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Titolo:
Quality of life after breast carcinoma surgery - A comparison of three surgical procedures
Autore:
Nissen, MJ; Swenson, KK; Ritz, LJ; Farrell, JB; Sladek, ML; Lally, RM;
Indirizzi:
Pk Nicollet Inst, Ctr Senior Serv, Minneapolis, MN 55416 USA Pk Nicollet Inst Minneapolis MN USA 55416 Serv, Minneapolis, MN 55416 USA Pk Nicollet Inst, Jane Brattain Breast Ctr, Minneapolis, MN 55416 USA Pk Nicollet Inst Minneapolis MN USA 55416 Ctr, Minneapolis, MN 55416 USA
Titolo Testata:
CANCER
fascicolo: 7, volume: 91, anno: 2001,
pagine: 1238 - 1246
SICI:
0008-543X(20010401)91:7<1238:QOLABC>2.0.ZU;2-6
Fonte:
ISI
Lingua:
ENG
Soggetto:
OF-LIFE; PSYCHOLOGICAL MORBIDITY; PSYCHOSOCIAL OUTCOMES; PATIENT SATISFACTION; MASTECTOMY PATIENTS; CLINICAL-TRIAL; CANCER SURGERY; RECONSTRUCTION; WOMEN; ADJUSTMENT;
Keywords:
breast carcinoma; breast reconstruction; breast-conserving surgery; mastectomy; postmastectomy reconstruction; quality of life;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
48
Recensione:
Indirizzi per estratti:
Indirizzo: Nissen, MJ Pk Nicollet Inst, Ctr Senior Serv, 2 South,3800 Pk Nicollet Blvd, Minneapolis, MN 55416 USA Pk Nicollet Inst 2 South,3800 Pk Nicollet BlvdMinneapolis MN USA 55416
Citazione:
M.J. Nissen et al., "Quality of life after breast carcinoma surgery - A comparison of three surgical procedures", CANCER, 91(7), 2001, pp. 1238-1246

Abstract

BACKGROUND. Because breast-conserving surgery (BCS), mastectomy alone, andmastectomy 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 scoreobtained 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. (C) 2001 American Cancer Society.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 07/04/20 alle ore 04:05:07