Article

OBJECTIVES: To explore upper-limb disability with respect to health outcomes,
operationalized by Disabilities of the Arm, Shoulder, and Hand, and to identify
factors associated with each element of upper-limb disability over a 2-year
period in breast cancer survivors. DESIGN: Prospective cohort study. SETTING:
University hospital cancer center. PARTICIPANTS: Individuals
(N=191) recruited
from all the patients with newly diagnosed breast cancer before cancer surgery at
a university hospital between April 2006 and March 2007. INTERVENTIONS: Not
applicable. MAIN OUTCOME MEASURES: We evaluated demographics, social variables,
and upper-limb disability in a baseline assessment preoperatively. Follow-up
evaluations were conducted in outpatient clinics 3 months after surgery and at 12
and 24 months after surgery. Linear regression models with the generalized
estimating equations of the compound symmetry covariance structure were used.
RESULTS: Time since surgery was inversely associated with the impairment items
score (beta=-.20; 95% confidence interval [CI], -.49 to -.08) and positively
associated with the activity limitation items score (beta=.59; 95% CI, .29-.88).
The impact of upper-limb disability preoperatively on the items involving both
the activity limitation and participation restrictions scores was positive
(beta=2.89; 95% CI, .76-5.02) after adjusting for demographic, treatment type,
and socioeconomic factors. CONCLUSIONS: Our study revealed that upper-limb
impairment recovered with time after breast cancer surgery; however, upper-limb
function-related activity and participation were reduced through 2 years after
surgery.
CI - Copyright (c) 2015 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS