the international classification of functioning (icf) core set for breast cancer – a prospective...
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A presentation given at the Irish Cancer Society's Survivorship Research Day at the Aviva Stadium, Dublin on Thursday, September 20th, 2013. The International Classification of Functioning (ICF) Core Set for breast cancer – a prospective surveillance tool to identify rehabilitation needs - Marese CooneyTRANSCRIPT
The International Classification of Functioning (ICF) Core Set for breast cancer – a
prospective surveillance tool to identify rehabilitation needs
Cooney MA1, Galvin R2, Connolly E3 and Stokes E1 1Discipline of Physiotherapy, Trinity College Dublin.
2Division of Population Health Sciences (General Practice), Royal College of Surgeons in Ireland,
3Breast Care Department, St. James’s Hospital, Dublin, 8.
Department of Physiotherapy, Trinity College Dublin
KEY MESSAGES There are aspects of women's
health altered by treatment for breast cancer that are not addressed by health professionals which are remediable
The ICF Core Set for breast cancer may be an appropriate surveillance tool
Department of Physiotherapy, Trinity College Dublin
Global description of health International
Classification of Functioning (ICF)
Approved World Health Assembly 2001
It contains over 1,400 categories
Department of Physiotherapy, Trinity College Dublin
Core Set for breast cancer
80 ItemsFunctionStructureActivities & participationEnvironment
Department of Physiotherapy, Trinity College Dublin
Developed without the voice of women
330 women in an Irish validation study
Mixed methods – focus groups & survey
M Cooney, R Galvin, E Connolly & E Stokes “The International Classification of Functioning (ICF) Core Set for breast cancer from the perspective of women with the condition”, Disability & Rehabilitation,
2013 May; 35(9):740-8
Not everything was in initial core set
Department of Physiotherapy, Trinity College Dublin
New categories
Attention & Memory >50%Word finding 47%Pace of thought 35%Receiving spoken messages 31%
Department of Physiotherapy, Trinity College Dublin
60% of women reported pain in two locations
40% > two locations
87% pain ever, 71% current, Kahn et al., (2012) 74% current
Chest/breast 41%Back 46%
Lower limb 32%
Shoulder/Arm 48%
Joint pain 53%
All associated with poor quality of life
Energy & drive (77%)
Endurance (63%)
Exercise tolerance (49%)
Sleep (70%) Joint mobility (59%)
Reduced strength (56%)
Weight maintenance (47%)
Lymphoedema (21%)
WORK
INTIMATE RELATIONS
PREPARATION MEALS
HAND & ARM USE
DAILY ROUTINE
LIFTING & CARRYING
Sources of support
Health professionals 77%
Department of Physiotherapy, Trinity College Dublin
80-83%
HELPFUL56%Wigs SwimsuitsOnline shopping
HINDRANCE47%ProsthesesSeatbelts
Department of Physiotherapy, Trinity College Dublin
ENVIRONMENTAL FACTORS
We propose the revised Core Set as a prospective
surveillance tool for women with breast cancer in Ireland
Marese Cooney [email protected]
Department of Physiotherapy, Trinity College Dublin