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      KCI등재 SCIE SCOPUS

      Persistent Pain after Breast Cancer Treatment: A Questionnaire-Based Study on the Prevalence, Associated Treatment Variables, and Pain Type

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      https://www.riss.kr/link?id=A104427254

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      다국어 초록 (Multilingual Abstract)

      Purpose: Persistent pain is a common side effect of breast cancer treatment. The present study aimed to assess the prevalence, associated treatment-related factors, and the type of pain (neuropathic or nociceptive) in patients who had undergone a unilateral mastectomy. Methods: All women who underwent a unilateral mastectomy at a University Hospital between 2009 and 2013 were eligible for inclusion. Women with breast reconstruction or active cancer were excluded. Participants were mailed a questionnaire evaluating the prevalence, location, intensity, and frequency of surgical site pain. Additionally, the painDETECT ®, a validated instrument to evaluate neuropathic pain, was mailed to all participants. Results: A total of 305 women were included, and of them, 261 (85.6%) completed the study questionnaire.
      After a median follow-up period of 3.0 years, 100 women (38.3%) reported experiencing pain at the surgical site.
      Body mass index ≥30 kg/m2, radiation therapy, and axillary lymph node dissection were significantly associated with persistent pain in univariate models. However, only body mass index ≥30 kg/m2 was independently associated with persistent pain (odds ratio, 2.13; 95% confidence interval, 1.06–4.27; p=0.034) in a multivariate analysis. Of the patients reporting pain, 71.0% were unlikely to have a neuropathic pain component. A moderate, but highly significant, positive correlation was observed between the pain intensity and the painDETECT® score (rs=0.47, p<0.001). Conclusion: Persistent pain after breast cancer treatment continues to have a high prevalence. Our results indicate that the largest proportion of patients experiencing persistent pain after breast cancer treatment do not have a clear neuropathic pain component.
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      Purpose: Persistent pain is a common side effect of breast cancer treatment. The present study aimed to assess the prevalence, associated treatment-related factors, and the type of pain (neuropathic or nociceptive) in patients who had undergone a unil...

      Purpose: Persistent pain is a common side effect of breast cancer treatment. The present study aimed to assess the prevalence, associated treatment-related factors, and the type of pain (neuropathic or nociceptive) in patients who had undergone a unilateral mastectomy. Methods: All women who underwent a unilateral mastectomy at a University Hospital between 2009 and 2013 were eligible for inclusion. Women with breast reconstruction or active cancer were excluded. Participants were mailed a questionnaire evaluating the prevalence, location, intensity, and frequency of surgical site pain. Additionally, the painDETECT ®, a validated instrument to evaluate neuropathic pain, was mailed to all participants. Results: A total of 305 women were included, and of them, 261 (85.6%) completed the study questionnaire.
      After a median follow-up period of 3.0 years, 100 women (38.3%) reported experiencing pain at the surgical site.
      Body mass index ≥30 kg/m2, radiation therapy, and axillary lymph node dissection were significantly associated with persistent pain in univariate models. However, only body mass index ≥30 kg/m2 was independently associated with persistent pain (odds ratio, 2.13; 95% confidence interval, 1.06–4.27; p=0.034) in a multivariate analysis. Of the patients reporting pain, 71.0% were unlikely to have a neuropathic pain component. A moderate, but highly significant, positive correlation was observed between the pain intensity and the painDETECT® score (rs=0.47, p<0.001). Conclusion: Persistent pain after breast cancer treatment continues to have a high prevalence. Our results indicate that the largest proportion of patients experiencing persistent pain after breast cancer treatment do not have a clear neuropathic pain component.

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      참고문헌 (Reference)

      1 Freynhagen R, "painDETECT: a new screening questionnaire to identify neuropathic components in patients with back pain" 22 : 1911-1920, 2006

      2 Johansen J, "Treatment of morbidity associated with the management of the axilla in breast-conserving therapy" 39 : 349-354, 2000

      3 Vilholm OJ, "The postmastectomy pain syndrome: an epidemiological study on the prevalence of chronic pain after surgery for breast cancer" 99 : 604-610, 2008

      4 Haroutiunian S, "The neuropathic component in persistent postsurgical pain: a systematic literature review" 154 : 95-102, 2013

      5 Vilholm OJ, "Sensory function and pain in a population of patients treated for breast cancer" 53 : 800-806, 2009

      6 Carpenter JS, "Risk factors for pain after mastectomy/lumpectomy" 7 : 66-70, 1999

      7 Gottrup H, "Psychophysical examination in patients with post-mastectomy pain" 87 : 275-284, 2000

      8 Bruce J, "Psychological, surgical, and sociodemographic predictors of pain outcomes after breast cancer surgery: a population-based cohort study" 155 : 232-243, 2014

      9 Abdullah TI, "Prospective randomized controlled trial of preservation of the intercostobrachial nerve during axillary node clearance for breast cancer" 85 : 1443-1445, 1998

      10 Gärtner R, "Prevalence of and factors associated with persistent pain following breast cancer surgery" 302 : 1985-1992, 2009

      1 Freynhagen R, "painDETECT: a new screening questionnaire to identify neuropathic components in patients with back pain" 22 : 1911-1920, 2006

      2 Johansen J, "Treatment of morbidity associated with the management of the axilla in breast-conserving therapy" 39 : 349-354, 2000

      3 Vilholm OJ, "The postmastectomy pain syndrome: an epidemiological study on the prevalence of chronic pain after surgery for breast cancer" 99 : 604-610, 2008

      4 Haroutiunian S, "The neuropathic component in persistent postsurgical pain: a systematic literature review" 154 : 95-102, 2013

      5 Vilholm OJ, "Sensory function and pain in a population of patients treated for breast cancer" 53 : 800-806, 2009

      6 Carpenter JS, "Risk factors for pain after mastectomy/lumpectomy" 7 : 66-70, 1999

      7 Gottrup H, "Psychophysical examination in patients with post-mastectomy pain" 87 : 275-284, 2000

      8 Bruce J, "Psychological, surgical, and sociodemographic predictors of pain outcomes after breast cancer surgery: a population-based cohort study" 155 : 232-243, 2014

      9 Abdullah TI, "Prospective randomized controlled trial of preservation of the intercostobrachial nerve during axillary node clearance for breast cancer" 85 : 1443-1445, 1998

      10 Gärtner R, "Prevalence of and factors associated with persistent pain following breast cancer surgery" 302 : 1985-1992, 2009

      11 Salmon RJ, "Preservation versus section of intercostal-brachial nerve (IBN) in axillary dissection for breast cancer: a prospective randomized trial" 24 : 158-161, 1998

      12 Langford DJ, "Preoperative breast pain predicts persistent breast pain and disability after breast cancer surgery" 49 : 981-994, 2015

      13 Andersen KG, "Predictive factors for the development of persistent pain after breast cancer surgery" 156 : 2413-2422, 2015

      14 Carpenter JS, "Postmastectomy/postlumpectomy pain in breast cancer survivors" 51 : 1285-1292, 1998

      15 Christiansen P, "Position paper: breast cancer screening, diagnosis, and treatment in Denmark" 53 : 433-444, 2014

      16 Belfer I, "Persistent postmastectomy pain in breast cancer survivors: analysis of clinical, demographic, and psychosocial factors" 14 : 1185-1195, 2013

      17 Mejdahl MK, "Persistent pain and sensory disturbances after treatment for breast cancer: six year nationwide follow-up study" 346 : f1865-, 2013

      18 Andersen KG, "Persistent pain after breast cancer treatment: a critical review of risk factors and strategies for prevention" 12 : 725-746, 2011

      19 Langford DJ, "Persistent breast pain following breast cancer surgery is associated with persistent sensory changes, pain interference, and functional impairments" 15 : 1227-1237, 2014

      20 Caffo O, "Pain and quality of life after surgery for breast cancer" 80 : 39-48, 2003

      21 Jung BF, "Neuropathic pain following breast cancer surgery: proposed classification and research update" 104 : 1-13, 2003

      22 Macdonald L, "Longterm follow-up of breast cancer survivors with post-mastectomy pain syndrome" 92 : 225-230, 2005

      23 International Association for the Study of Pain, "International Association for the Study of Pain, Subcommittee on Taxonomy. Classification of chronic pain. Descriptions of chronic pain syndromes and definitions of pain terms: prepared by the International Association for the Study of Pain, Subcommittee on Taxonomy" 3 : S1-S226, 1986

      24 Rietman JS, "Impairments, disabilities and health related quality of life after treatment for breast cancer: a follow-up study 2.7 years after surgery" 26 : 78-84, 2004

      25 Miaskowski C, "Identification of patient subgroups and risk factors for persistent breast pain following breast cancer surgery" 13 : 1172-1187, 2012

      26 Juhl AA, "Fat grafting for alleviating persistent pain after breast cancer treatment: a randomized controlled trial" 69 : 1192-1202, 2016

      27 Berry DA, "Effect of screening and adjuvant therapy on mortality from breast cancer" 353 : 1784-1792, 2005

      28 Steegers MA, "Effect of axillary lymph node dissection on prevalence and intensity of chronic and phantom pain after breast cancer surgery" 9 : 813-822, 2008

      29 Tasmuth T, "Chronic post-treatment symptoms in patients with breast cancer operated in different surgical units" 25 : 38-43, 1999

      30 Smith WC, "A retrospective cohort study of post mastectomy pain syndrome" 83 : 91-95, 1999

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      학술지 이력

      학술지 이력
      연월일 이력구분 이력상세 등재구분
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      2011-03-04 학술지명변경 한글명 : 한국유방암학회지 -> Journal of Breast Cancer KCI등재
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      학술지 인용정보

      학술지 인용정보
      기준연도 WOS-KCI 통합IF(2년) KCIF(2년) KCIF(3년)
      2016 1.99 0.19 1.31
      KCIF(4년) KCIF(5년) 중심성지수(3년) 즉시성지수
      0.96 0.77 0.448 0.06
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