Symptom clusters using the Brief Pain Inventory in patients with breast cancer

Ann Palliat Med. 2017 Dec;6(Suppl 2):S170-S176. doi: 10.21037/apm.2017.09.05. Epub 2017 Oct 18.

Abstract

Background: The purpose of this study was to assess symptom clusters in functional interference using the brief pain inventory (BPI) in patients with non-metastatic breast cancer (BC) during and after chemotherapy.

Methods: A principal component analysis with varimax rotation was conducted on data from 228 patients to identify two clusters at baseline and two intervals following treatment.

Results: Physical (general activity, normal work, walking ability) and psychosocial (mood, relationships, sleep, enjoyment of life) interference clusters were present at baseline. Clusters were observed at 1-month (cluster 1: general activity, normal work, enjoyment of life; cluster 2: relationships, sleep) and 3-month (cluster 1: general activity, normal work, relationships; cluster 2: sleep, enjoyment of life) post-treatment.

Conclusions: Results from our study suggest dynamic symptom clusters in this patient population, and encourage continued symptom management following completion of treatment.

Keywords: Quality of life; chemotherapy; functional interference; pain.

Publication types

  • Multicenter Study

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Antineoplastic Agents / adverse effects
  • Breast Neoplasms / drug therapy*
  • Breast Neoplasms / psychology
  • Cancer Pain / chemically induced
  • Cancer Pain / prevention & control*
  • Cancer Pain / psychology
  • Docetaxel
  • Female
  • Humans
  • Middle Aged
  • Paclitaxel / adverse effects
  • Pain Measurement
  • Prospective Studies
  • Quality of Life
  • Taxoids / adverse effects

Substances

  • Antineoplastic Agents
  • Taxoids
  • Docetaxel
  • Paclitaxel