Upper Limb Functionality and Quality of Life in Women with Five-Year Survival after Breast Cancer Surgery

Abstract Objective To evaluate the correlation between upper limb functionality and quality of life in women with five-year survival following breast cancer surgical treatment. The secondary objective was to evaluate the function of the ipsilateral upper limb and the quality of life in relation to...

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Main Authors: Thaís Lunardi Recchia, Amably Cristiny Prim, Clarissa Medeiros da Luz
Format: Article
Language:English
Published: Federação Brasileira das Sociedades de Ginecologia e Obstetrícia 2017-03-01
Series:Revista Brasileira de Ginecologia e Obstetrícia
Subjects:
Online Access:http://www.scielo.br/pdf/rbgo/v39n3/0100-7203-rbgo-39-03-00115.pdf
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author Thaís Lunardi Recchia
Amably Cristiny Prim
Clarissa Medeiros da Luz
author_facet Thaís Lunardi Recchia
Amably Cristiny Prim
Clarissa Medeiros da Luz
author_sort Thaís Lunardi Recchia
collection DOAJ
description Abstract Objective To evaluate the correlation between upper limb functionality and quality of life in women with five-year survival following breast cancer surgical treatment. The secondary objective was to evaluate the function of the ipsilateral upper limb and the quality of life in relation to the type of surgery and the presence of pain. Methods The Disabilities of Arm, Shoulder and Hand (DASH), and the Functional Assessment of Cancer Therapy - Breast plus Arm Morbidity (FACTB + 4) questionnaires were used to evaluate upper limb function and quality of life respectively. Data distribution was verified by the Shapiro-Wilk test. Pearson's correlation coefficient was used for the parametric variables, and Spearman's rank correlation coefficient was used for the distribution of non-parametric variables. The statistical significance was set at 5% (p < 0.05). Results The study included 30 patients, with a mean age of 51.23 (±8.72) years. The most common complications were: pain (50%), adherence (33.3%), and nerve lesion (20.0%). There was a moderate negative correlation between the instruments DASH and FACTB + 4 (total score), r = -0.634, and a strong negative correlation between the DASH and the FACTB + 4 armsubscale, r = -0.829. The scores of both questionnaires showed significant difference on the manifestation of pain. However, there was no significant difference found when comparing the scores considering the type of surgery performed. Conclusions Five years after surgery, the patients showed regular functionality levels on the ipsilateral upper limb and decreased quality of life, especially in the group manifesting pain.
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spelling doaj.art-79a588ac23384a5694455be5d42431c42022-12-22T04:15:28ZengFederação Brasileira das Sociedades de Ginecologia e ObstetríciaRevista Brasileira de Ginecologia e Obstetrícia0100-72032017-03-0139311512210.1055/s-0037-1598642Upper Limb Functionality and Quality of Life in Women with Five-Year Survival after Breast Cancer SurgeryThaís Lunardi RecchiaAmably Cristiny PrimClarissa Medeiros da LuzAbstract Objective To evaluate the correlation between upper limb functionality and quality of life in women with five-year survival following breast cancer surgical treatment. The secondary objective was to evaluate the function of the ipsilateral upper limb and the quality of life in relation to the type of surgery and the presence of pain. Methods The Disabilities of Arm, Shoulder and Hand (DASH), and the Functional Assessment of Cancer Therapy - Breast plus Arm Morbidity (FACTB + 4) questionnaires were used to evaluate upper limb function and quality of life respectively. Data distribution was verified by the Shapiro-Wilk test. Pearson's correlation coefficient was used for the parametric variables, and Spearman's rank correlation coefficient was used for the distribution of non-parametric variables. The statistical significance was set at 5% (p < 0.05). Results The study included 30 patients, with a mean age of 51.23 (±8.72) years. The most common complications were: pain (50%), adherence (33.3%), and nerve lesion (20.0%). There was a moderate negative correlation between the instruments DASH and FACTB + 4 (total score), r = -0.634, and a strong negative correlation between the DASH and the FACTB + 4 armsubscale, r = -0.829. The scores of both questionnaires showed significant difference on the manifestation of pain. However, there was no significant difference found when comparing the scores considering the type of surgery performed. Conclusions Five years after surgery, the patients showed regular functionality levels on the ipsilateral upper limb and decreased quality of life, especially in the group manifesting pain.http://www.scielo.br/pdf/rbgo/v39n3/0100-7203-rbgo-39-03-00115.pdfmastectomyrange of motionquality of lifeupper limb functionality
spellingShingle Thaís Lunardi Recchia
Amably Cristiny Prim
Clarissa Medeiros da Luz
Upper Limb Functionality and Quality of Life in Women with Five-Year Survival after Breast Cancer Surgery
Revista Brasileira de Ginecologia e Obstetrícia
mastectomy
range of motion
quality of life
upper limb functionality
title Upper Limb Functionality and Quality of Life in Women with Five-Year Survival after Breast Cancer Surgery
title_full Upper Limb Functionality and Quality of Life in Women with Five-Year Survival after Breast Cancer Surgery
title_fullStr Upper Limb Functionality and Quality of Life in Women with Five-Year Survival after Breast Cancer Surgery
title_full_unstemmed Upper Limb Functionality and Quality of Life in Women with Five-Year Survival after Breast Cancer Surgery
title_short Upper Limb Functionality and Quality of Life in Women with Five-Year Survival after Breast Cancer Surgery
title_sort upper limb functionality and quality of life in women with five year survival after breast cancer surgery
topic mastectomy
range of motion
quality of life
upper limb functionality
url http://www.scielo.br/pdf/rbgo/v39n3/0100-7203-rbgo-39-03-00115.pdf
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AT amablycristinyprim upperlimbfunctionalityandqualityoflifeinwomenwithfiveyearsurvivalafterbreastcancersurgery
AT clarissamedeirosdaluz upperlimbfunctionalityandqualityoflifeinwomenwithfiveyearsurvivalafterbreastcancersurgery