Introduction: Despite the great strides made in medical knowledge, surgery still remains a necessary part of the breast cancer treatment. Surgical procedures still lead to post surgical sequelae. The axillary web syndrome (AWS) is one such sequela, which can lead to disability, reduced arm mobility and compromised quality of life. It is often unidentified and the literature regarding its assessment is limited.To improve diagnosis and patient education, the Screening Test AWS (ST-AWS) questionnaire was drafted and applied at the European Institute of Oncology (EIO). Materials and method: We prospectively recruited patients from October 2012 to December 2012. Patients who underwent sentinel lymph node biopsy and/or axillary dissection procedures were registered. Physical examination was set as a gold standard. Results: 88 patients completed the questionnaire. Among these, 32 patients had axillary web syndrome diagnosed, thus a 36% incidence.The questionnaire achieved a sensitivity of 94%, a specificity of 91%, a positive prevalence value (PPV) of 86%, a negative prevalence value (NPV) of 96% and an accuracy of 92%. Conclusion: Our questionnaire achieves high sensitivity and predictive values, and we would recommend it as a screening-tool for auto-diagnosis of the AWS.The main objective of the questionnaire is to enhance patient and therapist awareness of the problem, and prompt management to shorten the effects of this disability. Moreover, it may offer a tool to enhance body image acceptance after surgery.Further studies whereby the efficacy of the questionnaire is investigated in a larger, heterogeneous group and in different situations are warranted.
Axillary web syndrome self-assessment questionnaire: Initial development and validation / L.F. Nevola Teixeira, P. Veronesi, V. Lohsiriwat, A. Luini, M.C. Schorr, C. Garusi, M.C. Simoncini, L.O.Z. Sarian, S. Gandini, F. Sandrin, M. Rietjens. - In: THE BREAST. - ISSN 0960-9776. - 23:6(2014), pp. 836-843.
|Titolo:||Axillary web syndrome self-assessment questionnaire: Initial development and validation|
|Parole Chiave:||Breast neoplasms; Breast reconstruction; Lymph node dissection; Physiotherapy; Rehabilitation; Adult; Aged; Breast Neoplasms; Checklist; Cohort Studies; Female; Humans; Lymph Nodes; Lymphatic Diseases; Middle Aged; Physical Therapists; Postoperative Complications; Prospective Studies; Quality of Life; Range of Motion, Articular; Sensitivity and Specificity; Sentinel Lymph Node Biopsy; Surveys and Questionnaires; Syndrome; Young Adult; Diagnostic Self Evaluation; Lymph Node Excision; Surgery|
|Settore Scientifico Disciplinare:||Settore MED/18 - Chirurgia Generale|
|Data di pubblicazione:||2014|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.1016/j.breast.2014.09.001|
|Appare nelle tipologie:||01 - Articolo su periodico|