Patient reported outcomes associated with surgical intervention for breast cancer - 15/05/20
, Brianna Creelman a, Christopher Baliski a, d, e, ⁎ Abstract |
Background |
Patient reported outcomes (PROs) are an important addition to oncologic breast surgical care. The majority of BREAST-Q PRO literature has been focused on mastectomy with reconstruction (MR), with a paucity of information on more common surgical approaches in practice namely, breast conserving therapy (BCT) and mastectomy (M). This information will help inform patients around decision-making regarding surgical options.
Methods |
837 women underwent surgery between 2010 and 2012, and were later invited to complete the postoperative BREAST-Q module specific to their most recent surgery. Multivariate analysis was performed to compare BREAST-Q subscale scores between each of the three surgical cohorts.
Results |
257 women participated (161 BCT, 84 M, 12 MR). Patients undergoing BCT reported scores in the satisfaction with breasts domain 8 points higher than those undergoing mastectomy (p = 0.046). BCT also reported higher scores than mastectomy in the areas of psychosocial well being (12 points higher) as well as sexual well-being (17 points higher) (p = 0.0006).
Conclusions |
BCT appears superior to mastectomy in terms of satisfaction with breasts, sexual well-being and now psychosocial well-being. Overall, BCT is associated with excellent patient reported outcomes.
Le texte complet de cet article est disponible en PDF.Highlights |
• | BCT superior to mastectomy in satisfaction with breasts and sexual well-being PROs. |
• | BCT superior to mastectomy in psychosocial well being PROs. |
• | BCT equivalent to mastectomy in physical well being of the chest PROs. |
• | BCT preferred over mastectomy alone in breast cancer patients who are eligible and willing to undergo adjuvant radiotherapy. |
Plan
Vol 219 - N° 5
P. 816-822 - mai 2020 Retour au numéro
Article précédent
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