Quality of Life among Post-Mastectomy with and without Reconstruction Breast Cancer Patients in Onkologi Surabaya Hospital
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.
Youlden DR, Cramb SM, Yip CH, Baade PD. Incidence and mortality of female breast cancer in the Asia Pacific region. Cancer Biol Med. 2014;11(2):101-15.
Perry SH, Kowalski TL, Chang CH. Quality of life assessment in women with breast cancer: benefits, acceptability and utilization. Health Qual Life Outcomes. 2007;5:24-38.
Somogyi RB, Ziolkowski N, Osman F, et al. Breast reconstruction. Updated overview for primary care physicians. Can Fam Physician. 2018;64(6):424–32.
Masjoudi M, Keshavar Z, Akbari ME, Kashani FL. Evaluation of sexual function in breast cancer survivors using Female Sexual Function Index: a systematic review. IJWHR. 2019;7(4):434-41.
Rahman GA. Breast conserving therapy: A surgical technique where little can mean more. J Surg Tech Case Rep. 2011;3(1):1–4.
Qin Q, Tan Q, Lian B, et al. Postoperative outcomes of breast reconstruction after mastectomy. Medicine (Baltimore). 2018;97(5):e9766.
King CR. Advances in how clinical nurses can evaluate and improve quality of life for Individuals with cancer. Oncol Nurs Forum. 2006;33(1 suppl):5-12.
Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67:361-70.
Hopwood P, Fletcher I, Lee A, Al Ghazal S. A body image scale for use with cancer patients. Eur J Cancer. 2001;37(2):189-97.
Rosen R, Brown C, Heiman J, et al. Female Sexual Function Index (FSFI). J Sex Marital Ther. 2000;26(2):191-208.
Fingeret MC, Teo I, Epner DE. Managing body image difficulties of adult cancer patients: Lessons from available research. Cancer. 2014;120(5):633–41.
Archangelo SCV, Sabino Neto M, Veiga DF, et al. Sexuality, depression and body image after breast reconstruction. Clinics (Sao Paulo). 2019;74:e883.
Arndt V, Merx H, Stegmaier C, et al. Persistence of restrictions in quality of life from the first to the third year after diagnosis in women with breast cancer. J Clin Oncol. 2005;23(22):4945-53.
The American Cancer Society. Breast Cancer [internet]. Atlanta: Cancer.org; 2014 [cited 2015 Jan 15]. Available from:http://www.cancer.org/Cancer/BreastCancer/
Izadi-Ajirlo A, Bahmani B, Ghanbari-Motlagh A. Effectiveness of cognitive behavioral group intervention on body image improving and increasing self-esteem in women with breast cancer after mastectomy. Arch Rehabil. 2013;13(4):72–83.
Olfatbakhsh A, Mehrdad N, Ebrahimi M, et al. Evaluation of factors impacting cosmetic outcome of breast conservative surgery--a study in Iran. Asian Pac J Cancer Prev. 2015;16(6):2203-7.
Cobo-Cuenca AI, Martín-Espinosa NM, Sampietro-Crespo A, et al. Sexual dysfunction in Spanish women with breast cancer. PLoS ONE. 2018;13(8):e0203151.
Alicikus ZA, Gorken IB, Sen RC, et al. Psychosexual and body image aspects of quality of life in Turkish breast cancer patients: a comparison of breast conserving treatment and mastectomy. Tumori. 2009;95(2):212–18.
Aerts L, Christiaens M, Enzlin P, et al. Sexual functioning in women after mastectomy versus breast conserving therapy for early-stage breast cancer: a prospective controlled study. Breast. 2014;23(5):629–36.
Raggio GA, Butryn ML, Arigo D, et al. Prevalence and correlates of sexual morbidity in long-term breast cancer survivors. Psychol Health. 2014;29(6):632–50.
Andrzejczak E, Markocka-Mączka K, Lewandowski A. Partner relationships after mastectomy in women not offered breast reconstruction. Psychooncology. 2013;22(7):1653–7.
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