Assessing the Relationship of Different Levels of Pain to the Health Status of Long-Term Breast Cancer Survivors: A Cross-Sectional Study

Abstract Purpose: This study investigated the relationship between different pain levels in the affected arm and health status in long-term breast cancer survivors (LTBCSs) and identified predictors of pain at this stage of long-term survivorship. Methods: A cross-sectional study of 80 participants...

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Autores: Álvarez-Salvago, Francisco, Figueroa-Mayordomo, María, Molina-García, Cristina, Pujol-Fuentes, Clara, Atienzar-Aroca, Sandra, de Diego-Moreno, Manuel, Medina-Luque, Jose
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:España
Institución:Universidad de Jaén
Repositorio:RUJA. Repositorio Institucional de la Producción Científica de la Universidad de Jaén
OAI Identifier:oai:dnet:ruja________::c5ac9b4be4157192251411bf533e4cc7
Acceso en línea:https://hdl.handle.net/10953/7729
Access Level:acceso abierto
Palabra clave:breast cancer
long-term survivorship
pain
quality of life
rehabilitation
616-006.04:618.19-036.8:616.8-009.7:613.98
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spelling Assessing the Relationship of Different Levels of Pain to the Health Status of Long-Term Breast Cancer Survivors: A Cross-Sectional StudyÁlvarez-Salvago, FranciscoFigueroa-Mayordomo, MaríaMolina-García, CristinaPujol-Fuentes, ClaraAtienzar-Aroca, Sandrade Diego-Moreno, ManuelMedina-Luque, Josebreast cancerlong-term survivorshippainquality of liferehabilitation616-006.04:618.19-036.8:616.8-009.7:613.98Abstract Purpose: This study investigated the relationship between different pain levels in the affected arm and health status in long-term breast cancer survivors (LTBCSs) and identified predictors of pain at this stage of long-term survivorship. Methods: A cross-sectional study of 80 participants categorized LTBCSs by pain levels in the affected arm into three groups: no pain (0-0.99), mild pain (1-3.99), and moderate to severe pain (4-10). Variables assessed at least 5 years since diagnosis include pain in the non-affected arm, pain interference, cancer-related fatigue (CRF), physical activity (PA) level, fitness condition, mood state, and health-related quality of life (HRQoL). Results: A total of 36.25% of LTBCSs have no pain, 30% have mild pain, and 33.75% have moderate to severe pain. Furthermore, pain presence was associated with increased pain in the non-affected arm, pain interference, CRF, mood disturbances, and physical inactivity, as well as a decreased HRQoL (all p < 0.05). Regression analysis found "upset by hair loss", CRF "affective domain", "dyspnea", and "alcohol consumption" as significant predictors of higher levels of pain in the affected arm (r2 adjusted = 0.646). Conclusions: A total of 63.75% of LTBCSs continue to experience mild to moderate to severe pain in the affected arm, negatively impacting their physical, mental, and emotional health status, with increased pain severity ≥5 years beyond cancer diagnosis. "Upset by hair loss", CRF "affective domain", "dyspnea", and alcohol consumption collectively explain 64.6% of the affected-arm pain level in LTBCSs. Keywords: breast cancer; long-term survivorship; pain; quality of life; rehabilitation.MDPI ST ALBAN-ANLAGE 66, CH-4052 BASEL, SWITZERLAND202620262025info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/10953/7729reponame:RUJA. Repositorio Institucional de la Producción Científica de la Universidad de Jaéninstname:Universidad de JaénInglésLifeCC0 1.0 Universalhttp://creativecommons.org/publicdomain/zero/1.0/info:eu-repo/semantics/openAccessoai:dnet:ruja________::c5ac9b4be4157192251411bf533e4cc72026-06-24T12:41:07Z
dc.title.none.fl_str_mv Assessing the Relationship of Different Levels of Pain to the Health Status of Long-Term Breast Cancer Survivors: A Cross-Sectional Study
title Assessing the Relationship of Different Levels of Pain to the Health Status of Long-Term Breast Cancer Survivors: A Cross-Sectional Study
spellingShingle Assessing the Relationship of Different Levels of Pain to the Health Status of Long-Term Breast Cancer Survivors: A Cross-Sectional Study
Álvarez-Salvago, Francisco
breast cancer
long-term survivorship
pain
quality of life
rehabilitation
616-006.04:618.19-036.8:616.8-009.7:613.98
title_short Assessing the Relationship of Different Levels of Pain to the Health Status of Long-Term Breast Cancer Survivors: A Cross-Sectional Study
title_full Assessing the Relationship of Different Levels of Pain to the Health Status of Long-Term Breast Cancer Survivors: A Cross-Sectional Study
title_fullStr Assessing the Relationship of Different Levels of Pain to the Health Status of Long-Term Breast Cancer Survivors: A Cross-Sectional Study
title_full_unstemmed Assessing the Relationship of Different Levels of Pain to the Health Status of Long-Term Breast Cancer Survivors: A Cross-Sectional Study
title_sort Assessing the Relationship of Different Levels of Pain to the Health Status of Long-Term Breast Cancer Survivors: A Cross-Sectional Study
dc.creator.none.fl_str_mv Álvarez-Salvago, Francisco
Figueroa-Mayordomo, María
Molina-García, Cristina
Pujol-Fuentes, Clara
Atienzar-Aroca, Sandra
de Diego-Moreno, Manuel
Medina-Luque, Jose
author Álvarez-Salvago, Francisco
author_facet Álvarez-Salvago, Francisco
Figueroa-Mayordomo, María
Molina-García, Cristina
Pujol-Fuentes, Clara
Atienzar-Aroca, Sandra
de Diego-Moreno, Manuel
Medina-Luque, Jose
author_role author
author2 Figueroa-Mayordomo, María
Molina-García, Cristina
Pujol-Fuentes, Clara
Atienzar-Aroca, Sandra
de Diego-Moreno, Manuel
Medina-Luque, Jose
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv breast cancer
long-term survivorship
pain
quality of life
rehabilitation
616-006.04:618.19-036.8:616.8-009.7:613.98
topic breast cancer
long-term survivorship
pain
quality of life
rehabilitation
616-006.04:618.19-036.8:616.8-009.7:613.98
description Abstract Purpose: This study investigated the relationship between different pain levels in the affected arm and health status in long-term breast cancer survivors (LTBCSs) and identified predictors of pain at this stage of long-term survivorship. Methods: A cross-sectional study of 80 participants categorized LTBCSs by pain levels in the affected arm into three groups: no pain (0-0.99), mild pain (1-3.99), and moderate to severe pain (4-10). Variables assessed at least 5 years since diagnosis include pain in the non-affected arm, pain interference, cancer-related fatigue (CRF), physical activity (PA) level, fitness condition, mood state, and health-related quality of life (HRQoL). Results: A total of 36.25% of LTBCSs have no pain, 30% have mild pain, and 33.75% have moderate to severe pain. Furthermore, pain presence was associated with increased pain in the non-affected arm, pain interference, CRF, mood disturbances, and physical inactivity, as well as a decreased HRQoL (all p < 0.05). Regression analysis found "upset by hair loss", CRF "affective domain", "dyspnea", and "alcohol consumption" as significant predictors of higher levels of pain in the affected arm (r2 adjusted = 0.646). Conclusions: A total of 63.75% of LTBCSs continue to experience mild to moderate to severe pain in the affected arm, negatively impacting their physical, mental, and emotional health status, with increased pain severity ≥5 years beyond cancer diagnosis. "Upset by hair loss", CRF "affective domain", "dyspnea", and alcohol consumption collectively explain 64.6% of the affected-arm pain level in LTBCSs. Keywords: breast cancer; long-term survivorship; pain; quality of life; rehabilitation.
publishDate 2025
dc.date.none.fl_str_mv 2025
2026
2026
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/10953/7729
url https://hdl.handle.net/10953/7729
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Life
dc.rights.none.fl_str_mv CC0 1.0 Universal
http://creativecommons.org/publicdomain/zero/1.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv CC0 1.0 Universal
http://creativecommons.org/publicdomain/zero/1.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv MDPI ST ALBAN-ANLAGE 66, CH-4052 BASEL, SWITZERLAND
publisher.none.fl_str_mv MDPI ST ALBAN-ANLAGE 66, CH-4052 BASEL, SWITZERLAND
dc.source.none.fl_str_mv reponame:RUJA. Repositorio Institucional de la Producción Científica de la Universidad de Jaén
instname:Universidad de Jaén
instname_str Universidad de Jaén
reponame_str RUJA. Repositorio Institucional de la Producción Científica de la Universidad de Jaén
collection RUJA. Repositorio Institucional de la Producción Científica de la Universidad de Jaén
repository.name.fl_str_mv
repository.mail.fl_str_mv
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