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. 2021 Nov 11;375:e066542. doi: 10.1136/bmj-2021-066542

Table 3.

Secondary outcomes of pain, arm symptoms, and lymphoedema by treatment group. Values are numbers (percentages) unless stated otherwise

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.