RESEARCH PAPER
Surgical method of treatment and level of satisfaction with life among women diagnosed with breast cancer, according to time elapsed since performance of surgery
1
Jan Grodek State Higher Vocational School in Sanok, Poland
Corresponding author
Elżbieta Cipora
Jan Grodek State Higher Vocational School in Sanok, Mickiewicza 21, 38-500 Sanok, Poland
Jan Grodek State Higher Vocational School in Sanok, Mickiewicza 21, 38-500 Sanok, Poland
Ann Agric Environ Med. 2018;25(3):453-459
KEYWORDS
TOPICS
Biological agents posing occupational risk in agriculture, forestry, food industry and wood industry and diseases caused by these agents (zoonoses, allergic and immunotoxic diseases)State of the health of rural communities depending on various factors: social factors, accessibility of medical care, etc.
ABSTRACT
Introduction:
In women diagnosed with breast cancer one of the methods most commonly applied in therapy is surgical treatment, which consists in a breast conserving surgery or total removal of the breast. The applied type of surgical treatment may exert an effect on the satisfaction with life of the women.
Objective:
The aim of the study was evaluation of the satisfaction with life among women surgically treated for breast cancer, according to the type of surgery on the breast, and the time elapsed since its performance.
Material and methods:
The study included 121 patients of the Sub-Carpathian Oncology Centre in Brzozów, south-east Poland, who had undergone surgical treatment due to breast cancer. The women expressed their informed consent to participate in the study. The method of a diagnostic survey was applied.
Results:
The women obtained a mediocre result in satisfaction with life – 5.64 sten scores. Patients who had undergone mastectomy had a considerably lower level of satisfaction with life, compared to those after breast-conserving surgery (4.73 sten scores vs. 6.30 sten scores). Evaluations of the satisfaction with life in the examined group significantly differed according to the time elapsed since performance of surgery.
Conclusions:
There is a need for undertaking actions directed to women who have undergone surgical treatment for breast cancer within the period from 2–5 years, aimed at improving the satisfaction with life in this group of patients. In addition, special support should be provided for women who have undergone mastectomy, especially during the period of more than 1 and up to 2 years.
In women diagnosed with breast cancer one of the methods most commonly applied in therapy is surgical treatment, which consists in a breast conserving surgery or total removal of the breast. The applied type of surgical treatment may exert an effect on the satisfaction with life of the women.
Objective:
The aim of the study was evaluation of the satisfaction with life among women surgically treated for breast cancer, according to the type of surgery on the breast, and the time elapsed since its performance.
Material and methods:
The study included 121 patients of the Sub-Carpathian Oncology Centre in Brzozów, south-east Poland, who had undergone surgical treatment due to breast cancer. The women expressed their informed consent to participate in the study. The method of a diagnostic survey was applied.
Results:
The women obtained a mediocre result in satisfaction with life – 5.64 sten scores. Patients who had undergone mastectomy had a considerably lower level of satisfaction with life, compared to those after breast-conserving surgery (4.73 sten scores vs. 6.30 sten scores). Evaluations of the satisfaction with life in the examined group significantly differed according to the time elapsed since performance of surgery.
Conclusions:
There is a need for undertaking actions directed to women who have undergone surgical treatment for breast cancer within the period from 2–5 years, aimed at improving the satisfaction with life in this group of patients. In addition, special support should be provided for women who have undergone mastectomy, especially during the period of more than 1 and up to 2 years.
REFERENCES (41)
1.
Ferlay J, Soerjomataram I, Dikshit R, et al. Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. Int J Cancer. 2015; 136: 359–386.
2.
Ginsburg O, Bray F, Coleman MP. The global burden of women’s cancers: a grand challenge in global health. The Lancet. 2017; 389: 847–860.
5.
Jeziorski A., Rutkowski P (ed.) Kompendium Chirurgii Onkologicznej. Via Media. Gdańsk 2014.
6.
Murawa P, Murawa D, Adamczyk B, Połom K. Breast cancer: Actual methods of treatment and future trends. Rep Pract Oncol Radiother. 2014; 19: 165–172.
7.
Senkus E, Kyriakides S, Penault-Llorca F, Poortmans P, Thompson A, Zackrisson S, Cardoso F. Primary breast cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann Oncol. 2013; 24: vi7–vi23, https://doi.org/10.1093/annonc....
8.
Masoud V, Pagès G. Targeted therapies in breast cancer: New challenges to fight against resistance. World J Clin Oncol. 2017; 8: 120–134.
9.
Etchegary H, Dicks E, McCrate F, Powell E, Chafe J, Roome R, Simmonds C. Breast cancer surgical treatment choices in Newfoundland and Labrador, Canada: Patient and surgeon perspectives. J Public Health Res. 2017; 6(2): 867. doi: 10.4081/jphr.2017.867.
10.
Guyomard V, Leinster S, Wilkinson M. Systematic review of studies of patients satisfaction with breast reconstruction after mastectomy. Breast. 2007; 16: 547–567.
11.
Kovac A, Petrović SP, Nedeljković M, Kojić M, Tomić S. Post-operative condition of breast cancer patients from standpoint of psycho-oncology-preliminary results. Med Pregl. 2014; 67: 43–48.
12.
Piot-Ziegler C, Sassi ML, Raffoul W, Delaloye JF. Mastectomy, body deconstruction, and impact on identity: a qualitative study. Br J Health Psychol. 2010; 15: 479–510.
13.
Diener E, Emmons RA, Larson RJ, Griffin S. The satisfaction with life scale. J Pers Assess. 1985; 49: 71–75.
14.
Juczyński Z. Narzędzia pomiaru w promocji i psychologii zdrowia. Pracownia Testów Psychologicznych Polskiego Towarzystwa Psychologicznego. Warszawa 2001.
15.
Han J, Grothuesmann D, Neises M, Hille U, Hillemanns P. Quality of life and satisfaction after breast cancer operation. Arch Gynecol Obstet. 2010; 282: 75–82.
16.
He ZY, Tong Q, Wu SG, Li FY, Lin HX, Guan XX. A comparison of quality of life and satisfaction of women with early-stage breast cancer treated with breast conserving therapy vs. mastectomy in southern China. Support Care Cancer. 2012; 20: 2441–2449.
17.
Zegarski W, Głowacka I, Ostrowska Ż. Ocena jakości życia kobiet po mastektomii na podstawie standardowych kwestionariuszy: QLQ-C30 i QLQ-BR23. Nowotwory. Journal of Oncology. 2010; 60: 532–535.
18.
Fitzal F, Gnant M. Breast conservation: evolution of surgical strategies. Breast J. 2006; 12: 165–73.
19.
Heil J, Fuchs V, Golatta M, Schott S, Wallwiener M, Domschke C, Sinn P, Lux MP, Sohn C, Schütz F. Extent of Primary Breast Cancer Surgery: Standards and Individualized Concepts. Breast Care. 2012; 7(5): 364–369.
20.
Litière S, Werutsky G, Fentiman IS, Rutgers E, Christiaens MR, Van Limbergen E, Baaijens MH, Bogaerts J, Bartelink H. Breast conserving therapy versus mastectomy for stage I-II breast cancer: 20 year follow-up of the EORTC 10801 phase 3 randomised trial. Lancet Oncol. 2012; 13(4): 412–419.
21.
Hamdi M, Sinove Y, DePypere H, Van Den Broucke R, Vakaet L, Cocquyt V, Villeirs G, Lambein C, Van Maele G. The role of oncoplastic surgery in breast cancer. Acta Chir Belg. 2008; 108(6): 666–72.
22.
Habermann EB, Abbott A, Parsons HM, Virnig BA, Al-Refaie WB, Tuttle TM. Are mastectomy rates really increasing in the United States? J Clin Oncol. 2010; 28(21): 3437–3441.
23.
Throckmorton AD, Esserman LJ. When Informed, All Women Do Not Prefer Breast Conservation. J Clin Oncol. 2009; 27(4): 484–486.
24.
Vanderwalde LH, Edge SB. Decision shared or otherwise: the ongoing evolution of local therapy for breast cancer. J Clin Oncol. 2014; 32(9): 873–5.
25.
Balch CM, Jacobs LK. Mastectomies on the Rise for Breast Cancer: The Tide Is Changing. Ann Surg Oncol. 2009; 16(10): 2669–2672.
26.
Lee MC, Rogers K, Griffith K, Diehl KA, Breslin TM, Cimmino VM, Chang AE, Newman LA, Sabel MS. Determinants of breast conservation rates: reasons for mastectomy at a comprehensive cancer center. Breast J. 2009; 15(1): 34–40.
27.
Veronesi U, Cascinelli N, Mariani L, Greco M, Saccozzi R, Luini A, Aguilar M, Marubini E. Twenty-year follow-up of a randomized study comparing breast-conserving surgery with radical mastectomy for early breast cancer. N Engl J Med. 2002; 347(16): 1227–32.
28.
Szadowska-Szlachetka Z, Stanisławek A, Charzyńska-Gula M, Kachaniuk H, Muzyczka K, Kocka K. Differences in the quality of life of women before and after breast reconstruction measured with the use of EORTC QLQ-C 30 and EORTC QLQ-BR 23 scale. Przegląd Menopauzalny. 2013; 17 (3): 254–259.
29.
Sio TT, Chang K, Jayakrishnan R, Wu D, Politi M, Malacarne D, Saletnik J, Chung M. Patient age is related to decision-making, treatment selection, and perceived quality of life in breast cancer survivors. World J Surg Oncol. 2014; 12: 230; doi: 10.1186/1477-7819-12-230.
30.
Miśkiewicz H, Antoszewski B, Woźniak E, Iljin A. Satisfaction with Life and Social Factors in Decision-Making Proces on Breast Reconstruction in Women after Mastectomy. Pol Przegl Chir. 2016; 88: 270–276.
31.
Szczepańska-Gieracha J, Malicka I, Rymaszewska, Woźniewski M. Przystosowanie psychologiczne kobiet bezpośrednio po operacji onkologicznej i po zakończonym leczeniu. Współcz Onkol. 2010; 14: 403–410.
32.
Olsson M, Nilsson M, Fugl-Meyer K, Petersson LM, Wennman-Larsen A, Kjeldgård L, Alexanderson K. Life satisfaction of women of working age shortly after breast cancer surgery. Quality Life Res. 2017; 26: 673–684.
33.
Arroyo JMG, López MLD. Psychological Problems Derived from Mastectomy: A Qualitative Study. Int J Surgical Oncol. 2011; 2011: 132461–132470.
34.
Karabulut N, Erci B. Sexual desire and satisfaction In: Sexual life affecting factors in breast cancer survivors after mastectomy. J Psychosoc Oncol. 2009; 27: 333–343.
35.
Klassen AF, Pusic AL, Scott A, Klok J, Cano SJ. Satisfaction and quality of life in women who undergo breast surgery: a qualitative study. BMC Womens Health. 2009; 9:11, doi: 10.1186/1472-6874-9-11.
36.
Wei CH, Scott AM, Price AN, Miller HC, Klassen AF, Jhanwar SM, Mehrara BJ, Disa JJ, McCarthy C, Matros E, Cordeiro PG, Sacchini V, Pusic AL. Psychosocial and Sexual Well-Being Following Nipple-Sparing Mastectomy and Reconstruction. Breast J. 2016; 22(1): 10–17.
37.
Agarwal P, Patel AK, Saxena A, Mishra A. Assessment of Quality of Life after Breast Reconstructive Surgery Following. Mastectomy for Carcinoma Breast. J Surg Pakistan. 2011; 16(2): 50–55.
38.
Dragomir BI, Fodoreanu I, Rancea A. The impact of depression and anxiety on the quality of life in nonmetastatic breast cancer patients in postoperative evaluation. Clujul Med. 2013; 86: 48–52.
39.
Asuzu C, Efosa-Urhoghide N. Psychosocial predictors of life satisfaction among married women with breast cancer. Am Ass Cancer Res. 2017; 77: pp. 2765.
40.
Kelsall JE, McCulley SJ, Brock L, Akerlund MTE, Macmillan RD. Comparing oncoplastic breast conserving surgery with mastectomy and immediate breast reconstruction: Case-matched patient reported outcomes. J Plast Reconstr Aesthet Surg. 2017; 70(10): 1377–1385.
41.
Montebarocci O, Lo Dato F, Baldaro B, Morselli P, Rossi NC. Anxiety and body satisfaction before and six months after mastectomy and breast reconstruction surgery. Psychol Rep. 2007; 101(1): 100–106.
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