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Erschienen in: Breast Cancer 2/2014

01.03.2014 | Original Article

Survey on recognition of post-mastectomy pain syndrome by breast specialist physician and present status of treatment in Japan

verfasst von: Keiko Y. Kojima, Masaki Kitahara, Motohiro Matoba, Naohito Shimoyama, Shoichi Uezono

Erschienen in: Breast Cancer | Ausgabe 2/2014

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Abstract

Background

Post-mastectomy pain syndrome (PMPS) is chronic pain after breast cancer surgery and is reported to influence quality of life (QOL). Although the results of a survey in Japan showed high incidence, at 21–65 %, many of the patients had never been treated for PMPS. One reason for this low treatment rate may be poor understanding of PMPS by medical personnel. In this study, we conducted the survey by using questionnaire to assess current treatment and the recognitions of the medical personnel.

Methods

We mailed a questionnaire to 647 specialist members of the Breast Cancer Society.

Results

Of those, 34.7 % responsed. While PMPS was recognized by as much as 70.5 % of responding physicians, it was treated by as little as 47.7 % of the responders. In addition, while non-steroidal anti-inflammatory drugs (NSAIDs), which were ineffective in relieving PMPS, were used by 78.4 % of the responders, effective drugs were rarely used; therefore, treatment was considered ineffective by 69.5 %. This indicates that appropriate therapies are not widely used, and none of the current therapies are very effective.

Conclusions

The results showed high recognition of PMPS pathology among physicians, but the treatment rate was as low as 47.7 %. NSAIDs were the main treatment, and the treatment effects were not satisfactory. It was revealed that currently appropriate treatment modalities have not been widely used. Education of physicians, distribution of treatment information and further studies are considered necessary for the spread of appropriate treatment modality.
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Metadaten
Titel
Survey on recognition of post-mastectomy pain syndrome by breast specialist physician and present status of treatment in Japan
verfasst von
Keiko Y. Kojima
Masaki Kitahara
Motohiro Matoba
Naohito Shimoyama
Shoichi Uezono
Publikationsdatum
01.03.2014
Verlag
Springer Japan
Erschienen in
Breast Cancer / Ausgabe 2/2014
Print ISSN: 1340-6868
Elektronische ISSN: 1880-4233
DOI
https://doi.org/10.1007/s12282-012-0376-8

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