Risk Factors for Arm Morbidities After Breast Cancer Treatments: A Review | Oncotarget
Channel: Oncotarget
Date: 07/12/2023

Oncotarget #published this #review on December 1, 2023 in Volume 14, entitled, “Risk factors for long-term arm morbidities following breast cancer treatments: A systematic review” by researchers from the Department of Physical Therapy, Assuta Medical Center, Ramat Hahayal, Tel Aviv 6971028, Israel; Department of Epidemiology, Biostatistics and Community Health Sciences, School of Public Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva 8410501, Israel; Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva 8410501, Israel.
#cancer #breastcancer #riskfactors #arm #morbidities #physicaltherapy #oncology #openaccess #openscience #peerreview #cancerresearch #research #journal #publication #meded #publishing

DOI - https://doi.org/10.18632/oncotarget.28539

Correspondence to - Ifat Klein - ifatgoldberg@hotmail.com

Abstract

Purpose: To examine the risk factors for arm morbidity following breast cancer treatments, taking a broad view of all types of physical morbidity, including prolonged pain, lymphedema, decreased range of motion, and functional limitations.

Methods: A systematic literature review was performed according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Guidelines. Studies exploring the risk factors for prolonged arm morbidity following breast cancer surgery and treatments were included. The studies were assessed independently according to pre-eligibility criteria, following data extraction and methodological quality assessment.

Results: 1,242 articles were identified. After removing duplicates, the full texts of 1,153 articles were examined. Sixty-nine of these articles met the criteria and were included in the review. These 69 articles identified 29 risk factors for arm morbidity following treatments for breast cancer. The risk of bias was evaluated using NIH study quality assessment tools. The studies reviewed were published between 2001 and 2021 and included a total of 22,886 patients who were followed up for between three months and 10 years.

Conclusions: The main risk factors for long-term morbidity are removal of lymph nodes from the axilla, body mass index less than 30, having undergone a mastectomy, the stage of the disease, radiation therapy, chemotherapy, infection and trauma to the affected arm after surgery. An understanding of the risk factors for prolonged arm morbidity after surgery can help doctors and therapists in making personalized decisions about the need and timing of rehabilitation treatments.

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Keywords - cancer, risk factors, arm morbidity, physical rehabilitation, breast cancer

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