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

dc.contributor.authorVeiga, Daniela F. [UNIFESP]
dc.contributor.authorVeiga-Filho, Joel
dc.contributor.authorRibeiro, Leda M.
dc.contributor.authorArchangelo-Junior, Ivanildo
dc.contributor.authorBalbino, Priscilla F. R.
dc.contributor.authorCaetano, Leci V.
dc.contributor.authorNovo, Neil F.
dc.contributor.authorFerreira, Lydia M.
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.contributor.institutionUniv Vale Sapucai
dc.date.accessioned2016-01-24T13:59:27Z
dc.date.available2016-01-24T13:59:27Z
dc.date.issued2010-03-01
dc.description.abstractBackground: 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.)en
dc.description.affiliationUniversidade Federal de São Paulo, Div Plast Surg, Dept Surg, BR-04024002 São Paulo, Brazil
dc.description.affiliationUniv Vale Sapucai, Div Plast Surg, Dept Surg, Pouso Alegre, Brazil
dc.description.affiliationUniv Vale Sapucai, Div Mastol, Dept Gynecol, Pouso Alegre, Brazil
dc.description.affiliationUniv Vale Sapucai, Sch Med, Pouso Alegre, Brazil
dc.description.affiliationUniv Vale Sapucai, Dept Biostat, Pouso Alegre, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Div Plast Surg, Dept Surg, BR-04024002 São Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent811-817
dc.identifierhttp://dx.doi.org/10.1097/PRS.0b013e3181ccdac5
dc.identifier.citationPlastic and Reconstructive Surgery. Philadelphia: Lippincott Williams & Wilkins, v. 125, n. 3, p. 811-817, 2010.
dc.identifier.doi10.1097/PRS.0b013e3181ccdac5
dc.identifier.issn0032-1052
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/32368
dc.identifier.wosWOS:000275714700006
dc.language.isoeng
dc.publisherLippincott Williams & Wilkins
dc.relation.ispartofPlastic and Reconstructive Surgery
dc.rightsAcesso restrito
dc.titleQuality-of-Life and Self-Esteem Outcomes after Oncoplastic Breast-Conserving Surgeryen
dc.typeArtigo
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