Yıl: 2023 Cilt: 30 Sayı: 5 Sayfa Aralığı: 595 - 597 Metin Dili: İngilizce DOI: 10.5455/annalsmedres.2023.02.056 İndeks Tarihi: 06-06-2023

Evaluation of upper extremity movements in patients with breast conserving treatment with the disabilities of the arm, shoulder and hand (DASH) questionnaire

Öz:
Aim: Surgery and radiotherapy (RT) are local treatment methods that constitute organpreserving treatment in breast cancer. Limitations of arm movements and lymphedema are known side effects that may adversely affect quality of life. With the DASH questionnaire, the extent of the limitation and complaints by answering the questions evaluating the weakness in arm movements were used to understand the patients condition. DASH basically consists of a 30-item scale and is scored from 0 to 100. The DASH questionnaire was applied to patients who underwent breast-conserving surgery to evaluate their upper extremity functions. Materials and Methods: 18 patients with breast cancer who underwent breast conserving surgery (BCS) and RT treatments were evaluated with at least 6 months follow-up. The DASH questionnaire was applied to the patients who are included. The test consists of two parts and the first part used on function evaluation and symptoms includes 30 questions. Results: The median age of the patients was 45 (range: 31-67). Sentinel lymph node dissection (SLND) with BCS is the surgical method performed in all patients, but axillary lymph node dissection (ALND) was added to 13 patients with sentinel node positivity during surgery. All patients received RT. The DASH questionnaire was performed at a median postoperative 14 month (range: 6-25 months). As a result of DASH, the mean scores of the patients were found to be 23.2 (range: 1.7-59.2). Distant metastasis was detected in one of the patients, and no recurrence or metastasis was found in the other patients. Conclusion: DASH questionnaire study was concluded as limited arm movements at the patients despite the advanced surgical and RT techniques. In terms of quality of life, recommendations are important and patients could be informed about arm movements starting from the preoperative period.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Howlader N, Noone A, Krapcho M, Miller D, Bishop K, et al. SEER Cancer. Statistics Review, 1975-2013, National Cancer Institute. Bethesda, MD. 2016.
  • 2. Schmitz KH, Prosnitz RG, Schwartz AL, Carver JR. Prospective surveillance and management of cardiac toxicity and health in breast cancer survivors. Cancer. 2012;118(8 Suppl):2270-2276.
  • 3. Lal H, Kolaja KL, Force T. Cancer genetics and the cardiotoxicity of the therapeutics. Journal of the American College of Cardiology. 2013;61(3):267-274.
  • 4. Hudak PL, Amadio PC, Bombardier C and The Upper Extremity Collaborative Group (UECG): Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder and hand) Am J Ind Med. 1996, 29:602-608.
  • 5. Davis AM, Beaton DE, Hudak P, Amadio P, Bombardier C, et al. Measuring disability of the upper extremity: a rationale supporting the use of a regional outcome measure. J Hand Ther 1999, 12:269-274.
  • 6. National Comprehensive Cancer Network. NCCN Clinical Practice Guidelines in Oncology: Breast Cancer, Version 2. 2013.
  • 7. AJCC. Breast. In: Edge SB, Byrd DR, Compton CC, Fritz AG, Greene FL, Trotti A, editor. AJCC Cancer Staging Manual. 7. New York, NY: Springer; 2010. pp. 347–376.
  • 8. Giuliano AE, Hunt KK, Ballman KV, Beitsch PD, Whitworth PW, et al. Axillary dissection vs no axillary dissection in women with invasive breast cancer and sentinel node metastasis: a randomized clinical trial. JAMA. 2011;305:569–575.
  • 9. Crane-Okada R, Wascher RA, Elashoff D, Giuliano AE. Longterm morbidity of sentinel node biopsy versus complete axillary dissection for unilateral breast cancer. Ann Surg Oncol. 2008;15:1996–2005.
  • 10. McLaughlin SA, Wright MJ, Morris KT, Sampson MR, Brockway JP, et al. Prevalence of lymphedema in women with breast cancer 5 years after sentinel lymph node biopsy or axillary dissection: patient perceptions and precautionary behaviors. J Clin Oncol. 2008;26:5220–5226.
  • 11. Del Bianco P, Zavagno G, Burelli P, Scalco G, Barutta L, et al. GIVOM. Morbidity comparison of sentinel lymph node biopsy versus conventional axillary lymph node dissection for breast cancer patients: results of the sentinella-GIVOM Italian randomised clinical trial. Eur J Surg Oncol. 2008;34:508–513.
  • 12. Fleissig A, Fallowfield LJ, Langridge CI, Johnson L, Newcombe RG, et al. Post-operative arm morbidity and quality of life. Results of the ALMANAC randomised trial comparing sentinel node biopsy with standard axillary treatment in the management of patients with early breast cancer. Breast Cancer Res Treat. 2006;95:279–293.
  • 13. Solway S, Beaton DE, McConnell S, Bombardier C: The DASH Outcome Measure User’s Manual Toronto, Ontario: Institute for Work & Health 2002:5.
  • 14. McGale P, Taylor C, Correa C, et al. Effect of radiotherapy after mastectomy and axillary surgery on 10-year recurrence and 20-year breast cancer mortality: meta-analysis of individual patient data for 8135 women in 22 randomised trials. Lancet 2014;383:2127-2135.
  • 15. Husted JA, Cook RJ, Farewell VT, Gladman DD: Methods for assessing responsiveness: a critical review and recommendations. J Clin Epidemiol. 2000, 53:459-468.
  • 16. Beaton DE, Katz JN, Fossel AH, Wright JG, Tarasuk V et al. Measuring the whole or the parts? Validity, reliability, and responsiveness of the Disabilities of the Arm, Shoulder and Hand outcome measure in different regions of the upper extremity. J Hand Ther 2001, 14:128-146.
  • 17. Gummesson C, Atroshi I, Ekdahl C. The disabilities of the arm, shoulder and hand (DASH) outcome questionnaire: longitudinal construct validity and measuring self-rated health change after surgery. BMC Musculoskelet Disord. 2003 Jun 16;4:11.
APA baskaya yücel s, KADIOGLU H, Gural Z, akgun z, oskeroğlu kaplan s, Bilsel K, Müslümanoğlu M, Kaytan Saglam E (2023). Evaluation of upper extremity movements in patients with breast conserving treatment with the disabilities of the arm, shoulder and hand (DASH) questionnaire. , 595 - 597. 10.5455/annalsmedres.2023.02.056
Chicago baskaya yücel serap,KADIOGLU HÜSEYIN,Gural Zeynep,akgun zuleyha,oskeroğlu kaplan sedenay,Bilsel Kerem,Müslümanoğlu Mahmut,Kaytan Saglam Esra Evaluation of upper extremity movements in patients with breast conserving treatment with the disabilities of the arm, shoulder and hand (DASH) questionnaire. (2023): 595 - 597. 10.5455/annalsmedres.2023.02.056
MLA baskaya yücel serap,KADIOGLU HÜSEYIN,Gural Zeynep,akgun zuleyha,oskeroğlu kaplan sedenay,Bilsel Kerem,Müslümanoğlu Mahmut,Kaytan Saglam Esra Evaluation of upper extremity movements in patients with breast conserving treatment with the disabilities of the arm, shoulder and hand (DASH) questionnaire. , 2023, ss.595 - 597. 10.5455/annalsmedres.2023.02.056
AMA baskaya yücel s,KADIOGLU H,Gural Z,akgun z,oskeroğlu kaplan s,Bilsel K,Müslümanoğlu M,Kaytan Saglam E Evaluation of upper extremity movements in patients with breast conserving treatment with the disabilities of the arm, shoulder and hand (DASH) questionnaire. . 2023; 595 - 597. 10.5455/annalsmedres.2023.02.056
Vancouver baskaya yücel s,KADIOGLU H,Gural Z,akgun z,oskeroğlu kaplan s,Bilsel K,Müslümanoğlu M,Kaytan Saglam E Evaluation of upper extremity movements in patients with breast conserving treatment with the disabilities of the arm, shoulder and hand (DASH) questionnaire. . 2023; 595 - 597. 10.5455/annalsmedres.2023.02.056
IEEE baskaya yücel s,KADIOGLU H,Gural Z,akgun z,oskeroğlu kaplan s,Bilsel K,Müslümanoğlu M,Kaytan Saglam E "Evaluation of upper extremity movements in patients with breast conserving treatment with the disabilities of the arm, shoulder and hand (DASH) questionnaire." , ss.595 - 597, 2023. 10.5455/annalsmedres.2023.02.056
ISNAD baskaya yücel, serap vd. "Evaluation of upper extremity movements in patients with breast conserving treatment with the disabilities of the arm, shoulder and hand (DASH) questionnaire". (2023), 595-597. https://doi.org/10.5455/annalsmedres.2023.02.056
APA baskaya yücel s, KADIOGLU H, Gural Z, akgun z, oskeroğlu kaplan s, Bilsel K, Müslümanoğlu M, Kaytan Saglam E (2023). Evaluation of upper extremity movements in patients with breast conserving treatment with the disabilities of the arm, shoulder and hand (DASH) questionnaire. Annals of Medical Research, 30(5), 595 - 597. 10.5455/annalsmedres.2023.02.056
Chicago baskaya yücel serap,KADIOGLU HÜSEYIN,Gural Zeynep,akgun zuleyha,oskeroğlu kaplan sedenay,Bilsel Kerem,Müslümanoğlu Mahmut,Kaytan Saglam Esra Evaluation of upper extremity movements in patients with breast conserving treatment with the disabilities of the arm, shoulder and hand (DASH) questionnaire. Annals of Medical Research 30, no.5 (2023): 595 - 597. 10.5455/annalsmedres.2023.02.056
MLA baskaya yücel serap,KADIOGLU HÜSEYIN,Gural Zeynep,akgun zuleyha,oskeroğlu kaplan sedenay,Bilsel Kerem,Müslümanoğlu Mahmut,Kaytan Saglam Esra Evaluation of upper extremity movements in patients with breast conserving treatment with the disabilities of the arm, shoulder and hand (DASH) questionnaire. Annals of Medical Research, vol.30, no.5, 2023, ss.595 - 597. 10.5455/annalsmedres.2023.02.056
AMA baskaya yücel s,KADIOGLU H,Gural Z,akgun z,oskeroğlu kaplan s,Bilsel K,Müslümanoğlu M,Kaytan Saglam E Evaluation of upper extremity movements in patients with breast conserving treatment with the disabilities of the arm, shoulder and hand (DASH) questionnaire. Annals of Medical Research. 2023; 30(5): 595 - 597. 10.5455/annalsmedres.2023.02.056
Vancouver baskaya yücel s,KADIOGLU H,Gural Z,akgun z,oskeroğlu kaplan s,Bilsel K,Müslümanoğlu M,Kaytan Saglam E Evaluation of upper extremity movements in patients with breast conserving treatment with the disabilities of the arm, shoulder and hand (DASH) questionnaire. Annals of Medical Research. 2023; 30(5): 595 - 597. 10.5455/annalsmedres.2023.02.056
IEEE baskaya yücel s,KADIOGLU H,Gural Z,akgun z,oskeroğlu kaplan s,Bilsel K,Müslümanoğlu M,Kaytan Saglam E "Evaluation of upper extremity movements in patients with breast conserving treatment with the disabilities of the arm, shoulder and hand (DASH) questionnaire." Annals of Medical Research, 30, ss.595 - 597, 2023. 10.5455/annalsmedres.2023.02.056
ISNAD baskaya yücel, serap vd. "Evaluation of upper extremity movements in patients with breast conserving treatment with the disabilities of the arm, shoulder and hand (DASH) questionnaire". Annals of Medical Research 30/5 (2023), 595-597. https://doi.org/10.5455/annalsmedres.2023.02.056