Quality of life after breast carcinoma surgery: a comparison of three surgical procedures
- PMID: 11283922
Quality of life after breast carcinoma surgery: a comparison of three surgical procedures
Abstract
Background: Because breast-conserving surgery (BCS), mastectomy alone, and mastectomy with reconstruction are equally effective for the treatment of early stage breast carcinoma, women's choice among them often focuses on quality-of-life (QOL) issues. Information regarding QOL after these surgical treatments could help women with this decision.
Methods: Participants in this prospective study were women, age 30-85 years, with newly diagnosed breast carcinoma who underwent BCS (n = 103), mastectomy alone (n = 55), or mastectomy with reconstruction (n = 40). Quality of life was assessed after diagnosis (baseline) and at 1, 3, 6, 12, 18, and 24 months after baseline by using the Mischel Uncertainty in Illness Scale, Profile of Mood States, and Functional Assessment of Cancer Therapy for Breast Cancer.
Results: In multivariate regression analyses controlling for the QOL score obtained at baseline, age, and type of nonsurgical treatment, women who underwent mastectomy with reconstruction had greater mood disturbance (P = 0.002) and poorer well-being (P = 0.002) after baseline than women who had mastectomy alone; these differences remained 18 months after surgery. Although similar analyses also showed that women who underwent BCS had more mood disturbance than women who had mastectomy alone, this difference was significant only at 12 months after baseline. The BCS and mastectomy-only group did not differ significantly regarding well-being.
Conclusions: Aspects of QOL other than body image are not better in women who undergo BCS or mastectomy with reconstruction than in women who have mastectomy alone. In fact, mastectomy with reconstruction is associated with greater mood disturbance and poorer well-being.
Copyright 2001 American Cancer Society.
Similar articles
-
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
-
Factors associated with health-related quality-of-life in breast cancer survivors: influence of the type of surgery.Jpn J Clin Oncol. 2009 Aug;39(8):491-6. doi: 10.1093/jjco/hyp060. Epub 2009 Jun 11. Jpn J Clin Oncol. 2009. PMID: 19520689
-
Short-term and long-term psychosocial adjustment and quality of life in women undergoing different surgical procedures for breast cancer.Ann Surg Oncol. 2007 Nov;14(11):3078-89. doi: 10.1245/s10434-007-9413-9. Epub 2007 Jun 16. Ann Surg Oncol. 2007. PMID: 17574501
-
Sexuality and body image in younger women with breast cancer.J Natl Cancer Inst Monogr. 1994;(16):177-82. J Natl Cancer Inst Monogr. 1994. PMID: 7999462 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
-
"Peace of Mind" After Mastectomy: A Scoping Review.Ann Surg Oncol. 2024 Aug;31(8):5168-5179. doi: 10.1245/s10434-024-15360-3. Epub 2024 May 8. Ann Surg Oncol. 2024. PMID: 38717543 Review.
-
Trends in emotional functioning and psychosocial wellbeing in breast cancer survivors: a prospective cohort study using patient-reported outcome measures.BMC Womens Health. 2023 Mar 30;23(1):153. doi: 10.1186/s12905-023-02243-0. BMC Womens Health. 2023. PMID: 36997924 Free PMC article.
-
A review of studies on omitting surgery after neoadjuvant chemotherapy in breast cancer.Am J Cancer Res. 2022 Aug 15;12(8):3512-3531. eCollection 2022. Am J Cancer Res. 2022. PMID: 36119847 Free PMC article. Review.
-
Racial and ethnic disparities in the refusal of surgical treatment in women 40 years and older with breast cancer in the USA between 2010 and 2017.Breast Cancer Res Treat. 2022 Aug;194(3):643-661. doi: 10.1007/s10549-022-06653-w. Epub 2022 Jun 24. Breast Cancer Res Treat. 2022. PMID: 35749020 Free PMC article.
-
Opioid-sparing Strategies in Alloplastic Breast Reconstruction: A Systematic Review.Plast Reconstr Surg Glob Open. 2021 Nov 16;9(11):e3932. doi: 10.1097/GOX.0000000000003932. eCollection 2021 Nov. Plast Reconstr Surg Glob Open. 2021. PMID: 34796086 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Medical