Prevalence and risk factors of adhesive capsulitis of the shoulder after breast cancer treatment
Prevalence and risk factors of adhesive capsulitis of the shoulder after breast cancer treatment
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DOI：
10.1007/s00520-016-3532-4
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发表时间：
2017-04-01
影响因子：
3.1
通讯作者：
Kim, Won
中科院分区：
文献类型：
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作者：
Yang, Seoyon;Park, Dae Hwan;Kim, Won
本研究调查了乳腺癌患者术后13 - 18个月肩关节粘连性囊炎的患病率及危险因素。这项研究包括271名接受乳腺癌手术的妇女，术后时间为13-18个月。目前的粘连性囊炎被定义为限制外旋和一个或多个附加的方向限制，伴有肩部疼痛史。累积性粘连性囊炎定义为当前的粘连性囊炎或乳腺癌手术后既往的粘连性囊炎病史。进行多因素logistic回归分析以检验当前或累积性粘连性囊炎与潜在危险因素之间的关系。在271例研究患者中，分别有28例（10.3%）和21例（7.7%）患有累积性或当前的粘连性囊炎。在50-59岁（比值比[OR]， 9.912； 95%可信区间[CI]， 1.790-54.880；和OR， 12.395; 95% CI, 1.177 -129.444）和接受乳房切除术（OR, 6.805; 95% CI, 1.800-25.733；和OR， 9.645; 95% CI, 2.075-44.829）或乳房切除术重建（OR, 13.122; 95% CI, 2.488-69.218；和OR， 20.075; 95% CI, 2.873-140.261）的患者中，累积性和当前粘接性囊炎的发病率更高。肩关节粘连性囊炎是乳腺癌治疗后的常见问题。年龄50-59岁和乳房切除术是粘连性囊炎的主要危险因素，乳房重建术会增加粘连性囊炎的风险。具有这些危险因素的患者需要更加重视早期诊断和适当治疗。
The present study investigated the prevalence and risk factors of adhesive capsulitis of the shoulder in breast cancer patients between 13 and 18 months after surgery.This study included 271 women who underwent surgery for breast cancer with a postoperative period of 13-18 months. Current adhesive capsulitis was defined as restriction of external rotation and one or more additional directional restrictions with history of shoulder pain. Cumulative adhesive capsulitis was defined as current adhesive capsulitis or a previous history of adhesive capsulitis after breast cancer surgery. Multivariate logistic regression analysis was performed to examine associations between current or cumulative adhesive capsulitis and potential risk factors.Among the 271 study patients, 28 (10.3%) and 21 (7.7%) had cumulative or current adhesive capsulitis, respectively. The incidences of cumulative and current adhesive capsulitis were higher in those aged 50-59 years (odds ratio [OR], 9.912; 95% confidence interval [CI], 1.790-54.880; and OR, 12.395; 95% CI, 1.187-129.444, respectively) and those who underwent mastectomy (OR, 6.805; 95% CI, 1.800-25.733; and OR, 9.645; 95% CI, 2.075-44.829, respectively) or mastectomy with reconstruction (OR, 13.122; 95% CI, 2.488-69.218; and OR, 20.075; 95% CI, 2.873-140.261, respectively).Adhesive capsulitis of the shoulder is a common problem after breast cancer treatment. An age of 50-59 years and mastectomy are major risk factors for adhesive capsulitis, and breast reconstruction additionally increases the risk. Patients with these risk factors require greater attention for early diagnosis and proper treatment.