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Prevalence, incidence, and risk factors for shoulder and neck dysfunction after neck dissection: A systematic review
- Source :
- European Journal of Surgical Oncology (EJSO). 43:1199-1218
- Publication Year :
- 2017
- Publisher :
- Elsevier BV, 2017.
-
Abstract
- Introduction\ud Shoulder pain and dysfunction may occur following neck dissection among people being treated for head and neck cancer. This systematic review aims to examine the prevalence and incidence of shoulder and neck dysfunction after neck dissection and identify risk factors for these post-operative complications.\ud \ud Methods\ud Electronic databases (Pubmed, CINAHL, EMBASE, Cochrane) were searched for articles including adults undergoing neck dissection for head and neck cancer. Studies that reported prevalence, incidence or risk factors for an outcome of the shoulder or neck were eligible and assessed using the Critical Review Form – Quantitative Studies.\ud \ud Results\ud Seventy-five articles were included in the final review. Prevalence rates for shoulder pain were slightly higher after RND (range, 10–100%) compared with MRND (range, 0–100%) and SND (range, 9–25%). The incidence of reduced shoulder active range of motion depended on surgery type (range, 5–20%). The prevalence of reduced neck active range of motion after neck dissection was 1–13%. Type of neck dissection was a risk factor for shoulder pain, reduced function and health-related quality of life.\ud \ud Conclusions\ud The prevalence and incidence of shoulder and neck dysfunction after neck dissection varies by type of surgery performed and measure of dysfunction used. Pre-operative education for patients undergoing neck dissection should acknowledge the potential for post-operative shoulder and neck problems to occur and inform patients that accessory nerve preservation lowers, but does not eliminate, the risk of developing musculoskeletal complications.
- Subjects :
- medicine.medical_specialty
Accessory nerve
medicine.medical_treatment
03 medical and health sciences
Postoperative Complications
0302 clinical medicine
Shoulder Pain
Prevalence
Humans
Medicine
Range of Motion, Articular
Risk factor
030223 otorhinolaryngology
Neck pain
Shoulder Joint
business.industry
Incidence
Incidence (epidemiology)
Head and neck cancer
Neck dissection
General Medicine
medicine.disease
R1
Surgery
medicine.anatomical_structure
Oncology
Head and Neck Neoplasms
030220 oncology & carcinogenesis
Quality of Life
Somatosensory Disorders
Neck Dissection
Shoulder joint
medicine.symptom
business
Range of motion
Neck
Subjects
Details
- ISSN :
- 07487983
- Volume :
- 43
- Database :
- OpenAIRE
- Journal :
- European Journal of Surgical Oncology (EJSO)
- Accession number :
- edsair.doi.dedup.....7b75d1842ff0c72596f1b07c4a7da915