Prospective study of shoulder strength, shoulder range of motion, and lymphedema in breast cancer patients from pre-surgery to 5 years after ALND or SLNB
Autor/a
Belmonte, Roser
Messaggi-Sartor, Monique
Ferrer, Montse
Pont, Angels
Escalada, Ferran
Data de publicació
2018ISSN
0941-4355
Resum
Objective: Determine the changes in shoulder strength, shoulder range of motion, and arm volume in breast cancer patients treated with sentinel lymph node biopsy (SLNB) or axillary lymph node dissection (ALND) Method: Sixty-eight SLNB and 44 ALND patients were followed up from pre-surgery to 5 years after surgery. Primary outcomes were the differences between affected and non-affected sides for the following: shoulder strength measured by dynamometry, shoulder range of motion measured by goniometry, and lymphedema measured by volume. As a secondary outcome, health-related quality of life (HRQL) was assessed by the Short Form-36 Health Survey (SF-36) and the Functional Assessment of Cancer Therapy for breast cancer (FACT-B+4) questionnaires. Changes over time were tested for SLNB and ALND using univariate repeated measures analysis of variance. Generalized estimating equation models were constructed to assess the effect of SLNB and ALND over time. Results: After 5 years, the ALND group had significant loss of strength for internal rotators (1.39 kg, p = 0.001) and significant arm volume increase (132.45 mL, p = 0.031). The ALND group had a greater number of patients with clinically relevant internal rotator strength loss (38.7 vs. 13.6%, p = 0.012) and a greater number of lymphedema requiring treatment (33.3 vs. 3.4%, p < 0.001) than the SLNB group. A loss of strength for shoulder external rotators, shoulder range of motion, and HRQL in physical and arm domains persisted at 5 years in both SLNB and ALND groups. Conclusion: These results could help understand and plan the prevention, needs, and long-term care of breast cancer patients.
Tipus de document
Article
Versió del document
Versió publicada
Llengua
English
Matèries (CDU)
61 - Medicina
Paraules clau
Càncer de pulmó
Limfedema
Espatlla
Qualitat de vida
Cáncer de mama
Linfedema
Hombro
Calidad de vida
Breast cancer
Lymphedema
Shoulder
Quality of life
Pàgines
10
Publicat per
Springer Nature
Col·lecció
26
Publicat a
Supportive Care in Cancer
Citació
Belmonte, Roser; Messaggi-Sartor, Monique; Ferrer, Montse [et al.]. Prospective study of shoulder strength, shoulder range of motion, and lymphedema in breast cancer patients from pre-surgery to 5 years after ALND or SLNB. Supportive Care in Cancer , 2018, 26, p. 3277-3287. Disponible en: <https://link.springer.com/article/10.1007/s00520-018-4186-1>. Fecha de acceso: 26 ene. 2024. DOI: 10.1007/s00520-018-4186-1
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