Axillary web syndrome assessment using a self-assessment questionnaire: a prospective cohort study

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Abstract

Background: Surgical procedure for breast cancer is not without its side effects and one such side effect is axillary web syndrome (AWS), characterized by palpable fibrotic-like cords in the operated arm. As physical evaluation is the only gold standard method used, our study aims to assess the incidence and early detection of AWS with a self-assessment questionnaire. Methods: From July 2013 to July 2014, 370 breast cancer patients were enrolled. AWS incidence was 51.1%, with 94.1% onset in the first 4 weeks after surgery; 43.5% of the patients did not recover in the first 8 weeks. Univariate analysis showed that BMI (P < 0.001), age (P < 0.001), educational level (P = 0.01), and exercise frequency in the eighth week of follow-up (P < 0.001) were significantly associated with the AWS detection, and multivariate analyses confirmed that younger patients (age < 50) have significantly higher AWS detection (OR = 2.38 (95%CI 1.53, 3.71) and that BMI is associated with AWS, with normal weight patients (BMI ≤ 25) having a significantly greater AWS detection with an odds ratio of 2.11 (95%CI 1.33, 3.36). Conclusion: Our findings indicated that the incidence of AWS is high in breast cancer patients, particularly in the first month after surgery. Not all patients achieved recovery during our 8 week follow-up, suggesting that evaluation and treatment should be longer. Double AWS detection was found for patients who were younger (age < 50) and with normal weight.

Original languageEnglish
Pages (from-to)2801-2807
Number of pages7
JournalSupportive Care in Cancer
Volume26
Issue number8
DOIs
Publication statusPublished - Aug 1 2018

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Cohort Studies
Prospective Studies
Breast Neoplasms
Incidence
Self-Assessment
Surveys and Questionnaires
Weights and Measures
Multivariate Analysis
Odds Ratio
Exercise

Keywords

  • Breast neoplasms
  • Breast reconstruction
  • Lymph node dissection
  • Physiotherapy
  • Rehabilitation

ASJC Scopus subject areas

  • Oncology

Cite this

@article{79265aa439d9489aa1c2e27b3230f421,
title = "Axillary web syndrome assessment using a self-assessment questionnaire: a prospective cohort study",
abstract = "Background: Surgical procedure for breast cancer is not without its side effects and one such side effect is axillary web syndrome (AWS), characterized by palpable fibrotic-like cords in the operated arm. As physical evaluation is the only gold standard method used, our study aims to assess the incidence and early detection of AWS with a self-assessment questionnaire. Methods: From July 2013 to July 2014, 370 breast cancer patients were enrolled. AWS incidence was 51.1{\%}, with 94.1{\%} onset in the first 4 weeks after surgery; 43.5{\%} of the patients did not recover in the first 8 weeks. Univariate analysis showed that BMI (P < 0.001), age (P < 0.001), educational level (P = 0.01), and exercise frequency in the eighth week of follow-up (P < 0.001) were significantly associated with the AWS detection, and multivariate analyses confirmed that younger patients (age < 50) have significantly higher AWS detection (OR = 2.38 (95{\%}CI 1.53, 3.71) and that BMI is associated with AWS, with normal weight patients (BMI ≤ 25) having a significantly greater AWS detection with an odds ratio of 2.11 (95{\%}CI 1.33, 3.36). Conclusion: Our findings indicated that the incidence of AWS is high in breast cancer patients, particularly in the first month after surgery. Not all patients achieved recovery during our 8 week follow-up, suggesting that evaluation and treatment should be longer. Double AWS detection was found for patients who were younger (age < 50) and with normal weight.",
keywords = "Breast neoplasms, Breast reconstruction, Lymph node dissection, Physiotherapy, Rehabilitation",
author = "F. Baggi and {Nevola Teixeira}, {Luiz Felipe} and S. Gandini and Simoncini, {M. C.} and E. Bonacossa and F. Sandrin and {Sciotto Marotta}, M. and G. Lanni and P. Dadda and D. Colpani and A. Luini",
year = "2018",
month = "8",
day = "1",
doi = "10.1007/s00520-018-4123-3",
language = "English",
volume = "26",
pages = "2801--2807",
journal = "Supportive Care in Cancer",
issn = "0941-4355",
publisher = "Springer Verlag",
number = "8",

}

TY - JOUR

T1 - Axillary web syndrome assessment using a self-assessment questionnaire

T2 - a prospective cohort study

AU - Baggi, F.

AU - Nevola Teixeira, Luiz Felipe

AU - Gandini, S.

AU - Simoncini, M. C.

AU - Bonacossa, E.

AU - Sandrin, F.

AU - Sciotto Marotta, M.

AU - Lanni, G.

AU - Dadda, P.

AU - Colpani, D.

AU - Luini, A.

PY - 2018/8/1

Y1 - 2018/8/1

N2 - Background: Surgical procedure for breast cancer is not without its side effects and one such side effect is axillary web syndrome (AWS), characterized by palpable fibrotic-like cords in the operated arm. As physical evaluation is the only gold standard method used, our study aims to assess the incidence and early detection of AWS with a self-assessment questionnaire. Methods: From July 2013 to July 2014, 370 breast cancer patients were enrolled. AWS incidence was 51.1%, with 94.1% onset in the first 4 weeks after surgery; 43.5% of the patients did not recover in the first 8 weeks. Univariate analysis showed that BMI (P < 0.001), age (P < 0.001), educational level (P = 0.01), and exercise frequency in the eighth week of follow-up (P < 0.001) were significantly associated with the AWS detection, and multivariate analyses confirmed that younger patients (age < 50) have significantly higher AWS detection (OR = 2.38 (95%CI 1.53, 3.71) and that BMI is associated with AWS, with normal weight patients (BMI ≤ 25) having a significantly greater AWS detection with an odds ratio of 2.11 (95%CI 1.33, 3.36). Conclusion: Our findings indicated that the incidence of AWS is high in breast cancer patients, particularly in the first month after surgery. Not all patients achieved recovery during our 8 week follow-up, suggesting that evaluation and treatment should be longer. Double AWS detection was found for patients who were younger (age < 50) and with normal weight.

AB - Background: Surgical procedure for breast cancer is not without its side effects and one such side effect is axillary web syndrome (AWS), characterized by palpable fibrotic-like cords in the operated arm. As physical evaluation is the only gold standard method used, our study aims to assess the incidence and early detection of AWS with a self-assessment questionnaire. Methods: From July 2013 to July 2014, 370 breast cancer patients were enrolled. AWS incidence was 51.1%, with 94.1% onset in the first 4 weeks after surgery; 43.5% of the patients did not recover in the first 8 weeks. Univariate analysis showed that BMI (P < 0.001), age (P < 0.001), educational level (P = 0.01), and exercise frequency in the eighth week of follow-up (P < 0.001) were significantly associated with the AWS detection, and multivariate analyses confirmed that younger patients (age < 50) have significantly higher AWS detection (OR = 2.38 (95%CI 1.53, 3.71) and that BMI is associated with AWS, with normal weight patients (BMI ≤ 25) having a significantly greater AWS detection with an odds ratio of 2.11 (95%CI 1.33, 3.36). Conclusion: Our findings indicated that the incidence of AWS is high in breast cancer patients, particularly in the first month after surgery. Not all patients achieved recovery during our 8 week follow-up, suggesting that evaluation and treatment should be longer. Double AWS detection was found for patients who were younger (age < 50) and with normal weight.

KW - Breast neoplasms

KW - Breast reconstruction

KW - Lymph node dissection

KW - Physiotherapy

KW - Rehabilitation

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U2 - 10.1007/s00520-018-4123-3

DO - 10.1007/s00520-018-4123-3

M3 - Article

C2 - 29508139

AN - SCOPUS:85045062472

VL - 26

SP - 2801

EP - 2807

JO - Supportive Care in Cancer

JF - Supportive Care in Cancer

SN - 0941-4355

IS - 8

ER -