Complicações físico-funcionais pós-tratamento cirúrgico do câncer de mama: estudo descritivo e retrospectivo
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=10039324 https://hdl.handle.net/11600/64815 |
Resumo: | Introduction: The ideal treatment for breast cancer should be performed by a multidisciplinary team and aims at the overall approach of the patient. It is usually prolonged and can cause relevant changes in the patient’s life, such as limiting shoulder movement, pain, lymphedema, scarring, sensory changes, phlebitis, among others. Physiotherapeutic intervention plays a fundamental role and can prevent and minimize complications, in addition to enabling functional recovery. It is of extreme importance that the physiotherapy service should know the prevalence of the main physical-functional complications and the impact of its intervention. Objective: To evaluate the main physical-functional complications after surgical treatment of breast cancer. Methods: This was a descriptive and retrospective study, carried out at the Mastology Outpatient Clinic of the Department of Gynecology of the Paulista School of Medicine (EPM), Federal University of São Paulo (UNIFESP), where patients' charts were consulted in the period of 2011 to 2016. Data on the type of surgery, pain prevalence, perimetric alterations, range of motion, evaluation of the scapulohumeral rhythm and the presence of axillary cord were obtained. Results: A total of 703 medical records were obtained, the mean age of the patients was 56 years, 50.1% were married, with mean BMI indicating weight (26.8 kg/m2) and higher prevalence of sedentary lifestyle (73.7%). The main surgery was quadrantectomy, followed by mastectomy. Pain was present, but at extremely low levels (mean VAS in PO7 was 2.55), range of motion restrictions were higher initially and functionally reversed during follow-up, scapular dysfunctions were also less prevalent (9.9%) and with a high percentage of resolution during the follow-up. The incidence of axillary cords was high (87.9%) and requires special attention. Conclusion: The study allowed to know the main physical-functional complications post-treatment of breast cancer and to demonstrate the importance and necessity of the early physiotherapy. |
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Complicações físico-funcionais pós-tratamento cirúrgico do câncer de mama: estudo descritivo e retrospectivoPhysical-functional complications post-treatment of breast cancer: descriptive and retrospective study.Breast CancerPhysiotherapy ModalitiesEpidemiologyPreoperative ComplicationsExercise TherapyNeoplasia De MamaModalidades De FisioterapiaEpidemiologiaComplicações Pré-OperatóriasTerapia Por ExercíciosIntroduction: The ideal treatment for breast cancer should be performed by a multidisciplinary team and aims at the overall approach of the patient. It is usually prolonged and can cause relevant changes in the patient’s life, such as limiting shoulder movement, pain, lymphedema, scarring, sensory changes, phlebitis, among others. Physiotherapeutic intervention plays a fundamental role and can prevent and minimize complications, in addition to enabling functional recovery. It is of extreme importance that the physiotherapy service should know the prevalence of the main physical-functional complications and the impact of its intervention. Objective: To evaluate the main physical-functional complications after surgical treatment of breast cancer. Methods: This was a descriptive and retrospective study, carried out at the Mastology Outpatient Clinic of the Department of Gynecology of the Paulista School of Medicine (EPM), Federal University of São Paulo (UNIFESP), where patients' charts were consulted in the period of 2011 to 2016. Data on the type of surgery, pain prevalence, perimetric alterations, range of motion, evaluation of the scapulohumeral rhythm and the presence of axillary cord were obtained. Results: A total of 703 medical records were obtained, the mean age of the patients was 56 years, 50.1% were married, with mean BMI indicating weight (26.8 kg/m2) and higher prevalence of sedentary lifestyle (73.7%). The main surgery was quadrantectomy, followed by mastectomy. Pain was present, but at extremely low levels (mean VAS in PO7 was 2.55), range of motion restrictions were higher initially and functionally reversed during follow-up, scapular dysfunctions were also less prevalent (9.9%) and with a high percentage of resolution during the follow-up. The incidence of axillary cords was high (87.9%) and requires special attention. Conclusion: The study allowed to know the main physical-functional complications post-treatment of breast cancer and to demonstrate the importance and necessity of the early physiotherapy.Introdução: O tratamento ideal para o câncer de mama deve ser realizado por equipe multidisciplinar e visa a abordagem global da paciente. Geralmente é processoprolongado e pode causar alterações relevantes na vida dos pacientes, tais como limitação do movimento do ombro, dor, linfedema, aderência cicatricial, alterações sensitivas, flebites, entre outras.A intervenção fisioterapêutica desempenha papel fundamental e pode prevenir e minimizar complicações, além de possibilitar a recuperação funcional. É de extrema importância que o serviço de fisioterapia conheça a prevalência das principais complicações físico-funcionais e o impacto de sua intervenção. Objetivo: Avaliar as principais complicações físico-funcionais pós-tratamento cirúrgico do câncer de mama. Métodos: Trata-se de estudo descritivo e retrospectivo, realizado no Ambulatório de Mastologia do Departamento de Ginecologia da Escola Paulista de Medicina (EPM) da Universidade Federal de São Paulo (UNIFESP), onde foram consultados os prontuários de pacientes tratadas no período de 2011 a 2016. Foram obtidos dados sobre a cirurgia, prevalência de dor, alterações perimétricas, amplitude de movimento, avaliação do ritmo escápulo-umeral e presença de cordão axilar. Resultados: Avaliou-sedados de 703 pacientes, cuja idade média foi de 56 anos, 50,1% eram casadas, o IMC médio indicou sobrepeso (média: 26,8kg/m2) e notou-se prevalência de sedentarismo (73,7%). A principal cirurgia realizada foi a quadrantectomia, seguida da mastectomia. A dor esteve presente, porém em níveis extremamente baixos (média da EVA no PO7 foi 2,55); as restrições de amplitude de movimento foram maiores no início e revertidas funcionalmente no decorrer do acompanhamento; as disfunções escapulares também foram pouco prevalentes (9,9%) e com grande percentual de resolução ao longo do tempo. A incidência de cordões axilares foi alta (87,9%) e requer atenção especial. Conclusão: O estudo permitiu conhecer as principais complicações físico-funcionais pós-tratamento do câncer de mama e demonstrar a importância e necessidade da fisioterapia precoce.Dados abertos - Sucupira - Teses e dissertações (2020)Universidade Federal de São Paulo (UNIFESP)Facina, Gil [UNIFESP]Haddad, Cinira Assad Simão [UNIFESP]http://lattes.cnpq.br/5999034606911576http://lattes.cnpq.br/1029334251705417http://lattes.cnpq.br/8736035731106718Universidade Federal de São PauloSilva, Amanda Estevao Da [UNIFESP]2022-07-22T17:29:01Z2022-07-22T17:29:01Z2020-01-30info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis49 p.application/pdfapplication/pdfhttps://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=10039324SILVA, Amanda Estevão. Complicações físico-funcionais pós-tratamento cirúrgico do câncer de mama: estudo descritivo e retrospectivo. 2019. 49f. Dissertação (Mestrado em Ginecologia) – Escola Paulista de Medicina, Universidade Federal de São Paulo. São Paulo, 2019.Amanda Estevão da Silva-A.pdfhttps://hdl.handle.net/11600/64815porinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-06-28T11:56:45Zoai:repositorio.unifesp.br/:11600/64815Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestopendoar:34652024-06-28T11:56:45Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.none.fl_str_mv |
Complicações físico-funcionais pós-tratamento cirúrgico do câncer de mama: estudo descritivo e retrospectivo Physical-functional complications post-treatment of breast cancer: descriptive and retrospective study. |
title |
Complicações físico-funcionais pós-tratamento cirúrgico do câncer de mama: estudo descritivo e retrospectivo |
spellingShingle |
Complicações físico-funcionais pós-tratamento cirúrgico do câncer de mama: estudo descritivo e retrospectivo Silva, Amanda Estevao Da [UNIFESP] Breast Cancer Physiotherapy Modalities Epidemiology Preoperative Complications Exercise Therapy Neoplasia De Mama Modalidades De Fisioterapia Epidemiologia Complicações Pré-Operatórias Terapia Por Exercícios |
title_short |
Complicações físico-funcionais pós-tratamento cirúrgico do câncer de mama: estudo descritivo e retrospectivo |
title_full |
Complicações físico-funcionais pós-tratamento cirúrgico do câncer de mama: estudo descritivo e retrospectivo |
title_fullStr |
Complicações físico-funcionais pós-tratamento cirúrgico do câncer de mama: estudo descritivo e retrospectivo |
title_full_unstemmed |
Complicações físico-funcionais pós-tratamento cirúrgico do câncer de mama: estudo descritivo e retrospectivo |
title_sort |
Complicações físico-funcionais pós-tratamento cirúrgico do câncer de mama: estudo descritivo e retrospectivo |
author |
Silva, Amanda Estevao Da [UNIFESP] |
author_facet |
Silva, Amanda Estevao Da [UNIFESP] |
author_role |
author |
dc.contributor.none.fl_str_mv |
Facina, Gil [UNIFESP] Haddad, Cinira Assad Simão [UNIFESP] http://lattes.cnpq.br/5999034606911576 http://lattes.cnpq.br/1029334251705417 http://lattes.cnpq.br/8736035731106718 Universidade Federal de São Paulo |
dc.contributor.author.fl_str_mv |
Silva, Amanda Estevao Da [UNIFESP] |
dc.subject.por.fl_str_mv |
Breast Cancer Physiotherapy Modalities Epidemiology Preoperative Complications Exercise Therapy Neoplasia De Mama Modalidades De Fisioterapia Epidemiologia Complicações Pré-Operatórias Terapia Por Exercícios |
topic |
Breast Cancer Physiotherapy Modalities Epidemiology Preoperative Complications Exercise Therapy Neoplasia De Mama Modalidades De Fisioterapia Epidemiologia Complicações Pré-Operatórias Terapia Por Exercícios |
description |
Introduction: The ideal treatment for breast cancer should be performed by a multidisciplinary team and aims at the overall approach of the patient. It is usually prolonged and can cause relevant changes in the patient’s life, such as limiting shoulder movement, pain, lymphedema, scarring, sensory changes, phlebitis, among others. Physiotherapeutic intervention plays a fundamental role and can prevent and minimize complications, in addition to enabling functional recovery. It is of extreme importance that the physiotherapy service should know the prevalence of the main physical-functional complications and the impact of its intervention. Objective: To evaluate the main physical-functional complications after surgical treatment of breast cancer. Methods: This was a descriptive and retrospective study, carried out at the Mastology Outpatient Clinic of the Department of Gynecology of the Paulista School of Medicine (EPM), Federal University of São Paulo (UNIFESP), where patients' charts were consulted in the period of 2011 to 2016. Data on the type of surgery, pain prevalence, perimetric alterations, range of motion, evaluation of the scapulohumeral rhythm and the presence of axillary cord were obtained. Results: A total of 703 medical records were obtained, the mean age of the patients was 56 years, 50.1% were married, with mean BMI indicating weight (26.8 kg/m2) and higher prevalence of sedentary lifestyle (73.7%). The main surgery was quadrantectomy, followed by mastectomy. Pain was present, but at extremely low levels (mean VAS in PO7 was 2.55), range of motion restrictions were higher initially and functionally reversed during follow-up, scapular dysfunctions were also less prevalent (9.9%) and with a high percentage of resolution during the follow-up. The incidence of axillary cords was high (87.9%) and requires special attention. Conclusion: The study allowed to know the main physical-functional complications post-treatment of breast cancer and to demonstrate the importance and necessity of the early physiotherapy. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-01-30 2022-07-22T17:29:01Z 2022-07-22T17:29:01Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=10039324 SILVA, Amanda Estevão. Complicações físico-funcionais pós-tratamento cirúrgico do câncer de mama: estudo descritivo e retrospectivo. 2019. 49f. Dissertação (Mestrado em Ginecologia) – Escola Paulista de Medicina, Universidade Federal de São Paulo. São Paulo, 2019. Amanda Estevão da Silva-A.pdf https://hdl.handle.net/11600/64815 |
url |
https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=10039324 https://hdl.handle.net/11600/64815 |
identifier_str_mv |
SILVA, Amanda Estevão. Complicações físico-funcionais pós-tratamento cirúrgico do câncer de mama: estudo descritivo e retrospectivo. 2019. 49f. Dissertação (Mestrado em Ginecologia) – Escola Paulista de Medicina, Universidade Federal de São Paulo. São Paulo, 2019. Amanda Estevão da Silva-A.pdf |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
49 p. application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Federal de São Paulo (UNIFESP) |
publisher.none.fl_str_mv |
Universidade Federal de São Paulo (UNIFESP) |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
instacron_str |
UNIFESP |
institution |
UNIFESP |
reponame_str |
Repositório Institucional da UNIFESP |
collection |
Repositório Institucional da UNIFESP |
repository.name.fl_str_mv |
Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
repository.mail.fl_str_mv |
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1803210208636305408 |