Investigating Post-treatment Breast Pain Severity in Breast Cancer Patients and Its Correlation with Serum Vitamin D and hs-CRP Levels

  • سال انتشار: 1403
  • محل انتشار: مجله سرطان خاورمیانه، دوره: 15، شماره: 3
  • کد COI اختصاصی: JR_MISJ-15-3_005
  • زبان مقاله: انگلیسی
  • تعداد مشاهده: 140
دانلود فایل این مقاله

نویسندگان

Ali Taghizadeh

Department of Clinical Oncology, Mashhad University of Medical Sciences, Mashhad, Iran

Elham Zarei

Cancer Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

Mansoureh Dehghani

Cancer Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

Mona Joudi

Cancer Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

Azar Fani Pakdel

Cancer Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

Seyyed Morteza Hosseini

Anesthesiology and Pain Department, Razavi Research Center, Razavi Hospital, Mashhad, Iran

Monnavar Afzalaghaee

Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

Ali Emadi Torghabeh

Department of Radiotherapy and Oncology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

چکیده

Background: Current data indicate that serum vitamin D and susceptible C-reactive protein (hs-CRP) levels, both indicative of the inflammatory state, have the potential to predict the onset and severity of chronic pain. Therefore, the objective was to assess the intensity of pain experienced after breast cancer treatment and its relationship with these two parameters. Method: In this cross-sectional study between ۲۰۱۹ and ۲۰۲۱, ۲۰۱ patients were enrolled. The McGill Pain Questionnaire was employed to evaluate localized pain intensity at the site six months after the conclusion of cancer treatments. Patients were stratified based on the type of breast surgery, with or without a tissue expander, axillary region surgery, chemotherapy treatment, radiotherapy treatment, serum vitamin D levels, serum hs-CRP levels, and pain intensity. Data analysis was performed using SPSS ۲۱ software with a significance level set at ۰.۰۵. Results: Among the patients, ۶۷.۶% (۱۳۶ individuals) reported mild pain, ۳۱.۳% (۶۳ individuals) reported moderate pain, and ۱% (۲ individuals) reported severe pain. The results of this study demonstrated a positive correlation between high serum hs-CRP levels and increased pain intensity, with serum marker levels being higher in patients experiencing more severe pain compared with those with milder pain. However, no statistically significant association was observed between various serum concentrations of vitamin D and pain intensity (P = ۰.۱۲). Conclusion: Elevated levels of inflammatory factors, such as hs-CRP, are linked to a higher likelihood of developing chronic post-surgical pain.

کلیدواژه ها

Breast neoplasms, Pain, Vitamin D, C-reactive protein, Inflammation

اطلاعات بیشتر در مورد COI

COI مخفف عبارت CIVILICA Object Identifier به معنی شناسه سیویلیکا برای اسناد است. COI کدی است که مطابق محل انتشار، به مقالات کنفرانسها و ژورنالهای داخل کشور به هنگام نمایه سازی بر روی پایگاه استنادی سیویلیکا اختصاص می یابد.

کد COI به مفهوم کد ملی اسناد نمایه شده در سیویلیکا است و کدی یکتا و ثابت است و به همین دلیل همواره قابلیت استناد و پیگیری دارد.