Longitudinal change of treatment-related upper limb dysfunction and its impact on late dysfunction in breast cancer survivors: A prospective cohort study
Background and Objectives To investigate the prevalence of upper limb dysfunction (ULD) and subtypes after breast cancer surgery and to identify factors associated with late ULD. Methods Among 191 enrolled patients, 191 were evaluated at 3 months, 187 at 6 months, and 183 at 12 months after surgery....
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Veröffentlicht in: | Journal of surgical oncology 2010-01, Vol.101 (1), p.84-91 |
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creator | Yang, Eun Joo Park, Won-Beom Seo, Kwan Sik Kim, Sung-Won Heo, Chan-Yeong Lim, Jae-Young |
description | Background and Objectives
To investigate the prevalence of upper limb dysfunction (ULD) and subtypes after breast cancer surgery and to identify factors associated with late ULD.
Methods
Among 191 enrolled patients, 191 were evaluated at 3 months, 187 at 6 months, and 183 at 12 months after surgery. Pain, shoulder range of motion, muscle strength, and arm circumference were assessed. Based on symptoms and physical examinations, the types of ULD common after breast cancer treatment were diagnosed and categorized.
Results
The prevalence of ULD after surgery were 24.6%, 20.9%, and 26.8% at 3, 6, and 12 months, respectively. The most common types of ULD were pectoralis tightness at 3 and 6 months and lymphedema at 12 months. Patients with pectoralis tightness or lymphedema at 3 or 6 months showed a higher prevalence of rotator cuff disease at 12 months compared with those without early pectoralis tightness or lymphedema.
Conclusions
The major post‐operative ULD were pectoralis tightness at 3 and 6 months and lymphedema at 12 months. Late ULD such as rotator cuff disease were associated with pectoral tightness or lymphedema at earlier stages. Diagnosis and treatment of ULD should take place as soon as possible after surgery. J. Surg. Oncol. 2010;101:84–91. © 2009 Wiley‐Liss, Inc. |
doi_str_mv | 10.1002/jso.21435 |
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To investigate the prevalence of upper limb dysfunction (ULD) and subtypes after breast cancer surgery and to identify factors associated with late ULD.
Methods
Among 191 enrolled patients, 191 were evaluated at 3 months, 187 at 6 months, and 183 at 12 months after surgery. Pain, shoulder range of motion, muscle strength, and arm circumference were assessed. Based on symptoms and physical examinations, the types of ULD common after breast cancer treatment were diagnosed and categorized.
Results
The prevalence of ULD after surgery were 24.6%, 20.9%, and 26.8% at 3, 6, and 12 months, respectively. The most common types of ULD were pectoralis tightness at 3 and 6 months and lymphedema at 12 months. Patients with pectoralis tightness or lymphedema at 3 or 6 months showed a higher prevalence of rotator cuff disease at 12 months compared with those without early pectoralis tightness or lymphedema.
Conclusions
The major post‐operative ULD were pectoralis tightness at 3 and 6 months and lymphedema at 12 months. Late ULD such as rotator cuff disease were associated with pectoral tightness or lymphedema at earlier stages. Diagnosis and treatment of ULD should take place as soon as possible after surgery. J. Surg. Oncol. 2010;101:84–91. © 2009 Wiley‐Liss, Inc.</description><identifier>ISSN: 0022-4790</identifier><identifier>EISSN: 1096-9098</identifier><identifier>DOI: 10.1002/jso.21435</identifier><identifier>PMID: 19924721</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Adult ; Aged ; breast cancer ; Breast Neoplasms - pathology ; Breast Neoplasms - physiopathology ; Breast Neoplasms - surgery ; Cohort Studies ; Female ; Humans ; Logistic Models ; Longitudinal Studies ; Lymphedema - epidemiology ; Mastectomy - adverse effects ; Mastectomy, Segmental - adverse effects ; Middle Aged ; Muscle Strength ; objective measurement ; Postoperative Complications - epidemiology ; Prospective Studies ; Range of Motion, Articular ; Sentinel Lymph Node Biopsy ; Upper Extremity - physiopathology ; upper limb dysfunction</subject><ispartof>Journal of surgical oncology, 2010-01, Vol.101 (1), p.84-91</ispartof><rights>Copyright © 2009 Wiley‐Liss, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4635-c3cb160f5f5fead83e16fad2e6493a51c3260e7d285443b30c533d630323ced13</citedby><cites>FETCH-LOGICAL-c4635-c3cb160f5f5fead83e16fad2e6493a51c3260e7d285443b30c533d630323ced13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjso.21435$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjso.21435$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19924721$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yang, Eun Joo</creatorcontrib><creatorcontrib>Park, Won-Beom</creatorcontrib><creatorcontrib>Seo, Kwan Sik</creatorcontrib><creatorcontrib>Kim, Sung-Won</creatorcontrib><creatorcontrib>Heo, Chan-Yeong</creatorcontrib><creatorcontrib>Lim, Jae-Young</creatorcontrib><title>Longitudinal change of treatment-related upper limb dysfunction and its impact on late dysfunction in breast cancer survivors: A prospective cohort study</title><title>Journal of surgical oncology</title><addtitle>J. Surg. Oncol</addtitle><description>Background and Objectives
To investigate the prevalence of upper limb dysfunction (ULD) and subtypes after breast cancer surgery and to identify factors associated with late ULD.
Methods
Among 191 enrolled patients, 191 were evaluated at 3 months, 187 at 6 months, and 183 at 12 months after surgery. Pain, shoulder range of motion, muscle strength, and arm circumference were assessed. Based on symptoms and physical examinations, the types of ULD common after breast cancer treatment were diagnosed and categorized.
Results
The prevalence of ULD after surgery were 24.6%, 20.9%, and 26.8% at 3, 6, and 12 months, respectively. The most common types of ULD were pectoralis tightness at 3 and 6 months and lymphedema at 12 months. Patients with pectoralis tightness or lymphedema at 3 or 6 months showed a higher prevalence of rotator cuff disease at 12 months compared with those without early pectoralis tightness or lymphedema.
Conclusions
The major post‐operative ULD were pectoralis tightness at 3 and 6 months and lymphedema at 12 months. Late ULD such as rotator cuff disease were associated with pectoral tightness or lymphedema at earlier stages. Diagnosis and treatment of ULD should take place as soon as possible after surgery. J. Surg. Oncol. 2010;101:84–91. © 2009 Wiley‐Liss, Inc.</description><subject>Adult</subject><subject>Aged</subject><subject>breast cancer</subject><subject>Breast Neoplasms - pathology</subject><subject>Breast Neoplasms - physiopathology</subject><subject>Breast Neoplasms - surgery</subject><subject>Cohort Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Longitudinal Studies</subject><subject>Lymphedema - epidemiology</subject><subject>Mastectomy - adverse effects</subject><subject>Mastectomy, Segmental - adverse effects</subject><subject>Middle Aged</subject><subject>Muscle Strength</subject><subject>objective measurement</subject><subject>Postoperative Complications - epidemiology</subject><subject>Prospective Studies</subject><subject>Range of Motion, Articular</subject><subject>Sentinel Lymph Node Biopsy</subject><subject>Upper Extremity - physiopathology</subject><subject>upper limb dysfunction</subject><issn>0022-4790</issn><issn>1096-9098</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kc1u1DAURi0EotPCghdA3iEWaf2TOGN2bQUDaEorAWJpOfZN65LYwXamzKPwtrjMAGKBvLBkn3v06X4IPaPkmBLCTm5TOGa05s0DtKBEikoSuXyIFuWPVXUryQE6TOmWECKlqB-jAyolq1tGF-jHOvhrl2frvB6wudH-GnDocY6g8wg-VxEGncHieZog4sGNHbbb1M_eZBc81t5ilxN246RNxuXlHv8HcR53RZcyNtqbIklz3LhNiOkVPsVTDGmCQm4Am3ATYsap5Nk-QY96PSR4ur-P0Oc3rz-dv63Wl6t356frytSCN5XhpqOC9E05oO2SAxW9tgxELbluqOFMEGgtWzZ1zTtOTMO5FZxwxg1Yyo_Qi523BPk2Q8pqdMnAMGgPYU6q5VyQli1JIV_uSFMipwi9mqIbddwqStR9EaoUoX4VUdjne-vcjWD_kvvNF-BkB9y5Abb_N6n3Hy9_K6vdhEsZvv-Z0PGrEi1vG_Xlw0pdXZ21K3JxoQj_CVgCpQ8</recordid><startdate>20100101</startdate><enddate>20100101</enddate><creator>Yang, Eun Joo</creator><creator>Park, Won-Beom</creator><creator>Seo, Kwan Sik</creator><creator>Kim, Sung-Won</creator><creator>Heo, Chan-Yeong</creator><creator>Lim, Jae-Young</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20100101</creationdate><title>Longitudinal change of treatment-related upper limb dysfunction and its impact on late dysfunction in breast cancer survivors: A prospective cohort study</title><author>Yang, Eun Joo ; Park, Won-Beom ; Seo, Kwan Sik ; Kim, Sung-Won ; Heo, Chan-Yeong ; Lim, Jae-Young</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4635-c3cb160f5f5fead83e16fad2e6493a51c3260e7d285443b30c533d630323ced13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adult</topic><topic>Aged</topic><topic>breast cancer</topic><topic>Breast Neoplasms - pathology</topic><topic>Breast Neoplasms - physiopathology</topic><topic>Breast Neoplasms - surgery</topic><topic>Cohort Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Logistic Models</topic><topic>Longitudinal Studies</topic><topic>Lymphedema - epidemiology</topic><topic>Mastectomy - adverse effects</topic><topic>Mastectomy, Segmental - adverse effects</topic><topic>Middle Aged</topic><topic>Muscle Strength</topic><topic>objective measurement</topic><topic>Postoperative Complications - epidemiology</topic><topic>Prospective Studies</topic><topic>Range of Motion, Articular</topic><topic>Sentinel Lymph Node Biopsy</topic><topic>Upper Extremity - physiopathology</topic><topic>upper limb dysfunction</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yang, Eun Joo</creatorcontrib><creatorcontrib>Park, Won-Beom</creatorcontrib><creatorcontrib>Seo, Kwan Sik</creatorcontrib><creatorcontrib>Kim, Sung-Won</creatorcontrib><creatorcontrib>Heo, Chan-Yeong</creatorcontrib><creatorcontrib>Lim, Jae-Young</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of surgical oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yang, Eun Joo</au><au>Park, Won-Beom</au><au>Seo, Kwan Sik</au><au>Kim, Sung-Won</au><au>Heo, Chan-Yeong</au><au>Lim, Jae-Young</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Longitudinal change of treatment-related upper limb dysfunction and its impact on late dysfunction in breast cancer survivors: A prospective cohort study</atitle><jtitle>Journal of surgical oncology</jtitle><addtitle>J. Surg. Oncol</addtitle><date>2010-01-01</date><risdate>2010</risdate><volume>101</volume><issue>1</issue><spage>84</spage><epage>91</epage><pages>84-91</pages><issn>0022-4790</issn><eissn>1096-9098</eissn><abstract>Background and Objectives
To investigate the prevalence of upper limb dysfunction (ULD) and subtypes after breast cancer surgery and to identify factors associated with late ULD.
Methods
Among 191 enrolled patients, 191 were evaluated at 3 months, 187 at 6 months, and 183 at 12 months after surgery. Pain, shoulder range of motion, muscle strength, and arm circumference were assessed. Based on symptoms and physical examinations, the types of ULD common after breast cancer treatment were diagnosed and categorized.
Results
The prevalence of ULD after surgery were 24.6%, 20.9%, and 26.8% at 3, 6, and 12 months, respectively. The most common types of ULD were pectoralis tightness at 3 and 6 months and lymphedema at 12 months. Patients with pectoralis tightness or lymphedema at 3 or 6 months showed a higher prevalence of rotator cuff disease at 12 months compared with those without early pectoralis tightness or lymphedema.
Conclusions
The major post‐operative ULD were pectoralis tightness at 3 and 6 months and lymphedema at 12 months. Late ULD such as rotator cuff disease were associated with pectoral tightness or lymphedema at earlier stages. Diagnosis and treatment of ULD should take place as soon as possible after surgery. J. Surg. Oncol. 2010;101:84–91. © 2009 Wiley‐Liss, Inc.</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>19924721</pmid><doi>10.1002/jso.21435</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Aged breast cancer Breast Neoplasms - pathology Breast Neoplasms - physiopathology Breast Neoplasms - surgery Cohort Studies Female Humans Logistic Models Longitudinal Studies Lymphedema - epidemiology Mastectomy - adverse effects Mastectomy, Segmental - adverse effects Middle Aged Muscle Strength objective measurement Postoperative Complications - epidemiology Prospective Studies Range of Motion, Articular Sentinel Lymph Node Biopsy Upper Extremity - physiopathology upper limb dysfunction |
title | Longitudinal change of treatment-related upper limb dysfunction and its impact on late dysfunction in breast cancer survivors: A prospective cohort study |
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