<p>Dynamic Changes Of Body Image And Quality Of Life In Breast Cancer Patients</p>

e20517 Background: To improve breast cancer patients` quality of life (QoL) as second relevant outcome of care, a clinical pathway with diagnosis and therapy of diseased QoL has been developed, implemented and tested in a randomized trial (RCT) as part of a complex intervention. More than 6 years after RCT, long-term QoL of survivors was assessed and separately analyzed in 2 cohorts: QoL-intervention + guideline treatment in the first postoperative year (GC+) and guideline treatment alone (GC). Methods: Both cohorts were part of a randomized trial with 2 x 100 primary breast cancer patients, surgically treated between 2004 - 2006, with QoL measurement every 3 months during the first year (EORTC QLQ-C30, BR23). In GC+ cohort, QoL was presented to coordinating physicians in a QoL-profile, including recommendations for treatment of diseased QoL (cutoff <50 points on scale 0 = bad, 100 = good) in 10 dimensions (global QoL, physical, role, emotional, cognitive, social functioning, arm symptoms, body image, pain, fatigue) and up to 5 targeted therapies to improve QoL. GC was treated according to S3 guideline. At follow-up >6 years after diagnosis (range of months since surgery: GC+ 74-94; GC 74-96), rates of diseased QoL in both cohorts were analyzed and compared with QoL 12 months postoperatively. Results: Long-term QoL was assessed in 66 patients of GC+ (mean age 64.7 (±10.9)) and 67 of GC (mean age 63.7 (±10.9)) (death GC+=13, GC=18; response rate 79%). In GC+, 48% of patients reported at least 1 QoL deficit at 12 months compared with 52% at 6-year follow-up, while in GC rate of diseased QoL increased from 53% to 62%. Regarding single dimensions, in GC+ rates of diseased QoL increased from 12 months to 6 years (except global QoL), reaching significance for arm symptoms (9% vs 29%) and body image (3% vs 16%) (p<.01, McNemar`s test). In GC no dimension changed significantly, but rates of diseased QoL for arm symptoms (26% vs 31%) and body image (9% vs 17%) were already rather high at 12 months. Conclusions: Breast cancer patients need tailored QoL therapy, exceeding the first postoperative year. Similar to traditional medical care, QoL needs to be considered continuously by anchoring it in follow-up care.

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Hubungan body image dengan kualitas hidup pada pasien kanker payudara yang menjalankan kemoterapi

Health Sciences and Pharmacy Journal ◽

10.32504/hspj.v3i2.138 ◽

2019 ◽

Vol 3 (2) ◽

pp. 54

Author(s):

Fitri Haryati ◽

Dian Nur Adkhana Sari

Keyword(s):

Breast Cancer ◽

Quality Of Life ◽

Body Image ◽

Cancer Patients ◽

World Health ◽

Breast Cancer Patients ◽

Kendall’S Tau ◽

Kendall's Tau ◽

The World

Breast cancer ranks first in the number of cases of cancer as well as the biggest cause of death due to cancer in the world each year. Breast cancer is a malignant tumor that is at risk of affecting body image. Quality of life is the concept of analyzing the ability of individuals to get a normal life. This study is to know there is a relationship between body image with quality of life in breast cancer patients (ca mammae) who run chemotherapy in RSUD Panembahan Senopati Bantul Yogyakarta. This research used correlation design with cross sectional approach. The population in this research was breast cancer patient (camammae) who run chemotherapy. The samples were 30 breast cancer patients (camammae) with accidental sampling techniques, instruments used Body Image Satisfaction (BIS) and The World Health Organization Quality of Life (WHOQOL)-BREF. The results were analyzed by Kendall's Tau test. The results of this study showed that the body image in the category was mostly 22 people (73.3%), while the quality of life in breast cancer patients (camammae) who run chemotherapy mostly included in the category both with percentage (70.0%) of 21 people. Kendall's Tau test results obtained correlation coefficient = 0.966 and with significance p = 0.000 <0.01 (significance level). There was a relationship between body image with quality of life in breast cancer patients (camammae) who run chemotherapy.

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Marital Relationship, Body Image and Psychological Quality of Life among Breast Cancer Patients: The Moderating Role of the Disease’s Phases

Contemporary Family Therapy ◽

10.1007/s10591-011-9149-3 ◽

2011 ◽

Vol 33 (2) ◽

pp. 161-178 ◽

Cited By ~ 23

Author(s):

Helena Moreira ◽

Carla Crespo ◽

Tiago Paredes ◽

Sónia Silva ◽

Maria Cristina Canavarro ◽

...

Keyword(s):

Breast Cancer ◽

Quality Of Life ◽

Body Image ◽

Cancer Patients ◽

Marital Relationship ◽

Breast Cancer Patients ◽

Moderating Role ◽

Psychological Quality Of Life

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Quality of Life among Post-Mastectomy with and without Reconstruction Breast Cancer Patients in Onkologi Surabaya Hospital

Indonesian Journal of Cancer ◽

10.33371/ijoc.v15i2.766 ◽

2021 ◽

Vol 15 (2) ◽

pp. 64

Author(s):

Cindy Angelina Limantara ◽

Ario Djatmiko

Keyword(s):

Breast Cancer ◽

Quality Of Life ◽

Body Image ◽

Sexual Function ◽

Cancer Patients ◽

Real Life ◽

Depression Scale ◽

Breast Cancer Patients ◽

Significant Difference

Background: The quality of life (QoL) of breast cancer (BCa) patients is an outcome of therapy that is often overlooked. In real life, postoperative breast cancer patients experience deep trauma in view that breasts are a symbol of femininity, which are very valuable for any female. This study aims to compare the QoL in patients who received mastectomy only and mastectomy with reconstruction.Methods: A retrospective comparative study of 25 post-mastectomy to 25 post-mastectomy with reconstruction BCa patients in Onkologi Surabaya Hospital. The subjects are patients who visited between July 2019 until March 2020, as many as 50 samples in accord with the inclusion and exclusion criteria. The assessment was performed using 3 instruments, including the hospital anxiety and depression scale (HADS), body image scale (BIS), and female sexual function index (FSFI). The collected data were analyzed using SPSS 15.0 for Windows.Results: A significant difference in mean values was seen in body image and sexual function. Post-mastectomy BCa patients presented more body image disturbance (p < 0.05). Better sexual function is claimed by post-mastectomy with reconstruction BCa patients in Onkologi Surabaya Hospital (p < 0.05). Meanwhile, the depression and anxiety values did not differ significantly in both groups (p > 0.05).Conclusions: Patients who underwent mastectomy and breast reconstruction have a better QoL in comparison with patients who received mastectomy only, in the domains of body image and sexuality function.

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Quality of Life in Breast Cancer Patients: The Moderator Role of Family Stress

Anales de Psicología ◽

10.6018/analesps.35.2.303561 ◽

2019 ◽

Vol 35 (2) ◽

pp. 181-187

Author(s):

M.Graça Pereira ◽

Ana Cristina Paredes ◽

Rui Nabiço ◽

Catarina Ribeiro ◽

Gabriela Ferreira

Keyword(s):

Breast Cancer ◽

Quality Of Life ◽

Body Image ◽

Cancer Patients ◽

Family Stress ◽

Life Questionnaire ◽

Breast Cancer Patients ◽

Emotional Quality ◽

Life Orientation Test

In breast cancer patients, quality of life has been associated with treatment response and overall survival. One hundred women undergoing chemotherapy treatment for breast cancer completed questionnaires including demographic and clinical information, the EORTC-Quality of Life Questionnaire, Hospital Anxiety and Depression Scales, Body Image Scale, Index of Family Relations and the Life Orientation Test. The results showed that higher optimism and better body image were associated with improved quality of life. Distress significantly predicted physical and emotional quality of life, but recurrence only predicted physical quality of life. Family stress was a moderator in the relationship between psychological distress and emotional quality of life, showing the need to screen and intervene on family stress in patients with breast cancer. The results may help in designing interventions for women with breast cancer in order to promote quality of life.

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