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首页> 外文期刊>Acta oncologica. >Pain, sensory disturbances and psychological distress are common sequelae after treatment of ductal carcinoma in situ: a cross-sectional study
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Pain, sensory disturbances and psychological distress are common sequelae after treatment of ductal carcinoma in situ: a cross-sectional study

机译:疼痛,感官紊乱和心理窘迫是治疗导管癌原位后的常见后遗症:横截面研究

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摘要

Sequelae such as pain, sensory disturbances and psychological distress are well known after treatment for invasive breast cancer (IBC). Patients treated for ductal carcinoma in situ (DCIS) receive a similar treatment as low-risk IBC. The aim of this cross-sectional study was to describe prevalence of postoperative pain, sensory disturbances, psychological distress and rehabilitation needs among Danish women with DCIS.Methods: A total of 574 women treated for DCIS in Denmark in 2013 and 2014 were enrolled and 473 (82%) completed a detailed questionnaire on demographic factors, pain, sensory disturbances, psychological aspects and rehabilitation needs 1-3 years after surgery.Results: Median age was 60 years. A total of 33% of patients reported any pain and 12% reported moderate to severe pain in the area of surgery. Younger age ( 15 OR of 3.1 (95% CI: 1.5-6.3, p=0.003)) were significantly associated with moderate to severe pain. Approximately one-third of the patients reported sensory disturbances such as pins and needles (32%), numbness (37%) and painful itch (30%) and 94 women (20%) reported anxiety 8, 26 (6%) depression and 51 (11%) reported distress.Conclusions: This cross-sectional study showed that women treated for DCIS suffered from pain, sensory disturbances and psychological impairment and had unmet rehabilitation needs. Further research is warranted, specifically addressing rehabilitation after diagnosis and treatment of DCIS.
机译:在治疗侵袭性乳腺癌(IBC)后,诸如疼痛,感觉障碍和心理窘迫的后遗症是众所周知的。用于导管癌的患者原位(DCIS)接受与低风险IBC的类似治疗。这种横断面研究的目的是描述DCIS中丹麦妇女的术后疼痛,感官紊乱,心理困扰和康复需求的患病率:2013年丹麦的DCIS共有574名妇女入学,并注册了473名(82%)在手术后1 - 3年后完成了关于人口因子,疼痛,感官障碍,心理方面和康复需求的详细问卷。结果:中位年龄为60岁。总共33%的患者报告了任何疼痛,12%报告了手术领域中度至严重疼痛。较年轻的年龄(15或3.1(95%CI:1.5-6.3,P = 0.003)与中度至严重的疼痛有显着相关。患者的大约三分之一的患者报告了销和针(32%),麻木(37%)和痛苦(30%)和94名女性(20%)报告的焦虑8,26(6%)抑郁症及报告患病患者:结论:这种横断面研究表明,治疗DCI的妇女患有疼痛,感官扰乱和心理障碍,并有未满足的康复需求。有必要进一步研究,特别是在诊断和治疗DCIS后解决康复。

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