scholarly journals Measuring Satisfaction in Breast Cancer Patients Receiving Ambulatory Care: A Validation Study

2021 ◽  
Author(s):  
Tabassum Wadasadawala ◽  
Akshay Mangaj ◽  
Smruti Mokal ◽  
Rima Pathak ◽  
Rajiv Sarin ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Patient Satisfaction ◽  
Ambulatory Care ◽  
Convergent Validity ◽  
English Language ◽  
Discriminant Validity ◽  
Waiting Times ◽  
Single Point ◽  
Breast Cancer Patients ◽  
Consultation Process

Abstract Introduction Patient satisfaction constitutes a vital service quality indicator. It provides a measure of the gap in health-care requirements and patients' expectations. Objective The aim of this study was to perform linguistic validation of the questionnaire assessing satisfaction with outpatient care. Materials and Methods A tool for measuring patient satisfaction was developed and validated at our institute in the English language. This tool was translated into Hindi and Marathi. Subsequently, 339 patients diagnosed with breast cancer consulting in the outpatient department from the different parts of India and having diverse linguistic and socioeconomic backgrounds were enrolled. Patients were asked to complete the satisfaction tool after consultation at a single point of time in a prospective manner. Results All patients completed the questionnaire. The questionnaire was filled by 120, 116, and 103 patients in Hindi, Marathi, and English, respectively. Both convergent validity and discriminant validity were supported as the correlation coefficient was >0.4 for all items within a scale and <0.7 between different scales. Factor analysis was valid for all except for open-end questions. The internal consistency was >0.9 for all the questions. The mean overall satisfaction score was 88.35 (standard deviation: 19.63). Patients were satisfied in all the aspects of the consultation process, including appointment scheduling, assistant medical staff and faculty, and treating physician. However, some expressed dissatisfaction toward long-waiting times. Conclusion The translated tool is reliable and valid and effectively measures the satisfaction of patients receiving ambulatory care.

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

The Breast ◽  
2005 ◽  
Vol 14 (3) ◽  
pp. 201-208 ◽  
Author(s):  
Elisabeth Edström Elder ◽  
Yvonne Brandberg ◽  
Tina Björklund ◽  
Richard Rylander ◽  
Jakob Lagergren ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Patient Satisfaction ◽  
Breast Reconstruction ◽  
Prospective Study ◽  
Cancer Patients ◽  
Immediate Breast Reconstruction ◽  
Breast Cancer Patients ◽  
A Prospective Study

scholarly journals Skin Sparing Mastectomy with Preservation of Nipple Areola Complex and Immediate Breast Reconstruction in Patients with Breast Cancer: A Single Centre Prospective Study

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Debarati Chattopadhyay ◽  
Souradip Gupta ◽  
Prabir Kumar Jash ◽  
Marang Buru Murmu ◽  
Sandipan Gupta
Keyword(s):  
Breast Cancer ◽  
Patient Satisfaction ◽  
Local Recurrence ◽  
Breast Reconstruction ◽  
Frozen Section ◽  
Immediate Breast Reconstruction ◽  
Breast Cancer Patients ◽  
Nipple Areola Complex ◽  
Areola Complex ◽  
The Aesthetic

Background. Skin and nipple areola sparing mastectomy (NASM) has recently gained popularity as the management of breast cancer. This study aims to evaluate the aesthetic outcome, patient satisfaction, and oncological safety of NASM. Methods. The study prospectively analyzes the results of NASM and immediate breast reconstruction in 34 women with breast cancer. The criteria for inclusion were core biopsy-proven, peripherally located breast cancer of any tumor size and with any “N” status, with documented negative intraoperative frozen section biopsy of retroareolar tissue, and distance from the nipple to tumor margin >2 cm on mammography. Results. The median age of the patients was 45 years. The majority had either stage II or stage III breast cancer. The median mammographic distance of tumor from nipple areola complex (NAC) was 3.8 cm. The overall operative morbidity was minimal. The NAC could be preserved in all the patients. There was no local recurrence of tumor at median follow-up of 28.5 months. The aesthetic outcomes were satisfactory. Conclusion. NASM and immediate breast reconstruction can be successfully achieved with minimal morbidity and very low risk of local recurrence in appropriately selected breast cancer patients, with acceptable aesthetic results and good patient satisfaction.

scholarly journals Validation of Mini-Mental Adjustment to Cancer Scale in A Moroccan Sample of Breast Cancer Women

2020 ◽  
Author(s):  
Mohammed El Amine RAGALA ◽  
Jaouad El HILALY ◽  
Lamiae AMAADOUR ◽  
Majid OMARI ◽  
Achraf El ASRI ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Convergent Validity ◽  
Discriminant Validity ◽  
Arabic Language ◽  
University Hospital ◽  
Original Structure ◽  
Mental Adjustment ◽  
Confirmatory Factor

Abstract Background: The Mini-Mental Adjustment to Cancer Scale (Mini-MAC) instrument is commonly used worldwide by professionals of oncology, but the scale has not, up to date, been validated in Arabic and Moroccan context, and there is absence of data in the Moroccan population. This study aims to validate the Mini-MAC, translated and adapted to the Arabic language and Moroccan culture, in women with breast cancer.Methods: The Mini-MAC instrument was administered to 203 breast cancer women, receiving medical care in the university Hospital of Fez city. A cross-sectional validation study using exploratory factor analysis and Confirmatory factor analysis was carried out.Results: Confirmatory factor analysis confirmed Watson’s original structure underlying the Mini-MAC items: Helpless/Hopeless, Anxious Preoccupation, Fighting Spirit, Cognitive Avoidance, and Fatalism. Absolute, incremental, and parsinmonious fit indices showed a high significant level of acceptance confirming a good performance of the measurement model. The instrument showed sufficient reliability and convergent validity demonstrated by acceptable values of composite reliability (CR =0.93–0.97), and average variance extracted (AVE= 0.66 - 0.93), respectively. The square roots of AVE were higher than factor-factor pairs correlations, and the Heterotrait-Monotrait ratio of correlations values were lesser than 0.85, indicating an acceptable discriminant validity. Conclusions: reliability; and both convergent and discriminant validity tests indicated that The Arabic version of the Mini-MAC had a good performance and may serve as a valid tool measuring psychological responses to cancer diagnosis and treatment.

scholarly journals Validation of Mini-Mental Adjustment to Cancer scale in a Moroccan sample of breast cancer women

BMC Cancer ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mohammed El Amine Ragala ◽  
Jaouad El Hilaly ◽  
Lamiae Amaadour ◽  
Majid Omari ◽  
Achraf E. L. AsriI ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Convergent Validity ◽  
Discriminant Validity ◽  
Arabic Language ◽  
Original Structure ◽  
Cognitive Avoidance ◽  
Mental Adjustment ◽  
Confirmatory Factor

Abstract Background The Mini-Mental Adjustment to Cancer Scale (Mini-MAC) instrument is commonly used worldwide by professionals of oncology, but the scale has not, up to date, been validated in Arabic and Moroccan context, and there is an absence of data in the Moroccan population. This study aims to validate the Mini-MAC, translated and adapted to the Arabic language and Moroccan culture, in women with breast cancer. Methods Data were analyzed in two successive phases. First, exploratory factor analysis (EFA) was used to assess the factor structure in the pilot sample (N = 158). Then, this structure was confirmed in the validation sample (N = 203) using confirmatory factor analysis (CFA). Results Confirmatory factor analysis confirmed Watson’s original structure underlying the Mini-MAC items: Helpless/Hopeless, Anxious Preoccupation, Fighting Spirit, Cognitive Avoidance, and Fatalism. Absolute, incremental, and parsimonious fit indices showed a highly significant level of acceptance confirming a good performance of the measurement model. The instrument showed sufficient reliability and convergent validity demonstrated by acceptable values of composite reliability (CR =0.93–0.97), and average variance extracted (AVE = 0.66–0.93), respectively. The square roots of AVE were higher than factor-factor pairs correlations, and the Heterotrait-Monotrait ratio of correlations values were lesser than 0.85, indicating acceptable discriminant validity. Conclusions reliability; and both convergent and discriminant validity tests indicated that the Arabic version of the Mini-MAC had a good performance and may serve as a valid tool measuring psychological responses to cancer diagnosis and treatment.

scholarly journals Batwing mammoplasty: a safe oncoplastic technique for breast conservation in breast cancer patients with gigantomastia

2020 ◽  
Vol 102 (2) ◽  
pp. 115-119
Author(s):  
TM Manie ◽  
MMG Youssef ◽  
SN Taha ◽  
A Rabea ◽  
AM Farahat
Keyword(s):  
Breast Cancer ◽  
Patient Satisfaction ◽  
Operative Time ◽  
Breast Conservation ◽  
Breast Cancer Patients ◽  
Short Operative Time ◽  
Areola Complex ◽  
Major Breast ◽  
The Mean ◽  
Complications Rate

Background Surgical management of breast cancer with gigantomastia can be challenging when planning breast conservation, as major breast reduction is required. Complex oncoplastic procedures can carry an additional surgical risk in this situation. We suggest batwing mammoplasty as a simple and safe oncoplastic procedure for those patients. Materials and methods Fourteen patients with gigantomastia diagnosed with breast cancer were included in this prospective cohort study. All underwent batwing mammoplasty and contralateral symmetrisation procedure between May 2016 and June 2018. Patient satisfaction assessed by the Breast-Q questionnaire. Results All patients had a body mass index above 30kg/m2 with a mean of 36.7kg/m2 (range 31.6–44.9kg/m2). The mean distance from midclavicular point to nipple was 42cm (range 38–50cm). The mean operative time was 83 minutes for procedures done by a single surgeon. Mean specimen weight was 1.2kg (ranging from 1.035–1.63kg). Postoperative complications occurred in 14.2% of patients. Nipple–areola complex viability was not compromised nor sensation impaired. The mean Breast-Q score for patient satisfaction with breasts was 68.6 (range 61–74). The mean score for physiological wellbeing was 77.3 (range 64–84) and the mean score for physical wellbeing was 35 (range 31–40). Conclusion Batwing mammoplasty is a safe and simple oncoplastic procedure in patients who have breast cancer with gigantomastia. It has short operative time and low complications rate. In our cohort of patients, there was no delay in the delivery of adjuvant treatment. The cosmetic outcome was favourable with a high patient satisfaction.

scholarly journals Radiation treatment waiting times for breast cancer patients in Manitoba, 2001 and 2005

2009 ◽  
Vol 16 (5) ◽  
Author(s):  
A.L. Cooke ◽  
R. Appell ◽  
K. Suderman ◽  
K. Fradette ◽  
S. Latosinsky
Keyword(s):  
Breast Cancer ◽  
Cancer Patients ◽  
Radiation Treatment ◽  
Waiting Times ◽  
Breast Cancer Patients

scholarly journals Courage in Competition: Adaptation of the Sports Courage Scale for American English and Validation of the Factor Structure with Student-Athletes at Clemson University

2020 ◽  
Vol 17 (13) ◽  
pp. 4834
Author(s):  
Erkut Konter ◽  
Yee Cheng Kueh ◽  
Garry Kuan
Keyword(s):  
Internal Consistency ◽  
Convergent Validity ◽  
English Language ◽  
Discriminant Validity ◽  
Factor Model ◽  
American English ◽  
Five Factor Model ◽  
Strong Support ◽  
Confirmatory Factor Analyses ◽  
Scientific Attention

While courage is widely attributed to athletic pursuits, it has received little scientific attention from both researchers and applied practitioners. A reliable measurement is required to examine courage in sports and competitive activities. Therefore, this research aimed to adapt the original Turkish Sports Courage Scale-31 into American English (SCS-AE). The SCS-31 measure was translated from Turkish into the American English language by the Brislin forward and backward translation technique and language validity. Then, the translated SCS-AE was administered to 548 American university college students (Mean age = 19.02, SD = 1.21). All participants played a sport (e.g., football, soccer, basketball, gymnastics). Based on confirmatory factor analyses (CFA), 31 items of SCS-AE were reduced to 24 items with four factors (i.e., assertiveness, determination, mastery, and venturesome). The fit indices were satisfactory (RMSEA = 0.06, CFI = 0.97, SRMR = 0.06, NFI = 0.96 and NNFI = 0.97). The internal consistency measured by Cronbach alpha, ranging from 0.73 to 0.78, were considered acceptable. The convergent validity and discriminant validity of SCS-AE were also achieved. Our findings indicate strong support for research using the four-factor model of the SCS-AE and adequate support for the five-factor model with sufficient caution regarding the internal consistency of the self-sacrifice factor. While cultural differences in courage perception might exist between these countries, the findings showed more similarities than differences in courage. Results indicated that the SCS-AE is usable for research purposes in the suggested format. Future directions are discussed using the SCS-31 and SCS-AE for research.

Prognostic significance of quality of life index in breast cancer

2006 ◽  
Vol 24 (18_suppl) ◽  
pp. 6135-6135
Author(s):  
D. Gupta ◽  
J. F. Grutsch ◽  
J. Granick ◽  
R. Neelam ◽  
P. G. Vashi ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Patient Satisfaction ◽  
Cancer Patients ◽  
Prognostic Significance ◽  
Breast Cancer Patients ◽  
Prognostic Information ◽  
Life Index ◽  
Quality Of Life Index

6135 Background: Quality of Life (QoL) is a multidimensional construct. There is extensive data showing that QoL tools measuring the activities of daily life provide prognostic information in cancer. However, similar information on QoL tools measuring patient satisfaction with their life is sparse. The Ferrans and Powers Quality of Life Index (QLI) is one such instrument. The goal of this study was to evaluate the statistical strength of association between QLI and survival in breast cancer patients undergoing care in a non-clinical trial setting. Methods: We examined a case series of 251 breast cancer patients treated at Cancer Treatment Centers of America between 04/01 and 11/04. QLI defines QoL in terms of satisfaction with the aspects of life that are important to the patient. QLI measures overall QoL and QoL in four major subscales: health and physical, social and economic, psychological and spiritual, and family. All scores range from 0 to 30 with higher scores indicating better QoL. Study patients were dichotomized into 2 groups based on median scores for all QoL subscales. Kaplan Meier method was used to calculate survival. Log-Rank test was used to study the equality of survival distributions. Results: Of 251 patients, 74 were newly diagnosed and 177 had prior treatment history. The median age was 48 years (range 25 - 74 years). 45 patients had stage I disease, 105 stage II, 38 stage III, and 32 stage IV. The table describes the median survival for all QLI subscales. Health and physical functioning subscale and QLI subtotal subscale were significantly associated with survival. Conclusions: This study shows that baseline levels of patient satisfaction with their QoL provide useful prognostic information in breast cancer. While these findings need to be evaluated further to ascertain which subscales of QoL have a role in predicting patients’ prognosis, they have important implications for patient stratification in clinical trials and may aid decision-making in clinical practice. [Table: see text] No significant financial relationships to disclose.

Feasibility of group follow-up visit for breast cancer survivors

2007 ◽  
Vol 25 (18_suppl) ◽  
pp. 19603-19603
Author(s):  
C. O. Ruud ◽  
K. Francis ◽  
C. Stephens ◽  
M. H. Rajab
Keyword(s):  
Breast Cancer ◽  
Patient Satisfaction ◽  
Cancer Survivors ◽  
Cancer Patients ◽  
Social Worker ◽  
Breast Cancer Survivors ◽  
Breast Cancer Patients ◽  
Group Visit ◽  
Follow Up Care

19603 Background: The ASCO 2006 guidelines specify that regularly scheduled follow-up care of breast cancer survivors should be the standard. Follow up care is a “teachable moment” to train survivors in positive habits. A group visit model at the Cleveland Clinic proved feasible and improved patient satisfaction for other diseases. Our objectives include assessing the feasibility of an adapted group follow-up visit for the care of breast cancer patients and patient satisfaction. Methods: A feasibility study targeting breast cancer patients who completed primary therapy and were scheduled for a routine appointment. We mailed letters inviting patients to a follow-up group visit. Patients were divided into 3 groups, each scheduled for a separate (90–120 minute). During the first half of the visit, participants were divided into three groups; 5-minute physician exam, nurse review of medications and vital signs, and instruction by a social worker. Groups were rotated. During the second half the doctor, nurse, and social worker met with all participants in one room starting with an educational presentation about fatigue and exercise. Each participant was subsequently interviewed by the physician in the presence of their peers. Shared complaints were investigated first. Patients rated their satisfaction with the different parts of the visit on a scale of 1–5. Participants were surveyed pre- and post- education session and asked if they would participate again. Participants were allowed to bring a family member or friend. Results: 29 (29.6 %) out of 98 consented and 22 (22.5%) attended;10 in first visit, 5 in second visit and 7 in last visit. Average age 61±8, ranged from 46–72 years. Most participants were satisfied with all parts of the group visit, except two in the first group were less satisfied with the check in process and moving between rooms. Comparing the pre- vs. post- educational session surveys showed an improved understanding of the importance of fatigue or exercise. 17 (77%) out of 22 participants agreed to participate in another group visit. Conclusion: Group visit format is feasible and provides patient satisfaction. No significant financial relationships to disclose.

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