乳腺癌患者乳房放射性皮炎与乳房切除术后疼痛综合征之间的关系：一项多中心回顾性研究

IF 2.4 3区医学 Q1 NURSING

Asia-Pacific Journal of Oncology Nursing Pub Date : 2024-10-05 DOI:10.1016/j.apjon.2024.100602

Yinpeng Ren , Ran Gao , Shuguang Zhang , Xiaoli Geng , Qingheng Yang , Liquan Ouyang , Ye Zhao , Jing Zhao , Hua Kang , Jing Wang

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引用次数: 0

摘要

目的：本研究探讨了乳腺癌患者中乳腺放射性皮炎（BRD）和乳房切除术后疼痛综合征（PMPS）之间的关系。BRD和PMPS都会严重影响患者的生活质量，但它们之间的相关性和风险因素还需要进一步研究。方法我们对2017年至2023年间接受术后放疗的784名乳腺癌患者进行了多中心回顾性分析。通过患者问卷和住院记录收集了有关BRD和PMPS的临床数据，研究了风险因素，并评估了PMPS在BRD患者中的患病率。23.4%的BRD患者出现了PMPS，而非BRD患者中只有13.6%出现了PMPS（P=0.009）。该研究强调了BRD与PMPS之间的重要关系，强调了早期干预以管理BRD和降低慢性疼痛风险的必要性。量身定制的护理策略可改善高风险患者的治疗效果。

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Associations between breast radiation dermatitis and post-mastectomy pain syndrome in patients with breast cancer: A multicenter retrospective study

Objective

This study explores the relationship between breast radiation dermatitis (BRD) and post-mastectomy pain syndrome (PMPS) among patients with breast cancer. Both BRD and PMPS significantly impact quality of life, yet their correlation and risk factors require further investigation.

Methods

We conducted a multicenter retrospective analysis of 784 patients with breast cancer who underwent postoperative radiotherapy between 2017 and 2023. Clinical data on BRD and PMPS were collected through patient questionnaires and hospital records, examining risk factors and evaluating the prevalence of PMPS among those with BRD.

Results

BRD affected 81.25% of patients, with higher incidence among older and obese individuals. PMPS was observed in 23.4% of the BRD group versus 13.6% in non-BRD patients (P=0.009). Early BRD onset during radiotherapy (P=0.004) and larger dermatitis areas (P=0.000) were strongly associated with increased PMPS risk.

Conclusions

This study highlights the significant relationship between BRD and PMPS, underscoring the need for early interventions to manage BRD and reduce chronic pain risk. Tailored care strategies could improve outcomes for high-risk patients.

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