title: Post lymphadenectomy 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 post-lymphadenectomy 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 = -0.53, P = .000) and impaired shoulder strength in flexion (r = 0.4; P = .000) and abduction (r = -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.
authors.affiliation: Federal University of Minas Gerais, Brazil.
authors.forename: Carolina Rodrigues
authors.initials: CR
authors.lastname: Paim
authors.forename: Elenice Dias Ribeiro
authors.initials: ED
authors.lastname: de Paula Lima
authors.forename: Mei R
authors.initials: MR
authors.lastname: Fu
authors.forename: Alexandre
authors.initials: A
authors.lastname: de Paula Lima
authors.forename: Geovanni Dantas
authors.initials: GD
authors.lastname: Cassali
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000553:Ambulatory Care; D053587:Arthrometry, Articular; D001365:Axilla; D001938:Brazil; D001943:Breast Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery* / Q000628:therapy; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008197:Lymph Node Excision / Q000009:adverse effects*; D008209:Lymphedema / Q000209:etiology; D008875:Middle Aged; D009367:Neoplasm Staging; D010146:Pain / Q000209:etiology*; D010147:Pain Measurement; D011788:Quality of Life; D016059:Range of Motion, Articular; D021701:Sentinel Lymph Node Biopsy / Q000009:adverse effects; D012785:Shoulder Joint / Q000503:physiopathology*