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미국 재활 의학 학회지 Discrepant Trajectories of Impairment, Activity, and Participation Related to Upper-Limb Function in Patients With Breast Cancer 2015.09.03.Archives of Physical Medicine and Rehabilitation (VOLUME 96, ISSUE 12, P2161-2168, DECEMBER 01, 2015) 논문 보기ob
jectives To explore upper-limb disability with respect to health outcomes, operationalized by Disabilities of the Arm, Shoulder, and Hand, and to identify factors associated with each element of upper-limb disability over a 2-year period in breast cancer survivors.Main Outcome Measuresobjectives We evaluated demographics, social variables, and upper-limb disability in a baseline assessment preoperatively. Follow-up evaluations were conducted in outpatient clinics 3 months after surgery and at 12 and 24 months after surgery. Linear regression models with the generalized estimating equations of the compound symmetry covariance structure were used. ResultsTime since surgery was inversely associated with the impairment items score (β=−.20; 95% confidence interval [CI], −.49 to −.08) and positively associated with the activity limitation items score (β=.59; 95% CI, .29–.88). The impact of upper-limb disability preoperatively on the items involving both the activity limitation and participation restrictions scores was positive (β=2.89; 95% CI, .76–5.02) after adjusting for demographic, treatment type, and socioeconomic factors.ConclusionsOur study revealed that upper-limb impairment recovered with time after breast cancer surgery; however, upper-limb function-related activity and participation were reduced through 2 years after surgery.
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