Yıl: 2020 Cilt: 23 Sayı: 3 Sayfa Aralığı: 201 - 208 Metin Dili: İngilizce DOI: 10.31609/jpmrs.2020-73720 İndeks Tarihi: 23-10-2020

The Effect of Breast Cancer Related Lymphedema on Health Related Quality of Life

Öz:
Objective: First, is there any difference in health relatedquality of life (HRQOL) scores between breast cancer-related lymphedema (BCRL) patients and healthy controls? Second, is there anydifference in HRQOL scores of BCRL patients according to lymphedema severity? Material and Methods: The medical records of atotal of 50 healthy volunteers and 78 unilateral BCRL patients were examined between 01 January 2012 and 31 December 2018 in the Physical Medicine and Rehabilitation Training and Research Hospital whichis a tertiary center. Age, gender, BMI, surgical interventions (modifiedradical mastectomy (MRM) + axillary lymph node dissection (ALND)or lumpectomy), chemotherapy, radiotherapy, hormone therapy, pain,numbness, shoulder joint range of motion measurement, time aftersurgery, remove metastasis, metastatic lymph nodes, number ofmetastatic lymph nodes, number of resected lymph nodes, lymphedemastatus, and the SF-36 HRQOL scores of BCRL patients were notedfrom the files. Results: Seventy-eight women with BCRL and 50healthy women were included in the study. When the parameters of theSF-36 HRQOL were compared between the BCRL group and the control group; physical functioning(42.57±8.3 vs. 46.84±7.4, p=0.004),physical role functioning (38.02±12.2 vs. 44.63±10.8, p=0.001), andphysical component summary(40.47±8.4 vs. 45.30±9.7, p=0.005)scores were significantly lower in the BCRL group. Other SF-36HRQOL parameters were similar between the groups (p>0.05). Whenthe parameters of SF-36 HRQOL were compared between the lymphedema ≤ 3 cm and the lymphedema > 3 cm subgroups; all of the parameters were similar(p>0.05). Conclusion: In our study, compared tothe lymphedema and control group SF-36, physical function, physicalrole function and physical component scores in lymphedema patientswere lower and statistically significant. Interestingly, no statisticallysignificant difference was found when SF-36 scores were comparedbetween the lympedema ≤3 cm and >3 cm subgroups. These resultsshow that the presence of lymphedema is much more important than thelymphedema severity in impairing quality of life.
Anahtar Kelime:

Meme Kanserine Bağlı Lenfödemin Sağlıkla İlgili Yaşam Kalitesi Üzerine Etkisi

Öz:
Amaç: Meme kanseri ile ilişkili lenfödem (BCRL) hastaları ile sağlıklı kontroller arasında sağlıkla ilgili yaşam kalitesi (HRQOL) skorları açısından bir fark var mı? BCRL hastalarının HRQOL skorlarında lenfödem şiddetine göre bir fark var mı? Gereç ve Yöntemler: 1 Ocak 2012-31 Aralık 2018 tarihleri arasında üçüncü basamak merkez olan Fiziksel Tıp ve Rehabilitasyon Eğitim ve Araştırma Hastanesi'nde toplam 50 sağlıklı gönüllü ve 78 tek taraflı BCRL hastasının tıbbi kayıtları incelendi. Yaş, cinsiyet, vücut kitle indeksi (BMI), cerrahi müdahaleler (modifiye radikal mastektomi (MRM) + aksiler lenf nodu disseksiyonu (ALND) veya lumpektomi), kemoterapi, radyoterapi, hormon tedavisi, ağrı, uyuşma, omuz eklem hareket açıklığı aralığı, ameliyat sonrası geçen süre, metastaz varlığı, metastatik lenf nodu sayısı, rezeke edilen lenf nodu sayısı, lenfödem durumu ve BCRL hastalarının SF-36 HRQOL skorları kaydedildi. Bulgular: Çalışmaya BCRL'li yetmiş sekiz kadın ve 50 sağlıklı kadın dahil edildi. SF-36 HRQOL parametreleri BCRL grubu ile kontrol grubu arasında karşılaştırıldığında; fiziksel işlevsellik (42,57±8,3’e karşı 46,84±7,4, p=0,004), fiziksel rol işlevi (38,02±12,2 vs. 44,63±10,8, p=0,001) ve fiziksel bileşen özeti (40,47±8,4’e karşılık 45,30±9,7, p=0,005) skorları BCRL grubunda anlamlı olarak düşüktü. Diğer SF-36 HRQOL parametreleri gruplar arasında benzerdi (p>0,05). SF-36 HRQOL parametreleri lenfödem ≤3 cm ve lenfödem >3 cm olan alt gruplar arasında karşılaştırıldığında; tüm parametreler benzerdi (p>0,05). Sonuç: Çalışmamızda lenfödem ve kontrol grubu SF-36 ile karşılaştırıldığında lenfödem hastalarında fiziksel fonksiyon, fiziksel rol fonksiyon ve fiziksel bileşen skorları daha düşük olup istatistiksel olarak anlamlı idi. İlginç bir şekilde, lenfödemi ≤3 cm ve >3 cm olan alt gruplar arasında SF-36 skorları karşılaştırıldığında, istatistiksel olarak anlamlı bir fark bulunmadı. Bu sonuçlar, lenfödem varlığının, yaşam kalitesinde lenfödem şiddetinden çok daha önemli olduğunu göstermektedir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Uyar Köylü S, dalyan m, DELİALİOĞLU Ü (2020). The Effect of Breast Cancer Related Lymphedema on Health Related Quality of Life. , 201 - 208. 10.31609/jpmrs.2020-73720
Chicago Uyar Köylü Sinem,dalyan meltem,DELİALİOĞLU Ünsal Sibel The Effect of Breast Cancer Related Lymphedema on Health Related Quality of Life. (2020): 201 - 208. 10.31609/jpmrs.2020-73720
MLA Uyar Köylü Sinem,dalyan meltem,DELİALİOĞLU Ünsal Sibel The Effect of Breast Cancer Related Lymphedema on Health Related Quality of Life. , 2020, ss.201 - 208. 10.31609/jpmrs.2020-73720
AMA Uyar Köylü S,dalyan m,DELİALİOĞLU Ü The Effect of Breast Cancer Related Lymphedema on Health Related Quality of Life. . 2020; 201 - 208. 10.31609/jpmrs.2020-73720
Vancouver Uyar Köylü S,dalyan m,DELİALİOĞLU Ü The Effect of Breast Cancer Related Lymphedema on Health Related Quality of Life. . 2020; 201 - 208. 10.31609/jpmrs.2020-73720
IEEE Uyar Köylü S,dalyan m,DELİALİOĞLU Ü "The Effect of Breast Cancer Related Lymphedema on Health Related Quality of Life." , ss.201 - 208, 2020. 10.31609/jpmrs.2020-73720
ISNAD Uyar Köylü, Sinem vd. "The Effect of Breast Cancer Related Lymphedema on Health Related Quality of Life". (2020), 201-208. https://doi.org/10.31609/jpmrs.2020-73720
APA Uyar Köylü S, dalyan m, DELİALİOĞLU Ü (2020). The Effect of Breast Cancer Related Lymphedema on Health Related Quality of Life. Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi, 23(3), 201 - 208. 10.31609/jpmrs.2020-73720
Chicago Uyar Köylü Sinem,dalyan meltem,DELİALİOĞLU Ünsal Sibel The Effect of Breast Cancer Related Lymphedema on Health Related Quality of Life. Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi 23, no.3 (2020): 201 - 208. 10.31609/jpmrs.2020-73720
MLA Uyar Köylü Sinem,dalyan meltem,DELİALİOĞLU Ünsal Sibel The Effect of Breast Cancer Related Lymphedema on Health Related Quality of Life. Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi, vol.23, no.3, 2020, ss.201 - 208. 10.31609/jpmrs.2020-73720
AMA Uyar Köylü S,dalyan m,DELİALİOĞLU Ü The Effect of Breast Cancer Related Lymphedema on Health Related Quality of Life. Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi. 2020; 23(3): 201 - 208. 10.31609/jpmrs.2020-73720
Vancouver Uyar Köylü S,dalyan m,DELİALİOĞLU Ü The Effect of Breast Cancer Related Lymphedema on Health Related Quality of Life. Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi. 2020; 23(3): 201 - 208. 10.31609/jpmrs.2020-73720
IEEE Uyar Köylü S,dalyan m,DELİALİOĞLU Ü "The Effect of Breast Cancer Related Lymphedema on Health Related Quality of Life." Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi, 23, ss.201 - 208, 2020. 10.31609/jpmrs.2020-73720
ISNAD Uyar Köylü, Sinem vd. "The Effect of Breast Cancer Related Lymphedema on Health Related Quality of Life". Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi 23/3 (2020), 201-208. https://doi.org/10.31609/jpmrs.2020-73720