Quality of life and related factors among the women undergoing mastectomy (original) (raw)
Related papers
A study of quality of life among patients undergoing mastectomy for malignant breast lesions
International Surgery Journal, 2017
Background: To evaluate quality of life of females after mastectomy and factors affecting the same, in various domains of life, and to assess whether a policy of mastectomy is practical or pragmatic in the scenario of low socioeconomic status prevalent in our region.Methods: Two hundred and forty post-operative mastectomized patients were clinically examined and subjected to a questionnaire designed by WHOQOL-BREF along with an ethically cleared questionnaire prepared according to the local prevailing conditions and Quality of Life was evaluated.Results: 52% patients reported no change in body image, only 2% patients reported depression. The total score of the quality of life was good for 40% of the patients with score of 96-130, followed by 55% with moderate 61-95 and only 5% patients with poor with score of <60.Conclusions: In developing countries like India where, there are no proper facilities for advanced haematological and radiological investigations, there is a severe lack...
Investigating the Quality of Life and the Related Factors in Iranian Women with Breast Cancer
Asian Pacific journal of cancer prevention : APJCP, 2017
Introduction: Nowadays breast cancer is the most important factor concerning the women’s health which can affect the quality of life (QOL). This study was performed with aim to investigate the QOL and the related factors in Iranian women diagnosed with breast cancer in 2014-2015. Methods: This cross-sectional study was performed on 94 women with breast cancer who were selected by convenience sampling in Mashhad, Iran from 2014-2015. The data were collected through Demographic and Clinical Questionnaire and EORTC QLQ-C30.V3 Standard Questionnaire. Data was analyzed by SPSS software (version 18) and also descriptive statistics and linear regression analysis. P<0.05 was considered statistically significant. Results: The mean of total score for the quality of life was 71.45± 22.28. In the area of the symptoms of disease, the highest score belonged to insomnia (22.73± 14.89) and fatigue (19.81± 14.42). In the functional area, physical and emotional scales accounted for the highest (91...
The quality of life of Croatian women after mastectomy: a cross-sectional single-center study
BMC Public Health
Background: Measuring the quality of life (QoL) of women with breast cancer is an important aspect of measuring treatment success. In Croatia, no QoL studies have been carried out with a focus on patients after mastectomy. The aim of this study was to examine QoL 1 month and 1 year after mastectomy. Methods: This cross-sectional single-center study of quality of life was conducted in 101 patients, 50 of whom had undergone a mastectomy 1 month prior, and 51 of whom had undergone a mastectomy 1 year prior. The study was conducted from July 2015 to June 2016. The questionnaires used in the study were developed by the European Organisation for Research and Treatment of Cancer (EORTC). The questionnaire EORTC QLQ-C30 assesses the QoL of cancer patients, and the questionnaire EORTC QLQ-BR23 is a disease-specific breast cancer module. A chi square test, Fisher's exact test, Kolmogorov-Smirnov test, Student's t-test and Mann-Whitney U test were performed in the statistical analysis using the statistical program SPSS (Inc. Released 2008. SPSS Statistics for Windows, Version 17.0. Chicago: SPSS Inc.). Results: Patients who had undergone a mastectomy a year earlier placed a higher value on their health state than did those who had undergone a mastectomy a month earlier. The most affected values of functional status on the EORTC QLQ-C30 scale were emotional functioning (37.5 [95% CI 33.3-61.6]) and sexual functioning (16.67 [95% CI 0-33.3]) 1 month and 1 year after mastectomy, respectively. The most affected symptoms on the EORTC QLQ-C30 scale were hair loss 66.67 [95% CI 33.3-100]) and fatigue 33.33 [95% CI 24-44]) 1 month and 1 year after mastectomy, respectively. Conclusion: In our study, both functional and symptom scales were more affected in women 1 month after mastectomy. QoL was considerably improved in women 1 year after the surgery compared to 1 month after mastectomy. The results of this study could contribute to the public awareness of the QoL of breast cancer patients.
Quality of Life of Women after Mastectomy in Two Training Hospitals in the City of Douala, Cameroon
Introduction: Breast cancer is the most common cancer in women worldwide. In Cameroon, several women with breast cancer have gone through mastectomy for treatment. They face some diffi-culties living in society and within their couple with only one breast. The aim of this study was to describe the quality of life (QOL) of women after mastectomy in two hospitals in Douala. Methods: This was a cross-sectional study carried out in two healthcare facilities over 4 months. Data from 102 consenting patients with unilateral maste-ctomy was collected. A survey sheet was used to collect patient socio-demographic, clinical, therape-utic data and data on QOL. We evaluated the QOL using questions from the various recognized questi-onnaires (EORTC QLQ-BR45, WHOQOL-BREF, FACT-MBIS and FACT-B) which we adapted according to our context. Chi-squared and Fisher tests allowed us to assess the association between variables. Statistical significance was set at p <0.05. Results: The mean age at mastectomy was 48.2 ± 10years and 54.4% were married. Clinically, patients with a tumor size more than 5cm and inflammatory tumors were most represented (76.3%); 89.1% had lymph node involvement and 16.1% were metastatic at diagnosis. Other treatments received include chem-otherapy (93%), radiotherapy (32.3%) and hormone therapy (22.1%). The overall QOL was impaired. Using a mean score on a scale of 0 to 4, physical (0.3), social (0.5), and sexual (1.2) QOL were less impaired than emotional (1.5), functional (2.7), and psychological (3) QOL. Factors associated with impaired physical QOL included young age (OR:6.11[2-18.58]; p:0.00007), being single (OR:3.1 [1.2-7.7]; p:0.01), tumor size between 2 and 5cm (OR:4.97[2-12.4]; p:0.0002). Those associated with the deterioration in overall QOL included delayed diagnosis and mastectomy (OR:16.60[1.61-170.45]; p:0.008). Conclusion: The overall quality of life was impaired in all patients. Thus, patients undergoing mastectomy should benefit from pre- and postoperative psycho-logical care.
Journal of Applied Pharmaceutical Science, 2016
Breast cancer is the most common cancer among women and an increasingly important issue is to evaluate quality of life (QoL) among these patients. The objective of this study was to appreciate the QoL and associated factors among breast cancer womenundergoing different types of therapy. A cross-sectional study was carried out among 166 breast cancer women from two specialized centres in Baghdad, Iraq, from February 2014 to December 2014. The questionnaire used in this study was "The Functional Assessment of Cancer Therapy-Breast (FACT-B)". The majority were employee (60.3%), with high school education (63.2%), with no family history of cancer (79.5%). Majority were diagnosed with grade II (56.6%) and tumor size less than 2 cm in diameter (95.8%). The majority of women underwent mastectomy (98.2%), received chemotherapy, radiotherapy, and Tamoxifen therapy (89.8%, 29.5%, and 36.1%; respectively).The study found a significant difference between the quality of life among cancer patients and job, stage of cancer, size of tumor, and radiotherapy. Job, stage of cancer, size of tumor, and radiotherapy significantly influenced the women QoL. Therefore, more attention on these variables is highly recommended when dealing with breast cancer patients undergoing different types of therapy.
Asian Pacific Journal of Cancer Prevention, 2014
The aim of this study was to investigate the differences in quality of life in patients who received breast conserving surgery (BCS) or modified radical mastectomy (MRM) for breast cancer. Materials and Methods: A total of 100 women with breast cancer who underwent either BCS or MRM between September 2011 and April 2012 at a private health center and completed their chemotherapy and radiation therapy cycles were included in the study. To assess the quality of life, we used a demographic questionnaire, the European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) and the Quality of Life assessment in Breast Cancer (EORTC QLQ-BR23). Results: Using QLQ-C30, we found that patients who underwent BCS had better functional status and fewer symptoms than patients who underwent MRM. In QLQ-BR23, independent factors improving the functional scales were BCS, higher level of education and marital status (married); independent factors improving symptoms were BCS, higher level of education, younger age and low and normal body mass index (BMI). In QLQ-C30, independent factors affecting the functional and symptom scales were only BCS and higher level of education. Conclusions: We determined that patients who received BCS had better functional status and less frequent symptoms than patients who underwent MRM.
Quality Of Life of Women, Pre- and Post-Operative Breast Cancer Surgery
Annals of PIMS-Shaheed Zulfiqar Ali Bhutto Medical University
Objective: To evaluate the Quality of Life (QoL) of women with breast cancer who came for treatment in surgery department before diagnosis and post-operative time period. Methodology: A prospective cohort study was conducted at General surgery Department, Islamabad Medical complex, NESCOM, from October 2021 to March 2022. Seventy four diagnosed breast cancer patients, above 18 years of age, who underwent surgical treatment (MRM and Axillary clearance), were selected. QoL was assessed with the help of EORTC QLQ C-30 and EORTC BR-23 questionnaire. Data was collected on opd follow up and through telephone. SPSS 20 was used to analyze the data and Wilcoxon test and Kruskal-Wallis test were performed. Results: The QoL assessed at pre and post operative stage showed positive results only in the future prospects and emotional function domain. Whereas, negative results were scored in rest of the domains, which are symptoms in the arm, body image, financial concerns, sexual pleasure, cogniti...
Quality of life of women after mastectomy
Physiotherapy, 2009
Celem pracy była ocena obiektywnej oraz subiektywnej jakości życia kobiet po mastektomii. W badaniu udział wzięły 53 kobiety, u których średni wiek w dniu badania wyniósł 57 lat. Do badania wykorzystano ankietę zawierającą pytania dotyczące obiektywnej jakości życia oraz Kwestionariusz Satysfakcji Życiowej oceniający subiektywną jakość życia. Badania wykazały, że kobiety po mastektomii są usatysfakcjonowane ze swojego życia, szczególnie z relacji z przyjaciółmi i znajomymi. Badania wykazały również, że kobiety po mastektomii częściej wybierają pasywne formy spędzania czasu wolnego, takie jak oglądanie telewizji (64,2%), niż formy aktywne, np. podróżowanie (43,4%). Aktywność zawodowa u badanych osób spadła o 43,4% w stosunku do sytuacji przed chorobą. Głównymi determinantami ogólnej satysfakcji życiowej badanych kobiet był poziom zadowolenia z życia seksualnego oraz sposobu spędzania czasu wolnego.
PLOS ONE, 2019
This cross-sectional study is aimed at assessing the quality of life in a cohort of breast cancer patients at the Oncology Department, King Abdulaziz University Hospital (KAUH), King Abdulaziz University (KAU), Jeddah, Saudi Arabia (SA), and to differentiate QoL among different groups. Mean time since diagnosis was 3.97±1.90 years. European Organization for Research and Treatment of Cancer Quality of Life Questionnaires-Core30 and BR23 (EORTC QLQ-C30 & BR23) were used to assess QoL in breast cancer survivors. ANOVA and independent t-test (parametric tests) were used for the categorical variables and Kruskal-Wallis and Mann-Whitney tests used for non-parametric tests. Linear regression analysis was done to measure predictors' significance and to calculate the coefficient of determination. Two hundred and eighty-four patients completed the survey. Global health status and functional scales, in most of the domains, were high, while symptom scales were moderate-to-low for most items, showing better QoL. Insomnia and fatigue were the most disturbing symptoms. Patients exhibited higher scores for body image and future perspective, while the least score is for sexual functioning. Global health, physical functioning, and role functioning were better in the age group �50 years (p<0.05). Premenopausal and perimenopausal patients showed a better level of functioning as compared to postmenopausal patients (p = 0.001). Premenopausal patients scored higher for sexual enjoyment, as compared to peri-and postmenopausal patients (p = 0.04). Systemic therapy side effects were more evident in the breast conservative surgery group. Predictors explained 8% of the variation in Physical functioning (R-squared = 0.08). A predictor that had a remarkable influence on physical functioning, as compared to the other predictors in the model, was menopausal status (P = 0.02). So, it was concluded that the breast cancer patients visiting our institute had a better quality of life regarding overall global health status as well as functional and symptom scales. Some issues, for instance, fatigue, insomnia, hair loss, and others, warrant good supportive therapy.
Revista De Cercetare Si Interventie Sociala, 2016
The purpose of the study is to compare the quality of life (QoL) of mastectomised patients for cancer, who subsequently chose or not breast reconstruction, using the Short Form - 36 (SF-36) Health Survey. The study was carried out during October 2014 - May 2015, on two groups: 23 patients with breast reconstruction, assisted at the University Hospital of Bucharest, compared with 27 patients without reconstruction, assisted in surgical sections of hospitals from the Northern- East area of Romania. The average age of the reconstructed patients was 57.07, compared to 43.91 for those without reconstruction. We referred to the scales related on social, mental and emotional functionality of patients, comparing the two studied groups. The correlations calculated for the scores achieved from patients at the discussed items showed a strong connection between the answers on the question if they performed less activities than having intended and the decrease of the time period of working or pe...