Impairments, disabilities and health related quality of life after treatment for XXXX : a follow-up study 2.7 years after surgery.

@entity1 @entity0 @entity73 @entity4 @entity158
PURPOSE: The aim of this study was to @entity73 , disabilities and health related Quality of Life (QOL) after treatment of @entity0 and to analyse the relationship between treatment modalities, impairments, disabilities and health related QOL. METHOD: Fifty-five @entity1 who underwent a modified radical mastectomy or a segmental mastectomy with axillary lymph node dissection were retrospectively assessed with a mean follow up of 2.7 years after treatment. Impairments were assessed by means of measuring active shoulder range of motion, grip strength, arm volume and @entity158 . Disabilities were assessed by means of the Shoulder Disability Questionnaire (SDQ) and health related QOL was assessed by means of the RAND 36-item Health Survey (RAND-36). SETTING: University Hospital Groningen (The Netherlands). RESULTS: @entity158 (60%) and reduction of grip-strength (40%) were the most frequent impairments found. The prevalence of @entity73 and @entity4 was 9 - 16% respectively 15%. Mean group score of the SDQ was 33.7 (sd: 32.1) and mean scores of the RAND-36 differed significantly for physical functioning, vitality and health perception to that of a female norm group. Radiotherapy and chemotherapy were significant factors in the prediction of @entity73 . @entity158 and restricted range of motion explained 61% respectively 12% of the variance in disability (SDQ). In the prediction of health related QOL, @entity158 , grip strength and arm volume were significant factors respectively in six, three and two domains. CONCLUSIONS: @entity158 is the most frequent @entity73 after @entity0 treatment with strong relationship to perceived disability and health related QOL. Disability is mild and health related QOL (RAND-36) differed in three of the nine domains with a female norm group.
