Patient satisfaction and quality of life in breast reconstruction: assessment of outcomes of immediate, delayed, and nonreconstruction.

Abstract Objectives This study was conducted aiming to assess the quality of life and satisfaction of women who had mastectomy treated with and without breast reconstruction. Results A total of 81 women who had mastectomy were included, of whom 53 (65.4%) underwent breast reconstruction. Quality of life was not significantly better in the reconstruction group than the nonreconstruction group. Satisfaction with the surgically operated breast, whether reconstructed or not, was positively correlated with quality of life (p = 0.004). There was no significant difference in quality of life between women with immediate and late reconstruction. This study showed that the satisfaction of patients with the operated breast, reconstructed or not, is more important in quality of life than whether the breast was reconstructed or not. When we analyzed the quality of life of women who had mastectomy who were dissatisfied with their unreconstructed breasts, we observed that nonreconstruction had a negative impact on the quality of life.

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Patient satisfaction and quality of life in breast reconstruction: assessment of outcomes of immediate, delayed, and nonreconstruction.

10.21203/rs.2.22515/v1 ◽

2020 ◽

Author(s):

Hianga Fayssa Fernandes Siqueira ◽

Jorge Luiz de Almeida Teixeira ◽

Reginaldo da Silva Lessa Filho ◽

Evânia Curvelo Hora ◽

Filipe Ferreira Brasileiro ◽

...

Keyword(s):

Breast Cancer ◽

Quality Of Life ◽

Breast Reconstruction ◽

Negative Impact ◽

Reconstruction Quality ◽

Significant Difference ◽

Group Satisfaction ◽

Reconstruction Group ◽

Keywords Breast

Abstract Objectives: This study was conducted aiming to assess the quality of life and satisfaction of mastectomized women treated with and without breast reconstruction. Results: A total of 81 patients mastectomized were included, of whom 53 (65.4%) underwent breast reconstruction. Quality of life was not significantly better in the reconstruction group than the nonreconstruction group. Satisfaction with the surgically operated breast, whether reconstructed or not, was positively correlated with quality of life (p = 0.004). There was no significant difference in quality of life between women with immediate and late reconstruction. This study showed that the satisfaction of patients with the operated breast, reconstructed or not, is more important in quality of life than whether the breast was reconstructed or not. When we analyzed the quality of life of mastectomized women who were dissatisfied with their unreconstructed breasts, we observed that nonreconstruction had a negative impact on the quality of life. Keywords: Breast cancer, Mastectomy, Breast reconstruction, Quality of life

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Quality of Life and Patient Satisfaction after Breast Reconstruction: Free TRAM vs. Expansion/Implant

Journal of Reconstructive Microsurgery ◽

10.1055/s-2006-947945 ◽

2006 ◽

Vol 22 (03) ◽

Author(s):

Laszlo Kovacs ◽

Nikolaos Papadopulos ◽

Mrkus Kloeppel ◽

Katja Schwenzer ◽

H Seitz ◽

...

Keyword(s):

Quality Of Life ◽

Patient Satisfaction ◽

Breast Reconstruction

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Breast reconstruction after breast cancer surgery – persistent pain and quality of life 1–8 years after breast reconstruction

Scandinavian Journal of Pain ◽

10.1515/sjpain-2021-0026 ◽

2021 ◽

Vol 0 (0) ◽

Author(s):

Nina Honkanen ◽

Laura Mustonen ◽

Eija Kalso ◽

Tuomo Meretoja ◽

Hanna Harno

Keyword(s):

Breast Cancer ◽

Quality Of Life ◽

Breast Reconstruction ◽

Perforator Flap ◽

Persistent Pain ◽

Rectus Abdominis ◽

Preoperative Pain ◽

Significant Difference

Abstract Objectives To assess the long-term outcome of breast reconstructions with special focus on chronic postsurgical pain (CPSP) in a larger cohort of breast cancer survivors. Methods A cross-sectional study on 121 women with mastectomy and breast reconstruction after mean 2 years 4 months follow up. The mean time from breast reconstruction to the follow-up visit was 4 years 2 months. We studied surveys on pain (Brief Pain Inventory, BPI and Douleur Neuropathique 4, DN4), quality of life (RAND-36 health survey), sleep (insomnia severity questionnaire, ISI), mood (Beck’s Depression Index, BDI; Hospital Anxiety and Depression Scale, HADS), and a detailed clinical sensory status. Patients were divided into three groups: abdominal flap (Deep inferior epigastric perforator flap, DIEP; Free transverse rectus abdominis flap, fTRAM, and Pedicled transverse rectus abdominis flap, pTRAM), dorsal flap (Latissimus dorsi flap, LD and Thoracodorsal artery perforator flap, TDAP), and other (Transverse myocutaneous gracilis flap, TMG; implant). Clinically meaningful pain was defined ≥ 4/10 on a numeric rating scale (NRS). We used patients’ pain drawings to localize the pain. We assessed preoperative pain NRS from previous data. Results 106 (87.6%) of the patients did not have clinically meaningful persistent pain. We found no statistically significant difference between different reconstruction types with regards to persistent pain (p=0.40), mood (BDI-II, p=0.41 and HADS A, p=0.54) or sleep (p=0.14), respectively. Preoperative pain prior to breast reconstruction surgery correlated strongly with moderate or severe CPSP. Conclusions Moderate to severe CPSP intensity was present in 14% of patients. We found no significant difference in the prevalence of pain across different reconstruction types. Preoperative pain associated significantly with postoperative persistent pain.

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121 Evaluation of patient satisfaction and quality of life after immediate breast reconstruction

European Journal of Oncology Nursing ◽

10.1016/s1462-3889(14)70140-1 ◽

2014 ◽

Vol 18 ◽

pp. S38

Author(s):

C. Cereijo ◽

B. Acea ◽

S. Pita ◽

R. Rey ◽

A. Castro ◽

...

Keyword(s):

Quality Of Life ◽

Patient Satisfaction ◽

Breast Reconstruction ◽

Immediate Breast Reconstruction

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Association between sex differences on foot health related to the quality of life in a sample of sedentary people

Revista da Associação Médica Brasileira ◽

10.1590/1806-9282.65.2.149 ◽

2019 ◽

Vol 65 (2) ◽

pp. 149-155

Author(s):

Daniel López-López ◽

Jose María Cancela-Carral ◽

Romeu Araujo ◽

Marta Elena Losa-Iglesias ◽

Ricardo Becerro-de-Bengoa-Vallejo ◽

...

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

Negative Impact ◽

Metabolic Energy ◽

Sitting Time ◽

Foot Health ◽

Sedentary Population ◽

Significant Difference ◽

Reported Data

SUMMARY Sedentary (sitting) time may produce many anatomical and physiological consequences which are supposedly associated with a decreased quality of life (QoL) related to foot health. Accordingly, this study aimed to analyze the QoL impact on the overall health and the foot health among male and female sedentary people. A total of 312 participants with an age mean of 39.81 ± 15.40 years completed all phases of the study. In addition, self-reported data were registered. The participants' sedentary lifestyle was determined using the European Prospective Investigation into Cancer and Nutrition (EPIC) physical activity questionnaire. Furthermore, the scores obtained from the Portuguese version of the Foot Health Status Questionnaire were registered. Sedentary people in the equivalent metabolic energy had 301.09 ± 72.22 (min/week). In the first section, values were higher for foot pain and foot function and lower for general foot health and footwear. In the second section, values were higher for general health and vigor and lower for physical activity and social capacity. The differences between the sex groups of the study were statistically significant for footwear (P = 0.008), physical activity (P= 0.002), social capacity (P = 0.001) and vigor (P = 0.001) showing a worst QoL related to foot health in favor of male subjects in comparison with females. The rest of the domains did not show any statistically significant difference (P ≥ .01). The sedentary population evidenced a negative impact on the QoL related to foot health. This problem may be associated with this lifestyle, especially for males.

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Mastectomy versus conservative surgical treatment: the impact on the quality of life of women with breast cancer

Revista Brasileira de Saúde Materno Infantil ◽

10.1590/s1519-38292010000100005 ◽

2010 ◽

Vol 10 (1) ◽

pp. 51-57 ◽

Cited By ~ 8

Author(s):

Daniela Francescato Veiga ◽

Fabíola Soares Moreira Campos ◽

Leda Marques Ribeiro ◽

Ivanildo Archangelo Junior ◽

Joel Veiga Filho ◽

...

Keyword(s):

Breast Cancer ◽

Quality Of Life ◽

Physical Functioning ◽

Negative Impact ◽

Young Patients ◽

Conservative Surgery ◽

Sf 36 ◽

Significant Difference ◽

The Impact

OBJECTIVES: to compare the impact of mastectomy and conservative surgery on the quality of life of patients with breast cancer. METHODS: an assessment was made of the quality of life of patients undergoing mastectomy or segmentary mastectomy, at the Pouso Alegre Clinical Hospital, in the Brazilian State of Minas Gerais, using SF-36. The patients were grouped by age (<50 years and >50 years) and years of schooling (<8 years and >8 years). The Mann-Whitney test was used to compare the groups with regard to the age and schooling domains of SF-36. RESULTS: a significant difference between the two groups was found in the domains of "physical functioning" (p=0.04) and "pain" (p=0.01): with the patients undergoing a mastectomy registering the worst scores. Young patients who had undergone a mastectomy displayed the worst quality of life in terms of "physical functioning" (p=0.03), "pain" (p=0.01) and "social functioning" (p=0.01); those undergoing conservative surgery aged over 50 years scored worst on "role emotional" (p=0.05). Patients undergoing a mastectomy with lower levels of schooling scored lower in "physical functioning" (p=0.01), "role physical" (p=0.05) and "pain" (p=0.05). Among those who had attended school for more than eight years, those having undergone a mastectomy scored less in the "pain" domain (p=0.04). CONCLUSIONS: patients who had undergone a mastectomy had worse results in the physical component of the evaluation of quality of life and this negative impact was more strongly felt among younger patients and those with lower levels of schooling.

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