Prevalence of Disability and Clinical Associations in Breast Cancer Women Survivors: a Pilot Study

• Autor(a) principal: Lourenço, Adriano
• Data de Publicação: 2020
• Outros Autores: Dantas, Amanda Almeida Gomes, Araújo, Diego Neves, Dantas, Diego de Sousa
• Tipo de documento: Artigo
• Idioma: por; eng
• Título da fonte: Revista Brasileira de Cancerologia (Online)
• Texto Completo: https://rbc.inca.gov.br/index.php/revista/article/view/843
• topic: Neoplasias da Mama; Sobreviventes de Câncer; Estudos Transversais; Classificação Internacional de Funcionalidade, Incapacidade e Saúde; Perfil de Impacto da Doença; Breast Neoplasms; Cancer Survivors; Cross-Sectional Studies; International Classification of Functioning, Disability and Health; Impact Profile; Neoplasias de la Mama; Supervivientes de Cáncer; Estudios Transversales; Clasificación Internacional del Funcionamiento, de la Discapacidad y de la Salud; Perfil de Impacto de Enfermedad

Introduction: The treatment of breast cancer improves survival and reduces mortality, but brings functional limitations and side effects that compromise survival. Objective: To evaluate the prevalence of disability and its association with physical capacity, sleep, fatigue and quality of life in women surviving breast cancer. Method: Pilo study involving 32 women at least one year after clinical treatment. The study data were obtained through questionnaires and a six-minute walk test. Results: The prevalence of disability in the sample was >90%. The World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) revealed good internal consistency (α=0.874). Disability correlated strongly and positively with cognition (rs=0.758), mobility (rs=0.709), household/work activity (rs=0.718) and participation (r=0.701) and moderately and negatively with fatigue (r=-0.621) and Functional Assessment of Cancer Therapy-Fatigue (FACT-F) (r=-0.672) and positively with the Disabilities of the Arm and Shoulder (DASH) (r=0.639). Comparing the disability groups, a significant difference was observed with worse scores for DASH (d=1.62), FACT-F (d=1.47), fatigue (d=1.21) and the Pittsburgh Sleep Quality Index (PSQI) (d=0.98). Conclusion: Women who survived breast cancer had some level of disability associated to fatigue, poor sleep quality and quality of life, demonstrating important impacts on the health of these women.