{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,25]],"date-time":"2025-05-25T17:22:58Z","timestamp":1748193778371,"version":"3.37.3"},"reference-count":23,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2020,2,10]],"date-time":"2020-02-10T00:00:00Z","timestamp":1581292800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/501100020214","name":"Fraser Health Authority","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100020214","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,3,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Early identification of breast cancer\u2013related upper body issues is important to enable timely physical therapist treatment.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>This study evaluated the feasibility and reliability of women performing self-managed prospective surveillance for upper body issues in the early postoperative phase as part of a hospital-based physical therapy program.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design<\/jats:title>\n                  <jats:p>This was a prospective, single-site, single-group feasibility and reliability study.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Presurgery arm circumference measurements were completed at home and at the hospital by participants and by a physical therapist. Instruction in self-measurement was provided using a video guide. After surgery, all circumference measurements were repeated along with self-assessment and therapist assessment for shoulder flexion and abduction active range of motion. Feasibility was determined by recruitment\/retention rates and participant-reported ease of performing self-measurements (1 [very difficult] to 10 [very easy]). Reliability was determined as intrarater reliability, interrater reliability, and agreement.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Thirty-three women who were 53.4 (SD\u00a0=\u00a011.4) years old participated, with recruitment and retention rates of 79% and 94%, respectively. Participant-reported ease of measurement was 8.2 (SD\u00a0=\u00a02.2) before surgery and 8.0 (SD\u00a0=\u00a01.9) after surgery. The intrarater reliability and interrater reliability were excellent before surgery (intraclass correlation coefficient [ICC]\u00a0\u2265\u00a00.94; 95% confidence interval\u00a0=\u00a00.87\u20130.97) and after surgery (ICC\u00a0\u2265\u00a00.91; 95% confidence interval\u00a0=\u00a00.76\u20130.96). Agreement between self-assessed and therapist-assessed active shoulder flexion (\u03ba\u00a0=\u00a00.79) and abduction (\u03ba\u00a0=\u00a00.71) was good.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Limitations<\/jats:title>\n                  <jats:p>Further testing is needed using a prospective design with a longer follow-up to determine whether self-managed prospective surveillance and timely treatment can hinder the development of chronic breast cancer\u2013related upper body issues<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Self-measured arm circumference and shoulder range of motion are reliable, and their inclusion in a hospital-based program of prospective surveillance for upper body issues seems feasible. This approach may improve early detection and treatment<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ptj\/pzz181","type":"journal-article","created":{"date-parts":[[2019,12,9]],"date-time":"2019-12-09T12:07:24Z","timestamp":1575893244000},"page":"468-476","source":"Crossref","is-referenced-by-count":10,"title":["Self-Managed Surveillance for Breast Cancer\u2013Related Upper Body Issues: A Feasibility and Reliability Study"],"prefix":"10.1093","volume":"100","author":[{"given":"Bolette S","family":"Rafn","sequence":"first","affiliation":[{"name":"Department of Physical Therapy, Faculty of Medicine, University of British Columbia , Vancouver, British Columbia, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chiara A","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Surrey Memorial Hospital , Fraser Health, Surrey, British Columbia, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie","family":"Midtgaard","sequence":"additional","affiliation":[{"name":"Department of Public Health, University of Copenhagen , Copenhagen, Denmark; and University Hospitals' Centre for Health Research, Rigshospitalet, Copenhagen, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pat G","family":"Camp","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, University of British Columbia ; Centre for Heart and Lung Innovation, University of British Columbia; and St. Paul's Hospital, Vancouver, British Columbia, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margaret L","family":"McNeely","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Faculty of Rehabilitation Medicine, University of Alberta , Edmonton, Alberta, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristin L","family":"Campbell","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Faculty of Medicine, University of British Columbia , Wesbrook Mall, Vancouver, British Columbia V6T 1Z3, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,2,10]]},"reference":[{"key":"2023011708205858500_ref1","doi-asserted-by":"crossref","first-page":"363","DOI":"10.3322\/caac.21565","article-title":"Cancer treatment and survivorship statistics, 2019","volume":"69","author":"Miller","year":"2019","journal-title":"CA Cancer J Clin."},{"key":"2023011708205858500_ref2","doi-asserted-by":"crossref","first-page":"1807","DOI":"10.1007\/s00520-014-2539-y","article-title":"Adverse breast cancer treatment effects: the economic case for making rehabilitative programs standard of care","volume":"23","author":"Schmitz","year":"2015","journal-title":"Support Care 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