Changes in arm morbidities and health-related quality of life after breast cancer surgery – a five-year follow-up study

Sagen, Åse; Kåresen, Rolf; Sandvik, Leiv; Risberg, May Arna

doi:10.3109/02841860903061691

Cited by 62 publications

(34 citation statements)

References 27 publications

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“…The present research did not evaluate the patients in the period prior to surgery, as in some studies (Bergmann et al 2007; Gärtner et al 2009; Petrek et al 2001; Sagen et al 2009), which, in turn, did not confirm the likely post-surgical etiology of AWS.…”

Section: Discussionmentioning

confidence: 66%

Frequency and associated factors of axillary web syndrome in women who had undergone breast cancer surgery: a transversal and retrospective study

et al. 2015

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BackgroundBreast cancer is the most common malignancy among women. Surgical treatment is an essential part of therapy, which still includes chemotherapy, radiotherapy and hormone therapy. The increase in early cancer detection and less aggressive treatment has made longer survival rates possible for women with this neoplasia. Morbidities after treatment have subsequently aroused particular interest in the scientific community in order to minimize their effects and provide increased quality-of-life for these patients. The present study aimed at investigating one of these morbidities: axillary web syndrome, which occurs after axillary surgical management.MethodsFrom December 2011 to September 2012, according to the inclusion and exclusion criteria, 97 patients, who had been surgically treated for breast cancer, were enrolled, interviewed, and submitted to a specific physical exam. An investigation of the axillary cords, characteristic of this syndrome, was performed in all patients.ResultsThe axillary web syndrome was diagnosed in 28.86% of the women. Higher risk of triggering the syndrome has been associated with younger age (21.7%), longer time between first treatment and data collection (29.3%), greater number of resected lymph nodes (149.7%) and surgical management medical teams (113.2%).ConclusionsOne can conclude that axillary web syndrome was associated with younger age, greater time elapsed since surgery, surgical management of medical staff and number of resected lymph nodes.Further studies are needed to review prior-to-surgery and post-operative follow-up, to properly assess the effects of surgery in the axilla on homeostatic balance, not only in the ipsilateral upper limb, but also assess their compensatory consequences throughout the body.

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Section: Discussionmentioning

confidence: 66%

Frequency and associated factors of axillary web syndrome in women who had undergone breast cancer surgery: a transversal and retrospective study

et al. 2015

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“…[15] Percentages in the cohort studies varied from 13%–30%. [20], [29], [39] BMI ≥30 as a risk factor for lymphedema was described in one cohort study with an OR of 4.12 [44] and in another cohort study as an increase of 4.1% or HR of 2.61 for each lymph node removed. [26] Regarding SNB, a third systematic review described percentages ranging from 3%–14% in the first 12 months to 7% in the follow-up of 60 months.…”

Section: Resultsmentioning

confidence: 97%

“…[40] Another study reported less pain during activities compared to rest at six months post-operative and more pain at 60 months. [39] Arm-shoulder pain led to sleep disturbances (OR 3.17). [35].…”

Section: Resultsmentioning

confidence: 99%

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Treatment Related Impairments in Arm and Shoulder in Patients with Breast Cancer: A Systematic Review

et al. 2014

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BackgroundBreast cancer is the most common type of cancer in women in the developed world. As a result of breast cancer treatment, many patients suffer from serious complaints in their arm and shoulder, leading to limitations in activities of daily living and participation. In this systematic literature review we present an overview of the adverse effects of the integrated breast cancer treatment related to impairment in functions and structures in the upper extremity and upper body and limitations in daily activities. Patients at highest risk were defined.Methods and FindingsWe conducted a systematic literature search using the databases of PubMed, Embase, CINAHL and Cochrane from 2000 to October 2012, according to the PRISMA guidelines. Included were studies with patients with stage I–III breast cancer, treated with surgery and additional treatments (radiotherapy, chemotherapy and hormonal therapy). The following health outcomes were extracted: reduced joint mobility, reduced muscle strength, pain, lymphedema and limitations in daily activities. Outcomes were divided in within the first 12 months and >12 months post-operatively. Patients treated with ALND are at the highest risk of developing impairments of the arm and shoulder. Reduced ROM and muscle strength, pain, lymphedema and decreased degree of activities in daily living were reported most frequently in relation to ALND. Lumpectomy was related to a decline in the level of activities of daily living. Radiotherapy and hormonal therapy were the main risk factors for pain.ConclusionsPatients treated with ALND require special attention to detect and consequently address impairments in the arm and shoulder. Patients with pain should be monitored carefully, because pain limits the degree of daily activities. Future research has to describe a complete overview of the medical treatment and analyze outcome in relation to the treatment. Utilization of uniform validated measurement instruments has to be encouraged.

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“…Yet, QoL is affected in BCRL (Ahmed 2008; Chachaj 2010; Lee 2012; Maunsell 1993; Pusic 2013; Ridner 2011; Sagen 2009). Furthermore, at the time the trials were done, lymphedema-specific QoL scales such as the ULL-27 (Augustin 2005); FLQA-L (Launois 2000); Lymph-IFC (Devoogdt 2011) and LYMQOL (Keeley 2010) were either nonexistent or in their infancy.…”

Section: Discussionmentioning

confidence: 99%

Manual lymphatic drainage for lymphedema following breast cancer treatment

Ezzo

Manheimer

McNeely

et al. 2015

Cochrane Database of Systematic Reviews

206

202

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Changes in arm morbidities and health-related quality of life after breast cancer surgery – a five-year follow-up study

Cited by 62 publications

References 27 publications

Frequency and associated factors of axillary web syndrome in women who had undergone breast cancer surgery: a transversal and retrospective study

Frequency and associated factors of axillary web syndrome in women who had undergone breast cancer surgery: a transversal and retrospective study

Treatment Related Impairments in Arm and Shoulder in Patients with Breast Cancer: A Systematic Review

Manual lymphatic drainage for lymphedema following breast cancer treatment

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