Elizabeth A. Chrischilles|Danielle Riley|Elena M. Letuchy|Linda Koehler|Joan Neuner|Cheryl Jernigan|Brian Gryzlak|N.A. Segal|Bradley D. McDowell|Brian M. Smith|Sonia L. Sugg|Jane M. Armer|Ingrid M. Lizarraga
Upper extremity disability and quality of life after breast cancer treatment in the Greater Plains Collaborative clinical research network
University of Iowa|University of Iowa|University of Iowa|University of Minnesota|Medical College of Wisconsin|University of Kansas Medical Center|University of Iowa|University of Iowa|University of Iowa|University of Iowa|University of Iowa|University of Missouri|University of Iowa
chronic upper extremity disability ued common breast cancer treatment underidentified undertreated although ued linked quality life qol role ued mediator contemporary treatment practices qol quantified investigation describes ued contemporary sample breast cancer patients examines relationship personal treatment factors qoleight hundred thirtythree women diagnosed eight medical institutions 20132014 microscopically confirmed ductal carcinoma situ invasive stage iiii breast cancer surveyed average 22 months diagnosis ued measured modified quickdash qol factb questionnaire also collected treatments sociodemographic information comorbidity body mass index 3item health literacy screenerwomen received postmastectomy radiation chemotherapy experienced significantly worse ued qol women lower income lower health literacy prior diabetes arthritis shoulder diagnoses worse ued patients worse ued reported significantly worse qol income health literacy independently associated qol adjustment ued treatment prior conditions indicating mediation ued ued mediated 5279 effect mastectomybased treatments qol compared unilateral mastectomy without radiation ued qol differ type axillary surgery postmastectomy reconstructiona large portion treatment effect qol mediated ued rehabilitation practices prevent alleviate ued likely improve qol breast cancer survivors