Quality-of-Life and Self-Esteem Outcomes after Oncoplastic Breast-Conserving Surgery

Quality-of-Life and Self-Esteem Outcomes after Oncoplastic Breast-Conserving Surgery

Autor Veiga, Daniela F. Autor UNIFESP Google Scholar
Veiga-Filho, Joel Google Scholar
Ribeiro, Leda M. Google Scholar
Archangelo-Junior, Ivanildo Google Scholar
Balbino, Priscilla F. R. Google Scholar
Caetano, Leci V. Google Scholar
Novo, Neil F. Google Scholar
Ferreira, Lydia M. Google Scholar
Instituição Universidade Federal de São Paulo (UNIFESP)
Univ Vale Sapucai
Resumo Background: This prospective trial was designed to assess the impact of oncoplastic surgery on quality of life and self-esteem of breast cancer patients undergoing breast-conserving treatment.Methods: Forty-five patients with primary breast cancer to be treated with breast-conserving surgery and immediate partial breast reconstruction were assessed with regard to quality-of-life and self-esteem outcomes preoperatively and 6 and 12 months postoperatively. Another 42 breast cancer patients, treated by conservative surgery without breast reconstruction at least 1 year previously, were assessed for the control group. Validated questionnaires (Short Form-36, Brazilian version, and the Rosenberg-EPM Self-Esteem Scale) were used. Data were analyzed by using the Mann-Whitney and Friedman tests.Results: Participation rates at the follow-up assessments were 95.5 percent at the 6-month follow-up and 88.9 percent at the 12-month follow-up. Control and reconstruction groups were matched for age, body mass index, and demographic and oncologic aspects. At postoperative month 12, the breast reconstruction group had significantly better health status than the control group with regard to physical functioning (p < 0.000), health perception (p < 0.002), vitality (p < 0.007), social functioning (p < 0.02), role emotional (p < 0.02), mental health (p < 0.000), and self-esteem (p < 0.02). Compared with preoperatively, breast reconstruction group scores were significantly higher at 12 months postoperatively for seven of the eight dimensions of the Short Form-36: physical functioning (p < 0.01), role physical (p < 0.02), health perception (p < 0.02), vitality (p < 0.01), social functioning (p < 0.02), role emotional (p < 0.05), and mental health (p < 0.02). Self-esteem was also significantly better at 12 months (p < 0.02).Conclusion: Oncoplastic surgery had a positive impact on quality of life and self-esteem of patients undergoing breast-conserving treatment. (Plast. Reconstr. Surg. 125: 811, 2010.)
Idioma Inglês
Data de publicação 2010-03-01
Publicado em Plastic and Reconstructive Surgery. Philadelphia: Lippincott Williams & Wilkins, v. 125, n. 3, p. 811-817, 2010.
ISSN 0032-1052 (Sherpa/Romeo, fator de impacto)
Publicador Lippincott Williams & Wilkins
Extensão 811-817
Fonte http://dx.doi.org/10.1097/PRS.0b013e3181ccdac5
Direito de acesso Acesso restrito
Tipo Artigo
Web of Science WOS:000275714700006
Endereço permanente http://repositorio.unifesp.br/handle/11600/32368

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