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KMID : 0361420120360020240
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Journal of Korean Academy of Rehabilitation Medicine
2012 Volume.36 No. 2 p.240 ~ p.247
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Quality of Life, Upper Extremity Function and the Effect of Lymphedema Treatment in Breast Cancer Related Lymphedema Patients
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Park Ji-Eung
Jang Hye-Jin
Seo Kwan-Sik
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Abstract
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Objective: To evaluate quality of life (QOL), upper extremity function and the eff ect of lymphedema treatment in patients with breast cancer related lymphedema.
Method: The basic data comprised medical records (detailing age, sex, dominant side, location of tumor, cancer stage, operation record, cancer treatment and limb circumferences) and questionnaires (lymphedema duration, satisfaction, self-massage). Further to this, we measured upper extremity function and QOL, administered the DASH (Disabilities of Arm Shoulder and Hand outcome measure) and used the EORTC (European Organization for Research and Treatment of Cancer)-QLQ-C30 and the EORTC-QLQ-Br23. Results of these were calculated as main outcome variables.
Results: The questionnaire responses and arm circumferences of 59 patients with breast cancer related lymphedema were analyzed. In the DASH questionnaire, it was found that the older the lymphedema patient was, the lower their upper extremity function. On the EORTC-QLQ, patients with metastasis had significantly lower scores in physical functioning and role functioning. In terms of upper extremity circumference, there was a signifi cant upper extremity size reduction after lymphedema treatment.
Conclusion: Th ere were several dissociations between some subscales of quality of life questionnaires and those of upper extremity functions. Upper extremity function was correlated with the age of breast cancer patients and QOL was infl uenced by M-stage. Lymphedema treatment was found to be eff ective in reducing edema in patients with breast cancer related lymphedema.
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KEYWORD
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Lymphedema, Breast cancer, Quality of life, Upper extremity function
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