{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T22:44:21Z","timestamp":1790808261300,"version":"4.1.0"},"reference-count":50,"publisher":"Elsevier BV","issue":"10","license":[{"start":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T00:00:00Z","timestamp":1727740800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T00:00:00Z","timestamp":1727740800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,8,9]],"date-time":"2024-08-09T00:00:00Z","timestamp":1723161600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100013342","name":"NIHR Imperial Biomedical Research Centre","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100013342","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000272","name":"National Institute for Health and Care Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.fr","clinicalkey.jp","clinicalkey.es","clinicalkey.com.au","clinicalkey.com","ejso.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Surgical Oncology"],"published-print":{"date-parts":[[2024,10]]},"DOI":"10.1016\/j.ejso.2024.108591","type":"journal-article","created":{"date-parts":[[2024,8,8]],"date-time":"2024-08-08T13:47:37Z","timestamp":1723124857000},"page":"108591","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":13,"title":["\u2018I presumed the pain would eventually get better by itself\u2019; challenges with access to rehabilitation for upper limb dysfunction after breast cancer treatment - Descriptive and qualitative findings from a cross-sectional survey"],"prefix":"10.1016","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5949-949X","authenticated-orcid":false,"given":"Marie-Clare","family":"Johnson","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4672-332X","authenticated-orcid":false,"given":"Alison Hazel","family":"McGregor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roger","family":"A'Hern","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel Richard","family":"Leff","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5789-2773","authenticated-orcid":false,"given":"Mary","family":"Wells","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.ejso.2024.108591_bib1","unstructured":"World Health Organization. Cancer Fact Sheet https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/cancer. Accessed 02\/February\/2024."},{"key":"10.1016\/j.ejso.2024.108591_bib3","series-title":"Survivorship- Regaining life satisfaction after cancer treatment is ended","year":"2022"},{"key":"10.1016\/j.ejso.2024.108591_bib4","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1016\/j.msksp.2017.03.005","article-title":"Pain characteristics as important contributing factors to upper limb dysfunctions in breast cancer survivors at long term","volume":"29","author":"De Groef","year":"2017","journal-title":"Musculoskeletal Science and Practice"},{"issue":"5","key":"10.1016\/j.ejso.2024.108591_bib5","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0096748","article-title":"Treatment related impairments in arm and shoulder in patients with breast cancer: a systematic review","volume":"9","author":"Hidding","year":"2014","journal-title":"PLoS One"},{"key":"10.1016\/j.ejso.2024.108591_bib6","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1477-7525-8-92","article-title":"Upper-body morbidity following breast cancer treatment is common, may persist longer-term and adversely influences quality of life","volume":"8","author":"Hayes","year":"2010","journal-title":"Health Qual Life Outcome"},{"issue":"S8","key":"10.1016\/j.ejso.2024.108591_bib7","doi-asserted-by":"crossref","first-page":"2217","DOI":"10.1002\/cncr.27474","article-title":"Prevalence of breast cancer treatment sequelae over 6 years of follow\u2010up: the Pulling through Study","volume":"118","author":"Schmitz","year":"2012","journal-title":"Cancer"},{"key":"10.1016\/j.ejso.2024.108591_bib8","doi-asserted-by":"crossref","first-page":"921","DOI":"10.18632\/oncotarget.28539","article-title":"Risk factors for long-term arm morbidities following breast cancer treatments: a systematic review","volume":"14","author":"Klein","year":"2023","journal-title":"Oncotarget"},{"issue":"2","key":"10.1016\/j.ejso.2024.108591_bib9","doi-asserted-by":"crossref","first-page":"232","DOI":"10.1016\/j.pain.2013.09.028","article-title":"Psychological, surgical, and sociodemographic predictors of pain outcomes after breast cancer surgery: a population-based cohort study","volume":"155","author":"Bruce","year":"2014","journal-title":"PAIN\u00ae"},{"key":"10.1016\/j.ejso.2024.108591_bib10","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1007\/s10926-016-9685-7","article-title":"Three-year prospective cohort study of factors associated with return to work after breast cancer diagnosis","volume":"27","author":"Lee","year":"2017","journal-title":"J Occup Rehabil"},{"key":"10.1016\/j.ejso.2024.108591_bib11","doi-asserted-by":"crossref","first-page":"675","DOI":"10.1007\/s10549-019-05184-1","article-title":"Upper extremity disability and quality of life after breast cancer treatment in the Greater Plains Collaborative clinical research network","volume":"175","author":"Chrischilles","year":"2019","journal-title":"Breast Cancer Res Treat"},{"issue":"6","key":"10.1016\/j.ejso.2024.108591_bib12","doi-asserted-by":"crossref","first-page":"1140","DOI":"10.1016\/j.apmr.2015.01.006","article-title":"Effectiveness of postoperative physical therapy for upper-limb impairments after breast cancer treatment: a systematic review","volume":"96","author":"De Groef","year":"2015","journal-title":"Arch Phys Med Rehabil"},{"issue":"12","key":"10.1016\/j.ejso.2024.108591_bib13","article-title":"The physiotherapy intervention for shoulder pain in patients treated for breast cancer: systematic review","volume":"11","author":"Giacalone","year":"2019","journal-title":"Cureus"},{"issue":"5","key":"10.1016\/j.ejso.2024.108591_bib14","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2020-040116","article-title":"Role of physiotherapy in supporting recovery from breast cancer treatment: a qualitative study embedded within the UK PROSPER trial","volume":"11","author":"Rees","year":"2021","journal-title":"BMJ Open"},{"key":"10.1016\/j.ejso.2024.108591_bib15","first-page":"375","article-title":"Exercise versus usual care after non-reconstructive breast cancer surgery (UK PROSPER): multicentre randomised controlled trial and economic evaluation","author":"Bruce","year":"2021","journal-title":"Br Med J"},{"issue":"2","key":"10.1016\/j.ejso.2024.108591_bib16","doi-asserted-by":"crossref","first-page":"149","DOI":"10.3322\/caac.21639","article-title":"A systematic review of rehabilitation and exercise recommendations in oncology guidelines","volume":"71","author":"Stout","year":"2021","journal-title":"CA A Cancer J Clin"},{"issue":"1","key":"10.1016\/j.ejso.2024.108591_bib17","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1007\/s10549-012-2061-1","article-title":"Predictors of functional shoulder recovery at 1 and 12 months after breast cancer surgery","volume":"134","author":"Levy","year":"2012","journal-title":"Breast Cancer Res Treat"},{"issue":"118","key":"10.1016\/j.ejso.2024.108591_bib19","doi-asserted-by":"crossref","first-page":"2187","DOI":"10.1002\/cncr.27471","article-title":"Prospective evaluation of physical rehabilitation needs in breast cancer survivors: a call to action","volume":"15","author":"Schmitz","year":"2012","journal-title":"Cancer"},{"key":"10.1016\/j.ejso.2024.108591_bib20","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1186\/s12905-020-00968-w","article-title":"Mediating effects of shoulder-arm exercise on the postoperative severity of symptoms and quality of life of women with breast cancer","volume":"20","author":"Chen","year":"2020","journal-title":"BMC Wom Health"},{"issue":"7","key":"10.1016\/j.ejso.2024.108591_bib21","doi-asserted-by":"crossref","first-page":"851","DOI":"10.1080\/0284186X.2020.1745269","article-title":"Long-term follow-up on shoulder and arm morbidity in patients treated for early breast cancer","volume":"59","author":"Hauerslev","year":"2020","journal-title":"Acta Oncol"},{"issue":"2","key":"10.1016\/j.ejso.2024.108591_bib22","doi-asserted-by":"crossref","first-page":"201","DOI":"10.4103\/ijc.IJC_22_19","article-title":"A descriptive study on prevalence of arm\/shoulder problems and its impact on quality of life in breast cancer survivors","volume":"58","author":"Jariwala","year":"2021","journal-title":"Indian J Cancer"},{"key":"10.1016\/j.ejso.2024.108591_bib23","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1007\/s10549-007-9710-9","article-title":"Prognosis of the upper limb following surgery and radiation for breast cancer","volume":"110","author":"Lee","year":"2008","journal-title":"Breast Cancer Res Treat"},{"issue":"4","key":"10.1016\/j.ejso.2024.108591_bib24","doi-asserted-by":"crossref","first-page":"447","DOI":"10.4048\/jbc.2016.19.4.447","article-title":"Persistent pain after breast cancer treatment: a questionnaire-based study on the prevalence, associated treatment variables, and pain type","volume":"19","author":"Juhl","year":"2016","journal-title":"Journal of Breast Cancer"},{"key":"10.1016\/j.ejso.2024.108591_bib25","first-page":"346","article-title":"Persistent pain and sensory disturbances after treatment for breast cancer: six year nationwide follow-up study","author":"Mejdahl","year":"2013","journal-title":"BMJ"},{"issue":"2","key":"10.1016\/j.ejso.2024.108591_bib26","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1016\/j.bjpt.2020.05.010","article-title":"Current physical therapy care of patients undergoing breast reconstruction for breast cancer: a survey of practice in the United Kingdom and Brazil","volume":"25","author":"Mazuquin","year":"2021","journal-title":"Braz J Phys Ther"},{"issue":"7","key":"10.1016\/j.ejso.2024.108591_bib27","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2020-037280","article-title":"Shared concern with current breast cancer rehabilitation services: a focus group study of survivors' and professionals' experiences and preferences for rehabilitation care delivery","volume":"10","author":"Rafn","year":"2020","journal-title":"BMJ Open"},{"issue":"1","key":"10.1016\/j.ejso.2024.108591_bib28","doi-asserted-by":"crossref","DOI":"10.1186\/1477-7525-7-11","article-title":"Responsiveness of the EQ-5D in breast cancer patients in their first year after treatment","volume":"7","author":"Kimman","year":"2009","journal-title":"Health Qual Life Outcome"},{"issue":"1","key":"10.1016\/j.ejso.2024.108591_bib29","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1016\/j.apmr.2013.07.022","article-title":"Patient-reported upper extremity outcome measures used in breast cancer survivors: a systematic review","volume":"95","author":"Harrington","year":"2014","journal-title":"Arch Phys Med Rehabil"},{"issue":"4","key":"10.1016\/j.ejso.2024.108591_bib30","first-page":"765","article-title":"Neuropathic pain in cancer: systematic review, performance of screening tools and analysis of symptom profiles","volume":"119","author":"Mulvey","year":"2017","journal-title":"Br J Addiction: Br J Anaesth"},{"key":"10.1016\/j.ejso.2024.108591_bib31","series-title":"UK cancer Costs questionnaire","year":"2023"},{"key":"10.1016\/j.ejso.2024.108591_bib32","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1186\/s12874-015-0045-7","article-title":"The use of the Godin-Shephard Leisure-Time Physical Activity Questionnaire in oncology research: a systematic review","volume":"15","author":"Amireault","year":"2015","journal-title":"BMC Med Res Methodol"},{"issue":"S174-S188","key":"10.1016\/j.ejso.2024.108591_bib34","volume":"63","author":"Angst","year":"2011","journal-title":"Arthritis Care Res"},{"issue":"6","key":"10.1016\/j.ejso.2024.108591_bib35","doi-asserted-by":"crossref","first-page":"1073","DOI":"10.1016\/j.jpainsymman.2010.08.016","article-title":"Studies comparing numerical rating scales, verbal rating scales, and visual analogue scales for assessment of pain intensity in adults: a systematic literature review","volume":"41","author":"Hjermstad","year":"2011","journal-title":"J Pain Symptom Manag"},{"issue":"2","key":"10.1016\/j.ejso.2024.108591_bib37","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","author":"Braun","year":"2006","journal-title":"Qual Res Psychol"},{"key":"10.1016\/j.ejso.2024.108591_bib38","article-title":"English indices of deprivation 2019: postcode Lookup (opendatacommunities.org)","year":"2022","journal-title":"English indices of deprivation 2019: Postcode Lookup"},{"key":"10.1016\/j.ejso.2024.108591_bib39","unstructured":"https:\/\/www.gov.uk\/what-different-qualification-levels-mean\/list-of-qualification-levels.21\/1\/2022."},{"key":"10.1016\/j.ejso.2024.108591_bib40","series-title":"Breast surgery GIRFT programme national speciality report","author":"MacNeill","year":"2021"},{"issue":"1","key":"10.1016\/j.ejso.2024.108591_bib41","doi-asserted-by":"crossref","first-page":"30","DOI":"10.2519\/jospt.2014.4893","article-title":"Minimal clinically important difference of the disabilities of the arm, shoulder and hand outcome measure (DASH) and its shortened version (QuickDASH)","volume":"44","author":"Franchignoni","year":"2014","journal-title":"J Orthop Sports Phys Ther"},{"issue":"2","key":"10.1016\/j.ejso.2024.108591_bib42","doi-asserted-by":"crossref","first-page":"519","DOI":"10.1016\/j.bjps.2021.09.079","article-title":"The Impact of implant-based reconstruction on persistent pain after breast cancer surgery: a systematic review","volume":"75","author":"Guliyeva","year":"2022","journal-title":"J Plast Reconstr Aesthetic Surg"},{"key":"10.1016\/j.ejso.2024.108591_bib43","author":"England"},{"issue":"6","key":"10.1016\/j.ejso.2024.108591_bib44","doi-asserted-by":"crossref","first-page":"kac072","DOI":"10.1093\/jncics\/pkac072","article-title":"Physical activity and health-related quality of life in women with breast cancer: a meta-analysis","volume":"6","author":"Aune","year":"2022","journal-title":"JNCI Cancer Spectr"},{"key":"10.1016\/j.ejso.2024.108591_bib45","doi-asserted-by":"crossref","first-page":"1587","DOI":"10.1007\/s00520-019-05186-1","article-title":"The effect of exercise on aromatase inhibitor-induced musculoskeletal symptoms in breast cancer survivors: a systematic review and meta-analysis","volume":"28","author":"Lu","year":"2020","journal-title":"Support Care Cancer"},{"issue":"1","key":"10.1016\/j.ejso.2024.108591_bib46","article-title":"Exercise therapies for preventing or treating aromatase inhibitor\u2010induced musculoskeletal symptoms in early breast cancer","author":"Roberts","year":"2020","journal-title":"Cochrane Database Syst Rev"},{"key":"10.1016\/j.ejso.2024.108591_bib47","doi-asserted-by":"crossref","DOI":"10.3389\/fendo.2021.713700","article-title":"Aromatase inhibitor-associated musculoskeletal syndrome: understanding mechanisms and management","volume":"12","author":"Hyder","year":"2021","journal-title":"Front Endocrinol"},{"issue":"5","key":"10.1016\/j.ejso.2024.108591_bib48","doi-asserted-by":"crossref","first-page":"447","DOI":"10.36076\/ppj.2014\/17\/447","article-title":"Applying modern pain neuroscience in clinical practice: criteria for the classification of central sensitization pain","volume":"17","author":"Nijs","year":"2014","journal-title":"Pain Physician Sep-Oct"},{"key":"10.1016\/j.ejso.2024.108591_bib49","unstructured":"Breast Cancer Now. Exercises after breast cancer surgery. https:\/\/breastcancernow.org\/sites\/default\/files\/publications\/pdf\/bcc6_exercises_booklet_2019_web.pdf."},{"issue":"3","key":"10.1016\/j.ejso.2024.108591_bib50","doi-asserted-by":"crossref","first-page":"713","DOI":"10.1002\/pon.4612","article-title":"Predictors of adherence to exercise interventions during and after cancer treatment: a systematic review","volume":"27","author":"Ormel","year":"2018","journal-title":"Psycho Oncol"},{"issue":"7","key":"10.1016\/j.ejso.2024.108591_bib51","doi-asserted-by":"crossref","first-page":"2443","DOI":"10.1016\/j.pec.2022.03.002","article-title":"The impact of breast cancer on fears of exercise and exercise identity","volume":"105","author":"Murray","year":"2022","journal-title":"Patient Educ Counsel"},{"issue":"12","key":"10.1016\/j.ejso.2024.108591_bib52","doi-asserted-by":"crossref","first-page":"7036","DOI":"10.1245\/s10434-023-13966-7","article-title":"The use of wearable activity monitors to measure upper limb physical activity after axillary lymph node dissection and sentinel lymph node biopsy","volume":"30","author":"Che Bakri","year":"2023","journal-title":"Ann Surg Oncol"},{"key":"10.1016\/j.ejso.2024.108591_bib53","doi-asserted-by":"crossref","first-page":"5597","DOI":"10.1245\/s10434-021-10458-4","article-title":"Objective assessment of postoperative morbidity after breast cancer treatments with wearable activity monitors: the \u201cBRACELET\u201d study","volume":"28","author":"Che Bakri","year":"2021","journal-title":"Ann Surg Oncol"},{"issue":"13","key":"10.1016\/j.ejso.2024.108591_bib54","doi-asserted-by":"crossref","first-page":"6100","DOI":"10.3390\/s23136100","article-title":"Assessing upper limb function in breast cancer survivors using wearable sensors and machine learning in a free-living environment","volume":"23","author":"Vets","year":"2023","journal-title":"Sensors"}],"container-title":["European Journal of Surgical Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0748798324006437?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0748798324006437?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2024,9,20]],"date-time":"2024-09-20T02:20:34Z","timestamp":1726798834000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0748798324006437"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10]]},"references-count":50,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2024,10]]}},"alternative-id":["S0748798324006437"],"URL":"https:\/\/doi.org\/10.1016\/j.ejso.2024.108591","relation":{},"ISSN":["0748-7983"],"issn-type":[{"value":"0748-7983","type":"print"}],"subject":[],"published":{"date-parts":[[2024,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"\u2018I presumed the pain would eventually get better by itself\u2019; challenges with access to rehabilitation for upper limb dysfunction after breast cancer treatment - Descriptive and qualitative findings from a cross-sectional survey","name":"articletitle","label":"Article Title"},{"value":"European Journal of Surgical Oncology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ejso.2024.108591","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2024 The Authors. Published by Elsevier Ltd.","name":"copyright","label":"Copyright"}],"article-number":"108591"}}