Quality of life and patient satisfaction in breast cancer patients after immediate breast reconstruction:: a prospective study

被引:307
作者
Elder, EE
Brandberg, Y
Björklund, T
Rylander, R
Lagergren, J
Jurell, G
Wickman, M
Sandelin, K
机构
[1] Karolinska Univ Hosp, Dept Surg, S-17176 Stockholm, Sweden
[2] Karolinska Inst, Dept Pathol & Oncol, S-17176 Stockholm, Sweden
[3] Karolinska Univ Hosp, Dept Plast & Reconstruct Surg, S-17176 Stockholm, Sweden
关键词
breast cancer; immediate breast reconstruction; quality of life; SF-36;
D O I
10.1016/j.breast.2004.10.008
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The aim of immediate breast reconstruction is to improve well-being and quality of life for women undergoing mastectomy for breast cancer. This prospective study used the SF-36 Health Survey questionnaire to assess quality of life before and 12 months after mastectomy and immediate breast reconstruction together with patients' expectations of and satisfaction with the immediate breast reconstruction with implant. Scores for 76 participants were compared with those in 920 age-matched women from the general population. Preoperative scores for emotional well-being and physical role functioning were Lower than in the reference population, while after 12 months the scores in all domains had improved and were comparable with those in the reference population. The most common reason for immediate reconstruction was the desire to avoid an external prosthesis. Most women were satisfied with immediate reconstruction, and the major determinant of aesthetic satisfaction was completion of the procedure. Although many factors may influence quality of life, 1 year after breast cancer surgery with immediate reconstruction scores are equivalent to those of the normal population. (c) 2004 Elsevier Ltd. All rights reserved.
引用
收藏
页码:201 / 208
页数:8
相关论文
共 35 条
[1]   Comparison of psychological aspects and patient satisfaction following breast conserving surgery, simple mastectomy and breast reconstruction [J].
Al-Ghazal, SK ;
Fallowfield, L ;
Blamey, RW .
EUROPEAN JOURNAL OF CANCER, 2000, 36 (15) :1938-1943
[2]   The psychological impact of immediate rather than delayed breast reconstruction [J].
Al-Ghazal, SK ;
Sully, L ;
Fallowfield, L ;
Blamey, RW .
EUROPEAN JOURNAL OF SURGICAL ONCOLOGY, 2000, 26 (01) :17-19
[3]   Determinants of patient satisfaction in postmastectomy breast reconstruction [J].
Alderman, AK ;
Wilkins, EG ;
Lowery, JC ;
Kim, M ;
Davis, JA .
PLASTIC AND RECONSTRUCTIVE SURGERY, 2000, 106 (04) :769-776
[4]   TREATMENT CONSIDERATIONS IN POSTMASTECTOMY RECONSTRUCTION - THEIR RELATIVE IMPORTANCE AND RELATIONSHIP TO PATIENT SATISFACTION [J].
ANDERSON, SG ;
RODIN, J ;
ARIYAN, S .
ANNALS OF PLASTIC SURGERY, 1994, 33 (03) :263-270
[5]  
Berry MG, 1998, ANN ROY COLL SURG, V80, P173
[6]   A prospective and randomized study, "SVEA," comparing effects of three methods for delayed breast reconstruction on quality of life, patient-defined problem areas of life, and cosmetic result [J].
Brandberg, Y ;
Malm, M ;
Blomqvist, L .
PLASTIC AND RECONSTRUCTIVE SURGERY, 2000, 105 (01) :66-74
[7]  
Brandberg Y, 1999, SCAND J PLAST RECONS, V33, P209
[8]   Pain and quality of life after surgery for breast cancer [J].
Caffo, O ;
Amichetti, M ;
Ferro, A ;
Lucenti, A ;
Valduga, F ;
Galligioni, E .
BREAST CANCER RESEARCH AND TREATMENT, 2003, 80 (01) :39-48
[9]   Psychosocial profile of women seeking breast reconstruction [J].
Charavel, M ;
Bremond, A ;
Courtial, I .
EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY, 1997, 74 (01) :31-35
[10]   Motivations, satisfaction, and information of immediate breast reconstruction following mastectomy [J].
Contant, CME ;
van Wersch, AMEA ;
Wiggers, T ;
Wai, RTJ ;
van Geel, AN .
PATIENT EDUCATION AND COUNSELING, 2000, 40 (03) :201-208