiopathology)</term>
<term>Surveys and Questionnaires</term>
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<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Bras (physiopathologie)</term>
<term>Douleur (physiopathologie)</term>
<term>Enquêtes et questionnaires</term>
<term>Femelle</term>
<term>Force de préhension manuelle</term>
<term>Humains</term>
<term>Lymphoedème (physiopathologie)</term>
<term>Lymphoedème (étiologie)</term>
<term>Sujet âgé</term>
<term>Tumeurs du sein ()</term>
<term>Tumeurs du sein (physiopathologie)</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="physiopathologie" xml:lang="fr">
<term>Bras</term>
<term>Douleur</term>
<term>Lymphoedème</term>
<term>Tumeurs du sein</term>
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<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en">
<term>Arm</term>
<term>Breast Neoplasms</term>
<term>Lymphedema</term>
<term>Pain</term>
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<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr">
<term>Lymphoedème</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Female</term>
<term>Hand Strength</term>
<term>Humans</term>
<term>Middle Aged</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Enquêtes et questionnaires</term>
<term>Femelle</term>
<term>Force de préhension manuelle</term>
<term>Humains</term>
<term>Sujet âgé</term>
<term>Tumeurs du sein</term>
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<front>
<div type="abstract" xml:lang="en">The aim of this study was to evaluate the ratio of significant weakness in the affected arm of breast cancer-related lymphedema patients to their unaffected side. Another purpose was to identify factors related to arm weakness and physical function in patients with breast cancer-related lymphedema.</div>
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<DateCreated>
<Year>2015</Year>
<Month>06</Month>
<Day>27</Day>
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<DateCompleted>
<Year>2015</Year>
<Month>10</Month>
<Day>26</Day>
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<Year>2015</Year>
<Month>11</Month>
<Day>19</Day>
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<ISSN IssnType="Electronic">1433-7339</ISSN>
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<Volume>23</Volume>
<Issue>8</Issue>
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<Year>2015</Year>
<Month>Aug</Month>
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</JournalIssue>
<Title>Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer</Title>
<ISOAbbreviation>Support Care Cancer</ISOAbbreviation>
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<ArticleTitle>Analysis of factors related to arm weakness in patients with breast cancer-related lymphedema.</ArticleTitle>
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<MedlinePgn>2297-304</MedlinePgn>
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<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">The aim of this study was to evaluate the ratio of significant weakness in the affected arm of breast cancer-related lymphedema patients to their unaffected side. Another purpose was to identify factors related to arm weakness and physical function in patients with breast cancer-related lymphedema.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Consecutive patients (n = 80) attended a single evaluation session following their outpatient lymphedema clinic visit. Possible independent factors (i.e., lymphedema, pain, psychological, educational, and behavioral) were evaluated. Handgrip strength was used to assess upper extremity muscle strength and the disabilities of arm, shoulder, and hand (DASH) questionnaire was used to assess upper extremity physical function. Multivariate logistic regression was performed using factors that had significant differences between the handgrip weakness and non-weakness groups.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Out of the 80 patients with breast cancer-related lymphedema, 29 patients (36.3 %) had significant weakness in the affected arm. Weakness of the arm with lymphedema was not related to lymphedema itself, but was related to the fear of using the affected limb (odds ratio = 1.76, 95 % confidence interval = 1.30-2.37). Fears of using the affected limb and depression significantly contributed to the variance in DASH scores.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Appropriate physical and psychological interventions, including providing accurate information and reassurance of physical activity safety, are necessary to prevent arm weakness and physical dysfunction in patients with breast cancer-related lymphedema.</AbstractText>
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<Affiliation>Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul, 135-710, South Korea.</Affiliation>
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<Country>Germany</Country>
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