METHODS: We retrospectively extracted patient and therapy characteristics, UED measured by quick-disabilities of the arm, shoulder and hand (QuickDASH, 0-100 pts.), and patient-rated acceptability (1-item, 0-10 pts) from rehabilitation charts of BCS who completed cancer-specialized PT/OT provided by a single national institution in 2019. We summarized characteristics and acceptability using descriptive statistics, then used established parameters to group BCS by baseline UED severity: high- (QuickDASH > 31.5), moderate- (QuickDASH = 18.5-31.5), or low-UED (QuickDASH = 13-18.5). To evaluate within-group pre-to-post QuickDASH change, we used paired samples t test (p < 0.01), then calculated the proportion who achieved the minimally clinical important difference (MCID, 15.9 points). To compare between-groups difference in QuickDASH improvement, we used Kruskal-Wallis test and Chi-squared test.
RESULTS: Patients (N = 417) were 59.89 ± 12.06 years old, 99% female, and attended approximately 10 PT/OT sessions (IQR = 6.0-16.0). Most had high baseline UED (62%), followed by moderate (25%) or low UED (13%). For each severity group, mean pre-to-post change in QuickDASH was significant: high-UED (M∆ = 25.13 ± 20.33, d = 1.24, p < 0.01), moderate-UED (M∆ = 11.36 ± 11.9, d = 0.95, p < 0.01), and low-UED (M∆ = 4.84 ± 9.15, d = 0.53, p < 0.01). Most with high UED achieved the MCID (n = 176, 68.2%). In the moderate- and low-UED groups 44% (n = 46) and 4% (n = 2) achieved the MCID, respectively. Acceptability was high (n = 167, Median = 10).
CONCLUSIONS: Outpatient cancer rehabilitation is associated with significant improvement in UED for BCS and was acceptable to patients regardless of UED severity at baseline.
方法:我们回顾性提取了患者和治疗特征,UED通过手臂的快速残疾来衡量,肩膀和手(QuickDASH,0-100分。),和患者评级的可接受性(1-项目,0-10分)来自BCS的康复图,这些BCS在2019年完成了由单个国家机构提供的癌症专用PT/OT。我们使用描述性统计数据总结了特征和可接受性,然后使用已建立的参数按基线UED严重性对BCS进行分组:高(QuickDASH>31.5),中间-(QuickDASH=18.5-31.5),或低UED(QuickDASH=13-18.5)。要评估组内pre-to-postQuickDASH更改,我们使用配对样本t检验(p<0.01),然后计算实现最小临床重要差异的比例(MCID,15.9分)。要比较QuickDASH改进的组间差异,我们使用了Kruskal-Wallis检验和卡方检验。
结果:患者(N=417)年龄为59.89±12.06岁,99%是女性,并参加了大约10次PT/OT会议(IQR=6.0-16.0)。大多数人具有高基线UED(62%),其次是中度(25%)或低UED(13%)。对于每个严重性组,QuickDASH的平均前后变化显着:高UED(MΔ=25.13±20.33,d=1.24,p<0.01),中度-UED(MΔ=11.36±11.9,d=0.95,p<0.01),和低UED(MΔ=4.84±9.15,d=0.53,p<0.01)。大多数具有高UED的人获得了MCID(n=176,68.2%)。在中度和低度UED组中,44%(n=46)和4%(n=2)达到了MCID,分别。可接受性高(n=167,中位数=10)。
结论:门诊癌症康复与BCS的UED明显改善相关,无论基线时UED严重程度如何,患者均可接受。