{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T22:44:28Z","timestamp":1790808268721,"version":"4.1.0"},"reference-count":33,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2009,4,27]],"date-time":"2009-04-27T00:00:00Z","timestamp":1240790400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2010,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:italic>Objective<\/jats:italic>: The aim of the study was to identify factors associated with worse physical and emotional functioning of breast cancer survivors with upper extremity lymphedema.<\/jats:p><jats:p><jats:italic>Methods<\/jats:italic>: 1250 sets of questionnaires consisting of WHO\u2010DAS II, EORTC QLQ\u2010C30, EORTC QLQ\u2010BR23 and GHQ\u201030 were mailed to women who underwent a breast cancer surgery at the Lower Silesian Oncology Center in Poland between January 1998 and December 2005.<\/jats:p><jats:p><jats:italic>Results and conclusions<\/jats:italic>: The response rate was 33.47%. 117 women were included into a lymphedema group and 211 into a group without this complication. Women with lymphedema were more disabled (overall disability (DAS) score 39.78 versus 34.67; <jats:italic>p<\/jats:italic>&lt;0.001), reported symptoms from the upper extremity (shoulder or arm pain and difficulties in arm movement) and from the operated breast (pain and swelling) 2\u20133 times more often, experienced poorer quality of life (global quality of life (QOL) score 0.50 versus 0.57; <jats:italic>p<\/jats:italic>=0.005) and higher psychological distress (GHQ score 10.61 versus 8.01; <jats:italic>p<\/jats:italic>=0.007) in comparison to breast cancer survivors without lymphedema. The factors associated with higher DAS score, higher GHQ score and lower QOL score in women with lymphedema were as following: pain in the upper limb (mainly shoulder and arm), pain in operated breast, difficulties with arm movement, localization of lymphedema within the hand or in operated breast, a history of dermatolymphangitis and of receiving chemotherapy. Severity of lymphedema, younger age, BMI and localization of lymphedema within the dominant limb were not considerably related to worse outcomes in these women. Copyright \u00a9 2009 John Wiley &amp; Sons, Ltd.<\/jats:p>","DOI":"10.1002\/pon.1573","type":"journal-article","created":{"date-parts":[[2009,4,27]],"date-time":"2009-04-27T23:24:46Z","timestamp":1240874686000},"page":"299-305","source":"Crossref","is-referenced-by-count":184,"title":["Physical and psychological impairments of women with upper limb lymphedema following breast cancer treatment"],"prefix":"10.1002","volume":"19","author":[{"given":"Angelika","family":"Chachaj","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krzysztof","family":"Ma\u0142yszczak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krystian","family":"Pyszel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanna","family":"Lukas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rados\u0142aw","family":"Tarkowski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marek","family":"Pude\u0142ko","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryszard","family":"Andrzejak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrzej","family":"Szuba","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2009,4,27]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.1995.tb00209.x"},{"key":"e_1_2_1_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.4010"},{"key":"e_1_2_1_4_2","first-page":"73","article-title":"The role of infection in post\u2010mastectomy lymphedema","volume":"14","author":"Mozes M","year":"1982","journal-title":"Surg Annu"},{"key":"e_1_2_1_5_2","first-page":"185","article-title":"Disability, psychological distress and quality of life in breast cancer survivors with arm lymphedema","volume":"39","author":"Pyszel A","year":"2006","journal-title":"Lymphology"},{"key":"e_1_2_1_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.21195"},{"key":"e_1_2_1_7_2","first-page":"1729","article-title":"Breast conservation versus mastectomy","volume":"69","author":"Ganz PA","year":"1992","journal-title":"Is there a difference in psychological adjustment or quality of life in the year after surgery?"},{"key":"e_1_2_1_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0142(19981115)83:10<2130::AID-CNCR11>3.0.CO;2-8"},{"key":"e_1_2_1_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(20010401)91:7<1238::AID-CNCR1124>3.0.CO;2-X"},{"key":"e_1_2_1_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2005.11.008"},{"key":"e_1_2_1_11_2","doi-asserted-by":"publisher","DOI":"10.1245\/ASO.2004.03.512"},{"key":"e_1_2_1_12_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200106283442607"},{"key":"e_1_2_1_13_2","first-page":"96","article-title":"Impact of different adjuvant therapy strategies on quality of life in breast cancer survivors","volume":"152","author":"Ganz PA","year":"1998","journal-title":"Recent Results Cancer Res"},{"key":"e_1_2_1_14_2","doi-asserted-by":"publisher","DOI":"10.1002\/pon.2960040402"},{"key":"e_1_2_1_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-005-0810-y"},{"key":"e_1_2_1_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0959-8049(02)00770-0"},{"key":"e_1_2_1_17_2","doi-asserted-by":"publisher","DOI":"10.1023\/A:1023330206021"},{"key":"e_1_2_1_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/00002820-199512000-00007"},{"key":"e_1_2_1_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/0191-8869(87)90220-0"},{"key":"e_1_2_1_20_2","first-page":"583","article-title":"Guide to physical therapist practice. 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