Chronic pain and other sequelae in long-term breast cancer survivors: nationwide survey in Denmark.
Abstract
OBJECTIVES: To investigate self-reported chronic pain and other sequelae in a nationally representative sample of long-term breast cancer survivors (BCS). DESIGN: Age-stratified random sample of 2,000 female BCS 5 years after primary surgery without recurrence drawn from the Danish Breast Cancer Cooperative Group register, which is representative regarding long-term BCS in Denmark. ASSESSMENT: Self-administered questionnaire including questions on sociodemography, chronic pain (6 months), health-related quality of life (HRQOL) and other sequelae related to breast cancer. Associations with treatment were investigated. Report of chronic pain was compared to normative data. RESULTS: The response rate was 79%. Chronic pain prevalence of 42% was significantly higher in BCS compared to general population women (SRR: 1.32; 95% CI: 1.23-1.42). Sequelae related to breast cancer were paraesthesia 47%, chronic pain 29%, arm/shoulder swelling 25%, phantom sensations 19%, and allodynia 15%. Chronic pain related to breast cancer was significantly associated with poorer HRQOL and higher medicine consumption, and, in multiple logistic regression analysis, with age (<70 years), short education, being single (divorced, widowed, separated), radiotherapy, and time since operation <10 years. Radiotherapy and younger age were significantly associated with most sequelae. CONCLUSION: Chronic pain was more prevalent in BCS compared to the general population. Significant predictors for sequelae related to breast cancer were radiotherapy and younger age. Future research should therefore prioritize sequelae prevention.
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A majority of women report persistent psychological and physiological symptoms after breast cancer surgery.
“Breast cancer is the most common form of cancer among women [1], and a majority of women report persistent psychological and physiological symptoms after breast cancer surgery [3–5].”
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- Authors
- Peuckmann, V., Ekholm, O., Rasmussen, N. K., Groenvold, M., Christiansen, P., Møller, S., Eriksen, J., & Sjøgren, P.
- Affiliations
- University of Southern Denmark (DK)
- Aarhus University Hospital (DK)
- Rigshospitalet (DK)
- Venue
- European Journal of Pain
- Publisher
- Wiley
- Published
- 2009-05
- Volume
- 13
- Issue
- 5
- Pages
- 478-485
- ISSN
- 1090-3801 (ISSN-L)
- 1532-2149
- OpenAlex
- W2095345249
- Cited by
- 264
- References
- 43
- Citations by year
- 2026: 6 · 2025: 12 · 2024: 11 · 2023: 13 · 2022: 24 · 2021: 17 · 2020: 17 · 2019: 20 · 2018: 18 · 2017: 11 · 2016: 14 · 2015: 11 · 2014: 15 · 2013: 21 · 2012: 14
- FWCI
- 6.88
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Journal of Pain (publishedVersion)
- PubMed (publishedVersion)
- Research at the University of Copenhagen (University of Copenhagen) (publishedVersion)
- University of Southern Denmark Research Portal (University of Southern Denmark) (publishedVersion)
- RWTH Publications (RWTH Aachen) (submittedVersion)
- Research at the University of Copenhagen (University of Copenhagen) (submittedVersion)
- Funders
- Kræftens Bekæmpelse
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cancer-related cognitive impairment studies
- Keywords
- chronic pain, breast cancer survivors, late effects of cancer treatment, health-related quality of life, radiotherapy, paresthesia, phantom limb sensation, allodynia, medicine consumption, predictors of chronic pain, Denmark
- MeSH terms
- Adolescent, Adult, Aged, Analgesics, Antineoplastic Agents, Breast Neoplasms, Carcinoma, Chronic Disease, Data Collection, Denmark, Female, Humans, Middle Aged, Pain, Intractable, Intractable Pain, Quality of Life, Surveys and Questionnaires, Radiotherapy, Risk Factors, Comorbidity, Prevalence, Age Distribution, Thoracic Surgical Procedures, Young Adult
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