A prospective model of care for breast cancer rehabilitation : bone health and arthralgias

Winters-Stone, Kerri M., Schwartz, Anna L., Hayes, Sandra C., Fabian, Carol J., & Campbell, Kristin L. (2012) A prospective model of care for breast cancer rehabilitation : bone health and arthralgias. Cancer, 118(Supp 8), pp. 2288-2299.

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Abstract

Musculoskeletal health can be compromised by breast cancer treatment. In particular, bone loss and arthralgias are prevalent side effects experienced by women treated with chemotherapy and/or adjuvant endocrine therapy. Bone loss leads to osteoporosis and related fractures, while arthralgias threaten quality of life and compliance to treatment. Because the processes that lead to these musculoskeletal problems are initiated when treatment begins, early identification of women who may be at higher risk of developing problems, routine monitoring of bone density and pain at certain stages of treatment, and prudent application of therapeutic interventions are key to preventing and/or minimizing musculoskeletal sequelae. Exercise may be a particularly suitable intervention strategy because of its potential to address a number of impairments; it may slow bone loss, appears to reduce joint pain in noncancer conditions, and improves other breast cancer outcomes. Research efforts continue in the areas of etiology, measurement, and treatment of bone loss and arthralgias. The purpose of this review is to provide an overview of the current knowledge on the management and treatment of bone loss and arthralgias in breast cancer survivors and to present a framework for rehabilitation care to preserve musculoskeletal health in women treated for breast cancer.

Impact and interest:

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ID Code: 70940
Item Type: Journal Article
Refereed: Yes
Keywords: osteoporosis, quality of life, fracture, joint pain
DOI: 10.1002/cncr.27465
ISSN: 1097-0142
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Schools > School of Public Health & Social Work
Copyright Owner: Copyright 2012 American Cancer Society
Deposited On: 01 May 2014 23:32
Last Modified: 05 May 2014 03:34

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