Skip to main content
Erschienen in:

02.01.2024 | original article

Functional status, depression, and quality of life in female patients with postmastectomy lymphedema

verfasst von: Büşra Varman, MD, Professor Halim Yılmaz, MD, Professor Mehmet Ali Eryılmaz, MD, Yurdagül Bahran Muştu, MD, Asist. Prof. Alper Varman, MD

Erschienen in: European Surgery | Ausgabe 1-2/2024

Einloggen, um Zugang zu erhalten

Summary

Background

This study aimed to evaluate QOL in female patients who had developed lymphedema (LE) following unilateral breast cancer surgery and investigate its relationship to shoulder pain, sleep and depression.

Methods

A total of 69 female patients who had undergone unilateral mastectomy because of breast cancer and had been diagnosed with LE and 69 healthy controls were included in the study. While the QOL of participants was evaluated by the Short Form-36 (SF-36), depression levels were determined by the Beck Depression Inventory (BDI) and quality of sleep was evaluated by the Pittsburgh Sleep Quality Index (PSQI). Shoulder pain on the operated side in the patient group was appraised by the visual analogue scale (VAS).

Results

This study revealed that LE patients had increased levels of depression, sleep disorders, and arm pain, while a decrease was found in the level of upper extremity functions and QOL. Therefore QOL, depression, and sleep disorders should be investigated in detail alongside upper extremity problems in the diagnosis and follow-up of patients with postmastectomy LE.

Conclusion

Postmastectomy LE causes chronic pain and depression and impairs patients’ functionality and QOL.
Literatur
1.
Zurück zum Zitat Jemal A, Siegel R, Ward E, Murray T, Xu J, Smigal C, et al. Cancer statistics. CA Cancer J Clin. 2006;2006(56):106–30.CrossRef Jemal A, Siegel R, Ward E, Murray T, Xu J, Smigal C, et al. Cancer statistics. CA Cancer J Clin. 2006;2006(56):106–30.CrossRef
2.
Zurück zum Zitat Keramopoulos A, Tsionou C, Minaretzis D, Michalas S, Aravantinos D. Arm morbidity following treatment of breast cancer with total axillary dissection: A multivariated approach. Oncology. 1993;50:445–9.CrossRefPubMed Keramopoulos A, Tsionou C, Minaretzis D, Michalas S, Aravantinos D. Arm morbidity following treatment of breast cancer with total axillary dissection: A multivariated approach. Oncology. 1993;50:445–9.CrossRefPubMed
3.
Zurück zum Zitat Hack TF, Cohen L, Katz J, Robson LS, Goss P. Physical and psychological morbidity after axillary lymph node dissection for breast cancer. J Clin Oncol. 1999;17:143–9.CrossRefPubMed Hack TF, Cohen L, Katz J, Robson LS, Goss P. Physical and psychological morbidity after axillary lymph node dissection for breast cancer. J Clin Oncol. 1999;17:143–9.CrossRefPubMed
4.
Zurück zum Zitat Tasmuth T, von Smitten K, Kalso E. Pain and other symptoms during the first year after radical and conservative surgery for breast cancer. Br J Cancer. 1996;74:2024–31.CrossRefPubMedPubMedCentral Tasmuth T, von Smitten K, Kalso E. Pain and other symptoms during the first year after radical and conservative surgery for breast cancer. Br J Cancer. 1996;74:2024–31.CrossRefPubMedPubMedCentral
5.
Zurück zum Zitat Kitamura Y, Ohno Y, Kasahara S, Murata K, Sugiyama H, Oshima A, et al. Statistical estimation of the number of breast cancer patients with disabilities resulting from surgery. Breast Cancer. 2005;12:130–4.CrossRefPubMed Kitamura Y, Ohno Y, Kasahara S, Murata K, Sugiyama H, Oshima A, et al. Statistical estimation of the number of breast cancer patients with disabilities resulting from surgery. Breast Cancer. 2005;12:130–4.CrossRefPubMed
6.
Zurück zum Zitat Kwan W, Jackson J, Weir LM, Dingee C, McGregor G, Olivotto IA. Chronic arm morbidity after curative breast cancer treatment: prevalence and impact on quality of life. J Clin Oncol. 2002;20:4242–8.CrossRefPubMed Kwan W, Jackson J, Weir LM, Dingee C, McGregor G, Olivotto IA. Chronic arm morbidity after curative breast cancer treatment: prevalence and impact on quality of life. J Clin Oncol. 2002;20:4242–8.CrossRefPubMed
7.
Zurück zum Zitat Ozcınar B, Guler SA, Ozmen V, Gulluoğlu BM, Kocaman N, Ozkan M. ve ark. Meme kanserinde lokal/bolgesel tedavi sonrası gorulen komplikasyonlar ve bunların hasta yaşam kalitesi uzerine etkileri. Meme Sağlığı Dergisi 2010;6:9–16. [Ozcınar B, Guler SA, Ozmen V, Gulluoğlu BM, Kocaman N, Ozkan M, ve ark. Complications seen after local / regional treatment in breast cancer and their impact on patient’s quality of life. The. J Breast Health. 2010;6:9–16. Ozcınar B, Guler SA, Ozmen V, Gulluoğlu BM, Kocaman N, Ozkan M. ve ark. Meme kanserinde lokal/bolgesel tedavi sonrası gorulen komplikasyonlar ve bunların hasta yaşam kalitesi uzerine etkileri. Meme Sağlığı Dergisi 2010;6:9–16. [Ozcınar B, Guler SA, Ozmen V, Gulluoğlu BM, Kocaman N, Ozkan M, ve ark. Complications seen after local / regional treatment in breast cancer and their impact on patient’s quality of life. The. J Breast Health. 2010;6:9–16.
8.
Zurück zum Zitat Kurz I. Textbook of Dr Vodder’’s manual lymph drainage, Vol 3 Treatment Manual. Heidelberg: Karl S. Haug Publishers, 1990. Kurz I. Textbook of Dr Vodder’’s manual lymph drainage, Vol 3 Treatment Manual. Heidelberg: Karl S. Haug Publishers, 1990.
9.
Zurück zum Zitat Meijer RS, Rietman JS, Geertzen JH, Bosmans JC, Dijkstra PU. Validity and intra- and interobserver reliability of an indirect volume measurements in patients with upper extremity lymphedema. Lymphology. 2004;37:127–33.PubMed Meijer RS, Rietman JS, Geertzen JH, Bosmans JC, Dijkstra PU. Validity and intra- and interobserver reliability of an indirect volume measurements in patients with upper extremity lymphedema. Lymphology. 2004;37:127–33.PubMed
10.
Zurück zum Zitat International Society of Lymphology. The diagnosis and treatment of peripheral lymphedema. Consens Document Int Soc Lymphology Lymphology. 2009;42(2009):51–60. International Society of Lymphology. The diagnosis and treatment of peripheral lymphedema. Consens Document Int Soc Lymphology Lymphology. 2009;42(2009):51–60.
11.
12.
Zurück zum Zitat Koçyiğit H. Aydemir Ö, Fişek G. Memis A. Validity and reliability of Turkish version of Short Form-36 (SF-36). Turkish J Drug Ther. 1999;12:102–6. Koçyiğit H. Aydemir Ö, Fişek G. Memis A. Validity and reliability of Turkish version of Short Form-36 (SF-36). Turkish J Drug Ther. 1999;12:102–6.
13.
Zurück zum Zitat Aaronson NK, Ahmedzai S, Bergman B, et al. The Europian Organisation for Research and Treatment of Cancer QLQ_C30: a quality of life instrument for use in international clinical trials in oncology. J Natl Cancer Inst. 1993;85:365–76.CrossRefPubMed Aaronson NK, Ahmedzai S, Bergman B, et al. The Europian Organisation for Research and Treatment of Cancer QLQ_C30: a quality of life instrument for use in international clinical trials in oncology. J Natl Cancer Inst. 1993;85:365–76.CrossRefPubMed
14.
Zurück zum Zitat Hisli N.Beck Depresyon Envanterinin geçerliliği üzerine bir çalışma. Psikoloji Dergisi 1988;6:118–126. [Hisli N. A study on the validity of Beck depression inventory. Psikoloji Dergisi 1988;22:118–126.]. Hisli N.Beck Depresyon Envanterinin geçerliliği üzerine bir çalışma. Psikoloji Dergisi 1988;6:118–126. [Hisli N. A study on the validity of Beck depression inventory. Psikoloji Dergisi 1988;22:118–126.].
15.
Zurück zum Zitat Buysse DJ, Reynolds CF, Monk TH. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28:193–213.CrossRefPubMed Buysse DJ, Reynolds CF, Monk TH. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28:193–213.CrossRefPubMed
16.
Zurück zum Zitat Ağargun MY, Kara H, Anlar O. The validity and reliability of the Pittsburgh Sleep Quality Index. Türk Psikiyatri Dergisi. 1996;7:107–11. Ağargun MY, Kara H, Anlar O. The validity and reliability of the Pittsburgh Sleep Quality Index. Türk Psikiyatri Dergisi. 1996;7:107–11.
18.
Zurück zum Zitat Rietman JS, Dijkstra PU, Hoekstra HJ, Eisma WH, Szabo BG, Groothoff JW, et al. Late morbidity after treatment of breast cancer in relation to daily activities and quality of life: a systematic review. Eur J Surg Oncol. 2003;29:229–38.CrossRefPubMed Rietman JS, Dijkstra PU, Hoekstra HJ, Eisma WH, Szabo BG, Groothoff JW, et al. Late morbidity after treatment of breast cancer in relation to daily activities and quality of life: a systematic review. Eur J Surg Oncol. 2003;29:229–38.CrossRefPubMed
19.
Zurück zum Zitat Lee TS, Kilbreath SL, Refshauge KM, Herbert RD, Beith JM. Prognosis of the upper limb following surgery and radiation for breast cancer. Breast Cancer Res Treat. 2008;110:19–37.CrossRefPubMed Lee TS, Kilbreath SL, Refshauge KM, Herbert RD, Beith JM. Prognosis of the upper limb following surgery and radiation for breast cancer. Breast Cancer Res Treat. 2008;110:19–37.CrossRefPubMed
20.
Zurück zum Zitat Jeong HJ, Sim YJ, Hwang KH, Kim GC. Causes of Shoulder Pain in Women with Breast Cancer-Related Lymphedema: A Pilot Study. Yonsei Med J. 2011;52:661–7.CrossRefPubMedPubMedCentral Jeong HJ, Sim YJ, Hwang KH, Kim GC. Causes of Shoulder Pain in Women with Breast Cancer-Related Lymphedema: A Pilot Study. Yonsei Med J. 2011;52:661–7.CrossRefPubMedPubMedCentral
21.
Zurück zum Zitat Selçuk B, Dalyan M, İnanır M. Meme cerrahisi ve aksiller diseksiyon uygulanan hastalarda üst ekstremite muskuloskeletal problemleri. Türk Fiziksel Tıp ve Rehabilitasyon Dergisi 2001;47:38–46. [Selçuk B, Dalyan M, İnanır M. Upper limb musculoskeletal problems in patients undergoing breast surgery and axillary dissection Turkish Journal Physical Medicine Rehabilitation 2001;47:38–46.] Selçuk B, Dalyan M, İnanır M. Meme cerrahisi ve aksiller diseksiyon uygulanan hastalarda üst ekstremite muskuloskeletal problemleri. Türk Fiziksel Tıp ve Rehabilitasyon Dergisi 2001;47:38–46. [Selçuk B, Dalyan M, İnanır M. Upper limb musculoskeletal problems in patients undergoing breast surgery and axillary dissection Turkish Journal Physical Medicine Rehabilitation 2001;47:38–46.]
22.
Zurück zum Zitat Kaya T, Karatepe AG, Gunaydin R, Yetiş H, Uslu A. Disability and health-related quality of life after breast cancer surgery: relation to impairments. South Med J. 2010;103:37–41.CrossRefPubMed Kaya T, Karatepe AG, Gunaydin R, Yetiş H, Uslu A. Disability and health-related quality of life after breast cancer surgery: relation to impairments. South Med J. 2010;103:37–41.CrossRefPubMed
23.
Zurück zum Zitat Goffman TE, Laronga C, Wilson L, Elkins D. Lymphedema of the arm and breast in irradiated breast cancer patients: risks in an era of dramatically changing axillary surgery. Breast J. 2004;10:405–11.CrossRefPubMed Goffman TE, Laronga C, Wilson L, Elkins D. Lymphedema of the arm and breast in irradiated breast cancer patients: risks in an era of dramatically changing axillary surgery. Breast J. 2004;10:405–11.CrossRefPubMed
24.
Zurück zum Zitat Morgan PA, Franks PJ, Moffatt CJ. Health-related quality of life with lymphoedema: a review of the literature. Int Wound J. 2005;2(1):47–62.CrossRefPubMedPubMedCentral Morgan PA, Franks PJ, Moffatt CJ. Health-related quality of life with lymphoedema: a review of the literature. Int Wound J. 2005;2(1):47–62.CrossRefPubMedPubMedCentral
25.
Zurück zum Zitat Isaksson G. Morbidity from Axillary Treatment in Breast Cancer Short. Communication. 2000;39(3):335–6. Isaksson G. Morbidity from Axillary Treatment in Breast Cancer Short. Communication. 2000;39(3):335–6.
Metadaten
Titel
Functional status, depression, and quality of life in female patients with postmastectomy lymphedema
verfasst von
Büşra Varman, MD
Professor Halim Yılmaz, MD
Professor Mehmet Ali Eryılmaz, MD
Yurdagül Bahran Muştu, MD
Asist. Prof. Alper Varman, MD
Publikationsdatum
02.01.2024
Verlag
Springer Vienna
Erschienen in
European Surgery / Ausgabe 1-2/2024
Print ISSN: 1682-8631
Elektronische ISSN: 1682-4016
DOI
https://doi.org/10.1007/s10353-023-00821-y