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Titolo:
Early stage breast cancer: costs and quality of life one year after treatment by mastectomy or conservative surgery and radiation therapy
Autore:
Kenny, P; King, LM; Shiell, A; Seymour, J; Hall, J; Langlands, A; Boyages, J;
Indirizzi:
Univ Sydney, CHERE, Camperdown, NSW 2050, Australia Univ Sydney Camperdown NSW Australia 2050 Camperdown, NSW 2050, Australia Westmead Hosp, Dept Radiat Oncol, Westmead, NSW 2145, Australia Westmead Hosp Westmead NSW Australia 2145 , Westmead, NSW 2145, Australia Westmead Hosp, NSW Breast Canc Inst, Westmead, NSW 2145, Australia Westmead Hosp Westmead NSW Australia 2145 , Westmead, NSW 2145, Australia
Titolo Testata:
BREAST
fascicolo: 1, volume: 9, anno: 2000,
pagine: 37 - 44
SICI:
0960-9776(200002)9:1<37:ESBCCA>2.0.ZU;2-M
Fonte:
ISI
Lingua:
ENG
Soggetto:
COMPARING TOTAL MASTECTOMY; CLINICAL-TRIAL; PSYCHOLOGICAL MORBIDITY; RADICAL-MASTECTOMY; CONSERVING SURGERY; RANDOMIZED TRIAL; BODY-IMAGE; LUMPECTOMY; IRRADIATION; ADJUSTMENT;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
59
Recensione:
Indirizzi per estratti:
Indirizzo: Kenny, P Univ Sydney, CHERE, Mallett St Campus,Level 6 Bldg F,88 Mallett St, Camperdown, NSW 2050, Australia Univ Sydney Mallett St Campus,Level 6 Bldg F,88 Mallett St Camperdown NSW Australia 2050
Citazione:
P. Kenny et al., "Early stage breast cancer: costs and quality of life one year after treatment by mastectomy or conservative surgery and radiation therapy", BREAST, 9(1), 2000, pp. 37-44

Abstract

This paper reports a descriptive study of the costs and quality of life (QoL) outcome of treatments for early stage breast cancer in a cohort of Australian women, one year after initial surgical treatment. Mastectomy withoutbreast reconstruction is compared to breast conserving surgery and radiotherapy (breast conservation). Of the 397 women eligible for the study, costing data were collected for 81% and quality of life data for 73%. The cost differences between treatment groups were mainly accounted for by adjuvant therapies, the more expensive being radiotherapy. When compared to women treated by mastectomy, those treated by breast conservation reported better body image but worse physical function. The negative impact of breast cancer and its treatment was greater for younger women, across a number of dimensions of quality of rife (regardless of treatment type). While this study shows that breast conservation is more expensive than mastectomy, the QoL results reinforce the importance of patient participation in treatment decisions. (C) 2000 Harcourt Publishers Ltd.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 31/03/20 alle ore 09:04:42