Postlymphadenectomy complications and quality of life among breast cancer patients in Brazil

Carolina Rodrigues Paim, Elenice Dias Ribeiro De Paula Lima, Mei R. Fu, Alexandre De Paula Lima, Geovanni Dantas Cassali

Research output: Contribution to journalArticle

Abstract

This descriptive, cross-sectional, correlational study with a convenience sample of 96 women treated for breast cancer at an outpatient service in Brazil was designed to investigate postlymphadenectomy complications after axillary lymph node dissection (ALND) and sentinel lymph node biopsy and explore the associative relationships between the complications and quality of life. Clinical evaluations using perimetry, goniometry, and muscle strength test were used to evaluate the complications. Pain and quality of life were assessed by the Short-Form McGill Pain Questionnaire and the Functional Assessment of Cancer Therapy-Breast. All participants had at least one complication. Incidence was higher for pain (57%), impaired shoulder strength (57%), and fibrosis (54%), followed by impaired shoulder range of motion (46%) and lymphedema (17%). The incidence of impaired shoulder flexion (P ≤ .01) and lymphedema (P ≤ .002) was higher in ALND group. Winged scapula (8.4%) only occurred in the ALND group. Quality of life was significantly correlated with pain (r ≤ ĝ̂'0.53, P ≤ .000) and impaired shoulder strength in flexion (r ≤ 0.4; P ≤ .000) and abduction (r ≤ ĝ̂'0.5, P ≤ .000). Future studies are needed to prospectively investigate the onset of the complications and identify appropriate interventions to promote quality of life in women treated for breast cancer.

Original languageEnglish (US)
Pages (from-to)302-309
Number of pages8
JournalCancer Nursing
Volume31
Issue number4
DOIs
StatePublished - Jul 2008

Fingerprint

Brazil
Lymph Node Excision
Quality of Life
Breast Neoplasms
Lymphedema
Pain
Sentinel Lymph Node Biopsy
Scapula
Visual Field Tests
Incidence
Muscle Strength
Pain Measurement
Ambulatory Care
Articular Range of Motion
Fibrosis
Cross-Sectional Studies
Therapeutics

Keywords

  • Axillary lymph node dissection
  • Breast cancer
  • Complications
  • Lymphadenectomy
  • Lymphedema
  • Pain
  • Quality of life
  • Sentinel lymph node biopsy

ASJC Scopus subject areas

  • Oncology
  • Oncology(nursing)

Cite this

Postlymphadenectomy complications and quality of life among breast cancer patients in Brazil. / Paim, Carolina Rodrigues; De Paula Lima, Elenice Dias Ribeiro; Fu, Mei R.; De Paula Lima, Alexandre; Cassali, Geovanni Dantas.

In: Cancer Nursing, Vol. 31, No. 4, 07.2008, p. 302-309.

Research output: Contribution to journalArticle

Paim, Carolina Rodrigues ; De Paula Lima, Elenice Dias Ribeiro ; Fu, Mei R. ; De Paula Lima, Alexandre ; Cassali, Geovanni Dantas. / Postlymphadenectomy complications and quality of life among breast cancer patients in Brazil. In: Cancer Nursing. 2008 ; Vol. 31, No. 4. pp. 302-309.
@article{7f9e365533b74fec87fcf16a97c8397f,
title = "Postlymphadenectomy complications and quality of life among breast cancer patients in Brazil",
abstract = "This descriptive, cross-sectional, correlational study with a convenience sample of 96 women treated for breast cancer at an outpatient service in Brazil was designed to investigate postlymphadenectomy complications after axillary lymph node dissection (ALND) and sentinel lymph node biopsy and explore the associative relationships between the complications and quality of life. Clinical evaluations using perimetry, goniometry, and muscle strength test were used to evaluate the complications. Pain and quality of life were assessed by the Short-Form McGill Pain Questionnaire and the Functional Assessment of Cancer Therapy-Breast. All participants had at least one complication. Incidence was higher for pain (57{\%}), impaired shoulder strength (57{\%}), and fibrosis (54{\%}), followed by impaired shoulder range of motion (46{\%}) and lymphedema (17{\%}). The incidence of impaired shoulder flexion (P ≤ .01) and lymphedema (P ≤ .002) was higher in ALND group. Winged scapula (8.4{\%}) only occurred in the ALND group. Quality of life was significantly correlated with pain (r ≤ ĝ̂'0.53, P ≤ .000) and impaired shoulder strength in flexion (r ≤ 0.4; P ≤ .000) and abduction (r ≤ ĝ̂'0.5, P ≤ .000). Future studies are needed to prospectively investigate the onset of the complications and identify appropriate interventions to promote quality of life in women treated for breast cancer.",
keywords = "Axillary lymph node dissection, Breast cancer, Complications, Lymphadenectomy, Lymphedema, Pain, Quality of life, Sentinel lymph node biopsy",
author = "Paim, {Carolina Rodrigues} and {De Paula Lima}, {Elenice Dias Ribeiro} and Fu, {Mei R.} and {De Paula Lima}, Alexandre and Cassali, {Geovanni Dantas}",
year = "2008",
month = "7",
doi = "10.1097/01.NCC.0000305747.49205.b1",
language = "English (US)",
volume = "31",
pages = "302--309",
journal = "Cancer Nursing",
issn = "0162-220X",
publisher = "Lippincott Williams and Wilkins",
number = "4",

}

TY - JOUR

T1 - Postlymphadenectomy complications and quality of life among breast cancer patients in Brazil

AU - Paim, Carolina Rodrigues

AU - De Paula Lima, Elenice Dias Ribeiro

AU - Fu, Mei R.

AU - De Paula Lima, Alexandre

AU - Cassali, Geovanni Dantas

PY - 2008/7

Y1 - 2008/7

N2 - This descriptive, cross-sectional, correlational study with a convenience sample of 96 women treated for breast cancer at an outpatient service in Brazil was designed to investigate postlymphadenectomy complications after axillary lymph node dissection (ALND) and sentinel lymph node biopsy and explore the associative relationships between the complications and quality of life. Clinical evaluations using perimetry, goniometry, and muscle strength test were used to evaluate the complications. Pain and quality of life were assessed by the Short-Form McGill Pain Questionnaire and the Functional Assessment of Cancer Therapy-Breast. All participants had at least one complication. Incidence was higher for pain (57%), impaired shoulder strength (57%), and fibrosis (54%), followed by impaired shoulder range of motion (46%) and lymphedema (17%). The incidence of impaired shoulder flexion (P ≤ .01) and lymphedema (P ≤ .002) was higher in ALND group. Winged scapula (8.4%) only occurred in the ALND group. Quality of life was significantly correlated with pain (r ≤ ĝ̂'0.53, P ≤ .000) and impaired shoulder strength in flexion (r ≤ 0.4; P ≤ .000) and abduction (r ≤ ĝ̂'0.5, P ≤ .000). Future studies are needed to prospectively investigate the onset of the complications and identify appropriate interventions to promote quality of life in women treated for breast cancer.

AB - This descriptive, cross-sectional, correlational study with a convenience sample of 96 women treated for breast cancer at an outpatient service in Brazil was designed to investigate postlymphadenectomy complications after axillary lymph node dissection (ALND) and sentinel lymph node biopsy and explore the associative relationships between the complications and quality of life. Clinical evaluations using perimetry, goniometry, and muscle strength test were used to evaluate the complications. Pain and quality of life were assessed by the Short-Form McGill Pain Questionnaire and the Functional Assessment of Cancer Therapy-Breast. All participants had at least one complication. Incidence was higher for pain (57%), impaired shoulder strength (57%), and fibrosis (54%), followed by impaired shoulder range of motion (46%) and lymphedema (17%). The incidence of impaired shoulder flexion (P ≤ .01) and lymphedema (P ≤ .002) was higher in ALND group. Winged scapula (8.4%) only occurred in the ALND group. Quality of life was significantly correlated with pain (r ≤ ĝ̂'0.53, P ≤ .000) and impaired shoulder strength in flexion (r ≤ 0.4; P ≤ .000) and abduction (r ≤ ĝ̂'0.5, P ≤ .000). Future studies are needed to prospectively investigate the onset of the complications and identify appropriate interventions to promote quality of life in women treated for breast cancer.

KW - Axillary lymph node dissection

KW - Breast cancer

KW - Complications

KW - Lymphadenectomy

KW - Lymphedema

KW - Pain

KW - Quality of life

KW - Sentinel lymph node biopsy

UR - http://www.scopus.com/inward/record.url?scp=56049084936&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=56049084936&partnerID=8YFLogxK

U2 - 10.1097/01.NCC.0000305747.49205.b1

DO - 10.1097/01.NCC.0000305747.49205.b1

M3 - Article

VL - 31

SP - 302

EP - 309

JO - Cancer Nursing

JF - Cancer Nursing

SN - 0162-220X

IS - 4

ER -