Prevalence, incidence, and risk factors for shoulder and neck dysfunction after neck dissection: a systematic review

Gane, E. M., Michaleff, Z. A., Cottrell, M. A., McPhail, S. M., Hatton, A. L., Panizza, B. J. and O'Leary, S. P. (2017) Prevalence, incidence, and risk factors for shoulder and neck dysfunction after neck dissection: a systematic review. European Journal of Surgical Oncology, 43 7: 1199-1218. doi:10.1016/j.ejso.2016.10.026


Author Gane, E. M.
Michaleff, Z. A.
Cottrell, M. A.
McPhail, S. M.
Hatton, A. L.
Panizza, B. J.
O'Leary, S. P.
Title Prevalence, incidence, and risk factors for shoulder and neck dysfunction after neck dissection: a systematic review
Journal name European Journal of Surgical Oncology   Check publisher's open access policy
ISSN 1532-2157
0748-7983
Publication date 2017-04-01
Sub-type Article (original research)
DOI 10.1016/j.ejso.2016.10.026
Open Access Status Not yet assessed
Volume 43
Issue 7
Start page 1199
End page 1218
Total pages 20
Place of publication London, United Kingdom
Publisher W.B. Saunders
Language eng
Formatted abstract
Introduction: 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.

Methods: 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.

Results: 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.

Conclusions: 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.
Keyword Head and neck neoplasms
Neck dissection
Neck pain
Quality of life
Risk factors
Shoulder pain
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

 
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Created: Mon, 03 Apr 2017, 12:01:58 EST by Anthony Yeates on behalf of Learning and Research Services (UQ Library)