The Extent and Impact of Musculoskeletal Dysfunction on Women following Breast Reconstruction using the Latissimus Dorsi Muscle: A Questionnaire Survey

Nicole Blackburn, Joseph G McVeigh, Eilis McCaughan, Iseult M Wilson

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

BackgroundQuality of life is becoming more important in regard to Breast Cancer as treatment advances extend the period of survivorship. Breast reconstruction following mastectomy is an important management option in breast cancer, therefore the functional implications associated with this surgery must be considered. To date, literature has mainly focused on body image and wound healing with little in-depth investigation of the impact of the surgery on shoulder function. Few studies have specifically investigated the musculoskeletal impact of surgery and of those that have, findings have varied regarding the impact and extent.MethodA postal survey design was used to gather detailed and personal information from women who had latissimus dorsi (LD) breast reconstruction. All eligible women who underwent LD flap surgery through the Northern Ireland Health and Social Care Trusts were included in the study. A range of validated outcome measures were included in order to determine both the physical and psychosocial implications of LD breast reconstruction in women following mastectomy for breast cancer. ResultsA total of 159 women, (mean age = 46.8 ± 7.9 years; mean time since surgery = 4.3 ± 2.9 years) completed the survey. The results from the validated outcome measure scores demonstrated low to moderate dysfunction among the group. Subgroup analysis revealed that auxiliary node removal significantly impacted disability scores (p=.036) as per DASH and quality of life scores regarding mobility (p=.008) and self-care (p=.030) as per EuroQol.ConclusionThe findings from this study indicate that LD breast reconstruction has an impact on the functional ability of patients undergoing this specific procedure, with the results from the validated outcome measure scores demonstrating low to moderate dysfunction among the group.
LanguageEnglish
Title of host publicationUnknown Host Publication
Number of pages1
Publication statusPublished - 6 Nov 2016
EventNCRI - Liverpool, England
Duration: 6 Nov 2016 → …

Conference

ConferenceNCRI
Period6/11/16 → …

Fingerprint

Superficial Back Muscles
Mammaplasty
Muscles
Mastectomy
Outcome Assessment (Health Care)
Breast Neoplasms
Northern Ireland
Aptitude
Body Image
Self Care
Wound Healing
Survival Rate
Quality of Life
Surveys and Questionnaires
Delivery of Health Care

Keywords

  • Breast reconstruction
  • LD flap

Cite this

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title = "The Extent and Impact of Musculoskeletal Dysfunction on Women following Breast Reconstruction using the Latissimus Dorsi Muscle: A Questionnaire Survey",
abstract = "BackgroundQuality of life is becoming more important in regard to Breast Cancer as treatment advances extend the period of survivorship. Breast reconstruction following mastectomy is an important management option in breast cancer, therefore the functional implications associated with this surgery must be considered. To date, literature has mainly focused on body image and wound healing with little in-depth investigation of the impact of the surgery on shoulder function. Few studies have specifically investigated the musculoskeletal impact of surgery and of those that have, findings have varied regarding the impact and extent.MethodA postal survey design was used to gather detailed and personal information from women who had latissimus dorsi (LD) breast reconstruction. All eligible women who underwent LD flap surgery through the Northern Ireland Health and Social Care Trusts were included in the study. A range of validated outcome measures were included in order to determine both the physical and psychosocial implications of LD breast reconstruction in women following mastectomy for breast cancer. ResultsA total of 159 women, (mean age = 46.8 ± 7.9 years; mean time since surgery = 4.3 ± 2.9 years) completed the survey. The results from the validated outcome measure scores demonstrated low to moderate dysfunction among the group. Subgroup analysis revealed that auxiliary node removal significantly impacted disability scores (p=.036) as per DASH and quality of life scores regarding mobility (p=.008) and self-care (p=.030) as per EuroQol.ConclusionThe findings from this study indicate that LD breast reconstruction has an impact on the functional ability of patients undergoing this specific procedure, with the results from the validated outcome measure scores demonstrating low to moderate dysfunction among the group.",
keywords = "Breast reconstruction, LD flap",
author = "Nicole Blackburn and McVeigh, {Joseph G} and Eilis McCaughan and Wilson, {Iseult M}",
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The Extent and Impact of Musculoskeletal Dysfunction on Women following Breast Reconstruction using the Latissimus Dorsi Muscle: A Questionnaire Survey. / Blackburn, Nicole; McVeigh, Joseph G; McCaughan, Eilis; Wilson, Iseult M.

Unknown Host Publication. 2016.

Research output: Chapter in Book/Report/Conference proceedingConference contribution

TY - GEN

T1 - The Extent and Impact of Musculoskeletal Dysfunction on Women following Breast Reconstruction using the Latissimus Dorsi Muscle: A Questionnaire Survey

AU - Blackburn, Nicole

AU - McVeigh, Joseph G

AU - McCaughan, Eilis

AU - Wilson, Iseult M

PY - 2016/11/6

Y1 - 2016/11/6

N2 - BackgroundQuality of life is becoming more important in regard to Breast Cancer as treatment advances extend the period of survivorship. Breast reconstruction following mastectomy is an important management option in breast cancer, therefore the functional implications associated with this surgery must be considered. To date, literature has mainly focused on body image and wound healing with little in-depth investigation of the impact of the surgery on shoulder function. Few studies have specifically investigated the musculoskeletal impact of surgery and of those that have, findings have varied regarding the impact and extent.MethodA postal survey design was used to gather detailed and personal information from women who had latissimus dorsi (LD) breast reconstruction. All eligible women who underwent LD flap surgery through the Northern Ireland Health and Social Care Trusts were included in the study. A range of validated outcome measures were included in order to determine both the physical and psychosocial implications of LD breast reconstruction in women following mastectomy for breast cancer. ResultsA total of 159 women, (mean age = 46.8 ± 7.9 years; mean time since surgery = 4.3 ± 2.9 years) completed the survey. The results from the validated outcome measure scores demonstrated low to moderate dysfunction among the group. Subgroup analysis revealed that auxiliary node removal significantly impacted disability scores (p=.036) as per DASH and quality of life scores regarding mobility (p=.008) and self-care (p=.030) as per EuroQol.ConclusionThe findings from this study indicate that LD breast reconstruction has an impact on the functional ability of patients undergoing this specific procedure, with the results from the validated outcome measure scores demonstrating low to moderate dysfunction among the group.

AB - BackgroundQuality of life is becoming more important in regard to Breast Cancer as treatment advances extend the period of survivorship. Breast reconstruction following mastectomy is an important management option in breast cancer, therefore the functional implications associated with this surgery must be considered. To date, literature has mainly focused on body image and wound healing with little in-depth investigation of the impact of the surgery on shoulder function. Few studies have specifically investigated the musculoskeletal impact of surgery and of those that have, findings have varied regarding the impact and extent.MethodA postal survey design was used to gather detailed and personal information from women who had latissimus dorsi (LD) breast reconstruction. All eligible women who underwent LD flap surgery through the Northern Ireland Health and Social Care Trusts were included in the study. A range of validated outcome measures were included in order to determine both the physical and psychosocial implications of LD breast reconstruction in women following mastectomy for breast cancer. ResultsA total of 159 women, (mean age = 46.8 ± 7.9 years; mean time since surgery = 4.3 ± 2.9 years) completed the survey. The results from the validated outcome measure scores demonstrated low to moderate dysfunction among the group. Subgroup analysis revealed that auxiliary node removal significantly impacted disability scores (p=.036) as per DASH and quality of life scores regarding mobility (p=.008) and self-care (p=.030) as per EuroQol.ConclusionThe findings from this study indicate that LD breast reconstruction has an impact on the functional ability of patients undergoing this specific procedure, with the results from the validated outcome measure scores demonstrating low to moderate dysfunction among the group.

KW - Breast reconstruction

KW - LD flap

M3 - Conference contribution

BT - Unknown Host Publication

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