Pain characteristics and quality of life of breast cancer survivors that return and do not return to work: an exploratory cross-sectional study
| Autor: | Mirella Dias, Priscilla Geraldine Wittkopf, Bruna Baungarten Hugen Back, Kamilla Zomkowski, Fabiana Flores Sperandio, Anke Bergmann |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
business.industry Cross-sectional study Rehabilitation Pain Breast Neoplasms Pain management medicine.disease Return to work Shoulder stiffness humanities Quadrant (abdomen) Axilla medicine.anatomical_structure Breast cancer Cross-Sectional Studies Quality of life Cancer Survivors Surveys and Questionnaires medicine Physical therapy Quality of Life Humans Female business |
| Zdroj: | Disability and rehabilitation. 43(26) |
| ISSN: | 1464-5165 |
| Popis: | the aim of this study is two-fold: 1) to explore the pain characteristics among breast cancer survivors that return to work and do not return to work; 2) to identify the factors associated with pain on the upper quadrant of the affected side. Sixty-two breast cancer survivors were included. Quality of life was assessed using EORTC QLQ-C30 and QLQ-BR23. Pain characteristics were assessed with a body diagram and a numeric rating scale. Thirty-five breast cancer survivors did not return to work. Ninety-one percent of women that did not return to work reported pain. The most frequent pain sites were the cervical spine and the axilla of the affected side. There were no significant differences in pain intensity between groups. The factors associated with pain on the upper quadrant of the affected side were perception of shoulder stiffness OR = 5.93 (1.38–44.87, 95%CI) and time since surgery of more than four years OR = 5.54 (1.36–20.97, 95% CI). Pain was highly prevalent among breast cancer survivors. Breast cancer survivors that returned to work presented better quality of life. Longer time since surgery and perception of shoulder stiffness were associated with pain on the upper quadrant of the affected side.Implications for rehabilitationPain is a major factor following breast cancer surgery preventing returning to work.This group reported more pain on the cervical spine and axilla of the affected side.Rehabilitation needs to focus specifically on pain management in order to improve quality of life.A multidisciplinary approach involving pain specialists and vocational support is recommended. Pain is a major factor following breast cancer surgery preventing returning to work. This group reported more pain on the cervical spine and axilla of the affected side. Rehabilitation needs to focus specifically on pain management in order to improve quality of life. A multidisciplinary approach involving pain specialists and vocational support is recommended. |
| Databáze: | OpenAIRE |
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