Breast cancer patient-reported outcome of factors influencing cosmetic satisfaction after breast-conserving therapy
| Autor: | Vivianne C. G. Tjan-Heijnen, L. Janssen, Rudi M. H. Roumen, L.A.D.M. van Osch, Angelique Brands-Appeldoorn, A. J. G. Maaskant-Braat |
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| Přispěvatelé: | RS: GROW - R4 - Reproductive and Perinatal Medicine, RS: CAPHRI - R6 - Promoting Health & Personalised Care, Health promotion, MUMC+: DA KG Polikliniek (9), RS: GROW - R3 - Innovative Cancer Diagnostics & Therapy, Interne Geneeskunde, MUMC+: MA Medische Oncologie (9) |
| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
Adult
medicine.medical_specialty Breast-conserving therapy Esthetics SURGERY Breast surgery medicine.medical_treatment Breast Neoplasms COSMESIS Mastectomy Segmental BODY-IMAGE Breast cancer DISTRESS Quality of life QUALITY-OF-LIFE Surveys and Questionnaires RADIATION-THERAPY MASTECTOMY medicine Humans Pharmacology (medical) Radiology Nuclear Medicine and imaging Patient Reported Outcome Measures Aged Aged 80 and over business.industry Cosmesis WOMEN General Medicine Middle Aged CHEMOTHERAPY medicine.disease Radiation therapy Distress Body image Oncology Self-assessment Patient Satisfaction Physical therapy Patient-reported outcome Original Article Female Cosmetic outcome business Mastectomy |
| Zdroj: | Breast Cancer (Tokyo, Japan) Breast Cancer, 29(1), 114-120. Springer |
| ISSN: | 1340-6868 |
| DOI: | 10.1007/s12282-021-01287-0 |
| Popis: | Background The aim of this study was to investigate which factors patients considered to be important for determining the degree of cosmetic satisfaction with regards to perceived body image after previous breast-conserving therapy (BCT). Methods Outcomes considered relevant by the patients were first identified using interviews. A questionnaire based on this group input was then devised and added to the physician-based Sneeuw questionnaire. Next, a quantitative study using this questionnaire was conducted in Dutch patients treated at least 6 months earlier for (non-) invasive breast cancer by BCT. Exclusion criteria were: previous mastectomy or BCT of the contralateral breast, BCT with nipple resection, metastatic disease, local recurrence or (previous) plastic breast surgery. Descriptive statistics were used throughout. Results A total of 149 patients (aged 36–87 years) completed the questionnaire. From this focus group input, the top three factors in overall importance (important or very important) for satisfaction were: ‘wearability of bra’ (67%), ‘breast sensitivity’ (59%) and ‘asymmetry’ (51%). Younger patients ( 55 years). Time since BCT did not significantly influence the rating of relevant factors. Conclusion Patients consider ‘wearability of bra’, ‘breast sensitivity’ and ‘asymmetry’ as the most important factors when assessing their satisfaction with regards to cosmetic outcome and body image. These factors should be addressed in routine clinical practice during (pre) counseling. |
| Databáze: | OpenAIRE |
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