Table 3.
Outcome | Usual care | Exercise | Estimate | P value |
---|---|---|---|---|
Mean (SD) pain intensity, NRS*: | Adjusted mean difference (95% CI) | |||
Pain at rest, 6 weeks | 2.2 (2.5); (n=150) | 1.6 (1.9) (n=153) | −0.58 (−1.09 to −0.07) | 0.03 |
Pain on movement, 6 weeks | 2.6 (2.6); (n=150) | 2.1 (2.1) (n=153) | 0.55 (−1.10 to −0.01) | 0.04 |
Pain, 6 months | 2.2 (2.3) (n=153) | 2.0 (2.1) (n=148) | −0.17 (−0.70 to 0.35) | 0.52 |
Pain, 12 months | 2.6 (2.4) (n=139) | 1.9 (2.0) (n=135) | −0.68 (−1.23 to −0.12) | 0.02 |
Adjusted odds ratio (95% CI) | ||||
Moderate to severe, 6 weeks | 46/150 (31) | 28/153 (18) | 1.90 (1.02 to 3.52) | 0.04 |
Moderate to severe, 6 months | 30/133 (23) | 25/145 (17) | 1.42 (0.72 to 2.84) | 0.31 |
Moderate to severe, 12 months | 43/139 (31) | 22/135 (16) | 2.41 (1.24 to 4.70) | 0.01 |
Neuropathic pain, DN4 positive: | Adjusted odds ratio (95% CI) | |||
6 weeks | 21/150 (14) | 24/153 (16) | 0.73 (0.22 to 2.45) | 0.61 |
6 months | 29/133 (22) | 26/145 (18) | 1.64 (0.63 to 4.23) | 0.31 |
12 months | 32/139 (23) | 22/135 (16) | 1.29 (0.45 to 3.69) | 0.64 |
Mean (SD) arm symptoms, FACT-B+4: | Adjusted mean difference (95% CI) | |||
6 weeks | 4.5 (4.4) | 4.1 (3.8) | −0.48 (−1.40 to 0.43) | 0.30 |
6 months | 4.7 (4.4) | 3.4 (3.4) | −1.11 (−2.01 to −0.21) | 0.02 |
12 months | 5.4 (5.2) | 3.4 (4.0) | −2.02 (−3.11 to −0.93) | <0.001 |
Lymphoedema, LBCQ: | Adjusted odds ratio (95% CI) | |||
6 weeks | 20/150 (13) | 22/153 (14) | 1.07 (0.52 to 2.24) | 0.85 |
6 months | 32/133 (24) | 29/145 (20) | 0.82 (0.43 to 1.56) | 0.55 |
12 months | 36/139 (26) | 33/135 (24) | 1.17 (0.62 to 2.23) | 0.62 |
DN4=Douleur Neuropathique-4 (positive neuropathic pain=score >3); FACT-B+4=Functional Assessment of Cancer Therapy-Breast+4 arm symptom scale; LBCQ=Lymphoedema and Breast Cancer Questionnaire (positive symptoms=arm both heavy and swollen).
Numerical rating scale: acute and chronic postoperative pain. Moderate to severe pain=4-10.