Quality of life and satisfaction after breast cancer operation
- PMID: 19960349
- DOI: 10.1007/s00404-009-1302-y
Quality of life and satisfaction after breast cancer operation
Abstract
Purpose: To investigate the quality of life and satisfaction after different operations in patients with breast cancer, which are breast conserving therapy (BCT), mastectomy and reconstruction after breast BCT or mastectomy.
Materials and methods: 180 patients with breast cancer who were operated from January 2005 to October 2006 were chosen. They presented without local or distant metastasis in this period of time and were asked to complete the EORTC quality of life questionnaire (QLQ-C30), the EORTC breast cancer module questionnaire (QLQ-BR23) and a specific questionnaire regarding satisfaction of postoperative results designed by ourselves.
Results: Of 112 (62.2%) patients who responded there were 76, 20 and 16 patients in the group of BCT, mastectomy and reconstruction, respectively. Compared with the mastectomy group and reconstruction group, the patients in BCT group had better body image (BI) (P = 0.004, P = 0.003), the patients in the group of reconstruction had more financial difficulties (FD) and more future perspective (FP) than the BCT group (P = 0.006, P = 0.039). Compared with the group of mastectomy and reconstruction, the patients in the group of BCT had a better self-assessment of postoperative results (P = 0.001, P < 0.001) and less visible postoperative scars (P = 0.003, P = 0.019). Patients in the reconstruction group thought that the difference in shape of the bilateral breast was more visible than in the BCT group (P = 0.005). Regarding visible differences in size of the breasts and satisfaction with the position and form of nipple-areolar complex, there were no differences between the two groups (P = 0.077, P = 0.272).
Conclusion: Patients with BCT have a better quality of life and higher satisfaction rate with their postoperative breasts compared to patients undergoing mastectomy or reconstructive surgery.
Similar articles
-
Psychological impact and cosmetic outcome of surgical breast cancer strategies.ANZ J Surg. 2005 Nov;75(11):940-7. doi: 10.1111/j.1445-2197.2005.03517.x. ANZ J Surg. 2005. PMID: 16336382
-
Health-related quality of life and patient satisfaction after treatment for breast cancer in northern Taiwan.Int J Radiat Oncol Biol Phys. 2007 Sep 1;69(1):49-53. doi: 10.1016/j.ijrobp.2007.02.019. Epub 2007 May 7. Int J Radiat Oncol Biol Phys. 2007. PMID: 17482771
-
Cosmetic outcome and patient satisfaction after skin-sparing mastectomy for breast cancer with immediate reconstruction of the breast.Surgery. 2008 Mar;143(3):414-25. doi: 10.1016/j.surg.2007.10.006. Epub 2007 Dec 21. Surgery. 2008. PMID: 18291263
-
Measuring quality of life in oncologic breast surgery: a systematic review of patient-reported outcome measures.Breast J. 2010 Nov-Dec;16(6):587-97. doi: 10.1111/j.1524-4741.2010.00983.x. Breast J. 2010. PMID: 21070435 Review.
-
The effect of breast reconstruction surgery on body image among women after mastectomy: a meta-analysis.Breast Cancer Res Treat. 2013 Jan;137(1):13-21. doi: 10.1007/s10549-012-2349-1. Epub 2012 Dec 6. Breast Cancer Res Treat. 2013. PMID: 23225142 Review.
Cited by
-
Social participation of women with breast cancer compared to the general population 5 years after primary surgery-what role do medical data and cancer-related complaints play?Support Care Cancer. 2024 Aug 2;32(8):566. doi: 10.1007/s00520-024-08695-w. Support Care Cancer. 2024. PMID: 39093481 Free PMC article.
-
Comparative analysis of the degree of patient satisfaction after breast-conserving surgery with or without oncoplastic surgery: systematic review and meta-analysis.Front Surg. 2024 Jul 16;11:1396432. doi: 10.3389/fsurg.2024.1396432. eCollection 2024. Front Surg. 2024. PMID: 39086922 Free PMC article.
-
How breast cancer therapies impact body image - real-world data from a prospective cohort study collecting patient-reported outcomes.BMC Cancer. 2023 Jul 28;23(1):705. doi: 10.1186/s12885-023-11172-y. BMC Cancer. 2023. PMID: 37507687 Free PMC article.
-
Pre-operative and early postoperative health-related quality of life of breast cancer woman: a Lebanese prospective study.BMC Womens Health. 2023 Apr 20;23(1):187. doi: 10.1186/s12905-023-02348-6. BMC Womens Health. 2023. PMID: 37081444 Free PMC article.
-
Determination of Oncologic Outcomes, Satisfaction, and Psychosocial Well-being in Patients with Breast Cancer after Oncoplastic and Conventional Breast Conserving Surgery.World J Plast Surg. 2022;11(3):72-77. doi: 10.52547/wjps.11.3.72. World J Plast Surg. 2022. PMID: 36694674 Free PMC article.
MeSH terms
LinkOut - more resources
Full Text Sources
Medical