Late effects of breast cancer treatment and potentials for rehabilitation

Ewertz, Marianne; Jensen, Anders Bonde

doi:10.3109/0284186x.2010.533190

Cited by 249 publications

(219 citation statements)

References 54 publications

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“…Follow-up programs are recommended to focus on meeting the so fare unmet needs of breast cancer patients using a more holistic approach [18][19][20].…”

Section: Discussionmentioning

confidence: 99%

Fear of cancer recurrence and unmet needs among breast cancer survivors in the first five years. A cross-sectional study

et al. 2017

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Background: It is unclear to which degree the services available after end of treatment are sufficient to meet the needs of women treated for breast cancer. The aim of the present study was to identify patient-reported supportive care needs and the prevalence of fear of cancer recurrence (FCR) following end of treatment in women treated for breast cancer. Material and methods: Using a cross-sectional design, women treated for breast cancer (n ¼ 155; mean age 63) completed questionnaires concerning supportive care needs and FCR. Inclusion criteria were: !18 years of age and treated for primary breast cancer at Aarhus University Hospital, Aarhus, Denmark and between three months and five years after diagnosis. Associations between demographic characteristics, clinical factors, side effects, late effects and the two dependent variables, unmet needs (examined with linear regression model), and FCR (examined with logistic regression model) were analyzed. Results: The response rate was 79.9%. Almost all (82.6%) women reported at least one unmet need (mean number 9.3; range 0-34). More than half (59.3%) of the unmet needs were rated as strong unmet needs. The most frequent unmet needs were concerned with doctors collaborate to coordinate care; the need for having ongoing dialog with healthcare providers to receive available local health care services, understandable and up-to-date information, to manage side effects and feeling reassured that the best medical care are given. Having unmet needs were associated with young age, short time since primary surgery, and having clinical FCR. FCR was reported by 54.8% of the women and was associated with short time since primary surgery, having chemotherapy, having unmet needs, and moderate to severe muscle and joint pain and fatigue. Conclusions: Breast cancer survivors experience substantial unmet needs years after end of treatment, particularly among younger women and women having clinical FCR. Furthermore, FCR is frequent among women, particularly when closer in time to primary surgery.

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“…Follow-up programs are recommended to focus on meeting the so fare unmet needs of breast cancer patients using a more holistic approach [18][19][20].…”

Section: Discussionmentioning

confidence: 99%

Fear of cancer recurrence and unmet needs among breast cancer survivors in the first five years. A cross-sectional study

et al. 2017

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“…2 Common complications include restricted shoulder range of motion (ROM), upper limb weakness, lymphedema, pain, and reduced quality of life. [3][4][5][6][7] A recent systematic review reported that surgery and radiation for breast cancer may cause persistent pain in the arm, shoulder, and breast area in 30%-50% of patients, lymphedema in 15%-25% of patients, and restricted shoulder/arm ROM in 35% of patients for 3-5 years after treatment.…”

mentioning

confidence: 99%

“…[3][4][5][6][7] A recent systematic review reported that surgery and radiation for breast cancer may cause persistent pain in the arm, shoulder, and breast area in 30%-50% of patients, lymphedema in 15%-25% of patients, and restricted shoulder/arm ROM in 35% of patients for 3-5 years after treatment. 2 Another systematic review indicated that the prevalence of shoulder and arm pain is between 9% and 68% and that pain persists in more than 20% of patients at 30 months after surgery. 8 The causes of shoulder pain related to breast cancer are thought to include muscle tightness, neurogenic pain due to lymph node removal, axillary cording, edema formation, and adhesive capsulitis resulting from restricted shoulder motion.…”

mentioning

confidence: 99%

The Efficacy of Exercise Therapy in Reducing Shoulder Pain Related to Breast Cancer: A Systematic Review

Tatham

Smith

Cheifetz

et al. 2013

Physiotherapy Canada

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Purpose: Recent research indicates that physiotherapy interventions, such as exercise and manual therapy, may be effective in decreasing the frequency of side effects linked with breast cancer treatment, including fatigue, pain, nausea, and decreased quality of life. This systematic review aims to determine the efficacy of exercise therapy in reducing shoulder pain related to breast cancer treatment and to identify outcome measures that can be used to assess shoulder pain in this population. Methods: A systematic review of the current literature was conducted using portals such as the Physiotherapy Evidence Database (PEDro), the Cumulative Index to Nursing and Allied Health Literature (CINAHL), PubMed, Ovid MEDLINE (1996 to April 2011), and Allied and Complementary Medicine (AMED) (1985 to April 2011). Databases were searched for relevant studies published up to April 2011. Participants in relevant studies were adults (≥18 years of age) with a primary diagnosis of breast cancer at any point during the treatment of their disease. Results: Six articles were independently appraised by two blinded reviewers. Six studies met the inclusion criteria, each analyzing different types of exercise—shoulder/arm/scapular strengthening/stabilization, postural exercises, general exercises and conditioning, shoulder range-of-motion exercises, and lymphedema exercises—with respect to their efficacy in reducing shoulder pain related to breast cancer treatment. Conclusions: Results suggest that exercise targeting shoulder pain related to breast cancer treatment may be effective. However, definitive conclusions cannot be drawn due to the lack of methodological quality and homogeneity of the studies included. Clinicians should use valid outcome measures, such as the visual analogue scale and brief pain inventory, to evaluate the effectiveness of this treatment.

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“…For these reasons, quality of life remains an important consideration for patients surviving BC, particularly those <40 years of age, and interdisciplinary collaboration has become an essential part of survivor management. Among various side effects of BC, the issues of fertility have been recognized with great importance for young women diagnosed with breast cancer (Sonmezer and Oktay, 2004;Ewertz and Jensen, 2010;Rodriguez-Wallberg and Oktay, 2010;Christinat and Pagani, 2012;Husseinzadeh and Husseinzadeh, 2013;. After the publication of first guidelines on fertility preservation (FP) for cancer patients by American Society of Clinical Oncology (ASCO) in 2006 (Lee et al, 2006), and National Institute for Health and Clinical Excellence (NICE) in 2004 (National Collaborating Center for Women's and Children's Health (UK), 2004), oncologists are recommended to discuss the influences of cancer therapies on fertility with their young patients as early as possible and consider fertility preservation as a part of care.…”

Section: Introductionmentioning

confidence: 99%

“…Fertility preservation options have also been used for other diseases such as lupus, glomerulonephritis, myelodysplasia, and premature ovarian failure as well as in women who wish to preserve their ovarian function for future reproductive potential and delayed childbearing age (Posada et al, 2001;Imhof et al, 2004;Demeestere et al, 2007;Maltaris et al, 2007;Isachenko et al, 2007;Ajala et al, 2010;Rahimi et al, 2010;Dolmans et al, 2010;Michaeli et al, 2012;Husseinzadeh, 2013). Despite rapid progress in cryopreservation technology and existing other resources and infrastructure, fertility preservation for young breast cancer patients is in its early stage with many challenges (Posada et al, 2001;Imhof et al, 2004; National Collaborating Center for Women's and Children's Health (UK), 2004; Sonmezer and Oktay, 2004;Lee et al, 2006;Demeestere et al, 2007;Isachenko et al, 2007;Maltaris et al, 2007;Ajala et al, 2010;Dolmans et al, 2010;Ewertz and Jensen, 2010;Rahimi et al, 2010;Christinat and Pagani, 2012;Klemp and Kim, 2012;King et al, 2012;Michaeli et al, 2012;Klemp and Kim, 2012;King et al, 2012;Fields et al, 2013;Husseinzadeh, 2013;Husseinzadeh and Husseinzadeh, 2013;Leclere et al, 2013;Loren et al, 2013;Ronn and Holzer, 2013). The present study aimed to systematically review available guidelines on preservation of fertility in breast cancer patients.…”

Section: Introductionmentioning

confidence: 99%

Systematic Review of Available Guidelines on Fertility Preservation of Young Patients with Breast Cancer

Haddadi

Muhammadnejad²,

Sadeghi-Fazel³

et al. 2015

Asian Pacific Journal of Cancer Prevention

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Background: Since the survival rate of breast cancer patients has improved, harmful effects of new treatment modalities on fertility of the young breast cancer patients has become a focus of attention. This study aimed to systematically review and critically appraise all available guidelines for fertility preservation in young breast cancer patients. Materials and Methods: Major citation databases were searched for treatment guidelines. Experts from relevant disciplines appraised the available guidelines. The AGREE II Instrument that includes 23 criteria in seven domains (scope and purpose of the guidelines, stakeholder involvement, rigor of development, clarity, applicability, editorial independence, and overall quality) was used to apprise and score the guidelines. Results: The search strategy retrieved 2,606 citations; 72 were considered for full-text screening and seven guidelines were included in the study. There was variability in the scores assigned to different domains among the guidelines. ASCO (2013), with an overall score of 68.0%, had the highest score, and St Gallen, with an overall score of 24.7%, had the lowest scores among the guidelines. Conclusions: With the promising survival rate among breast cancer patients, more attention should be given to include specific fertility preservation recommendations for young breast cancer patients.

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Late effects of breast cancer treatment and potentials for rehabilitation

Cited by 249 publications

References 54 publications

Fear of cancer recurrence and unmet needs among breast cancer survivors in the first five years. A cross-sectional study

Fear of cancer recurrence and unmet needs among breast cancer survivors in the first five years. A cross-sectional study

The Efficacy of Exercise Therapy in Reducing Shoulder Pain Related to Breast Cancer: A Systematic Review

Systematic Review of Available Guidelines on Fertility Preservation of Young Patients with Breast Cancer

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