Factors associated with the desire to undergo post-mastectomy breast reconstruction in a Mexican breast cancer center
| Autor: | Paulina Bajonero-Canonico, Cynthia Villarreal-Garza, Melina Miaja-Avila, Ana S. Ferrigno, David Eugenio Hinojosa-Gonzalez, Brizio Moreno-Jaime, Carlos de la Cruz-de la Cruz, Cristel G de la O-Maldonado, Jorge Alberto Saldaña-Rodriguez, José Moral de la Rubia, Mariela Hernandez-Pavon |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty Mammaplasty medicine.medical_treatment Decision Making Breast Neoplasms 03 medical and health sciences 0302 clinical medicine Breast cancer Post mastectomy Surveys and Questionnaires medicine Humans 030212 general & internal medicine Stage (cooking) Total Mastectomy Mexico Mastectomy Aged business.industry Public health insurance Nursing research General surgery Middle Aged medicine.disease Oncology 030220 oncology & carcinogenesis Female business Breast reconstruction |
| Zdroj: | Supportive Care in Cancer. 29:2679-2688 |
| ISSN: | 1433-7339 0941-4355 |
| DOI: | 10.1007/s00520-020-05784-4 |
| Popis: | To assess the proportion of breast cancer patients treated with total mastectomy who are interested in undergoing breast reconstruction, the factors associated with their desire to undergo this procedure, and the motives stated for their decision. Women with stage I–III breast cancer, public health insurance, and history of total mastectomy treated at a center in Monterrey, Mexico, were invited to answer a series of questionnaires regarding their clinical and demographic characteristics, information received about breast reconstruction, body image, and relationship satisfaction. A total of 100 patients were interviewed, of which 68% desired to undergo breast reconstruction. Only 35% recalled talking about this procedure with a physician and 85% claimed not to have enough information to make an informed decision. Those who desired breast reconstruction were younger (p < 0.001), more likely to be in a relationship (p = 0.025), and had a higher probability of having talked to a physician about the procedure (p = 0.019). Furthermore, they felt less sexually attractive (p < 0.001), more deformed (p = 0.006), and less feminine (p = 0.005) since the mastectomy. The main motives to undergo this procedure were to have breast symmetry and greater freedom on which clothes to wear, while the main deterrent was the high economical cost. Insufficient information about the procedure and high economical cost were identified as potential barriers to undergo breast reconstruction. The findings of this study emphasize the pressing need to optimize patient care by providing information in a standardized manner and improving access to breast reconstruction within the Mexican public healthcare system. |
| Databáze: | OpenAIRE |
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