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Effect of cosmetic outcome on quality of life after breast cancer surgery

Title
Effect of cosmetic outcome on quality of life after breast cancer surgery
Authors
Kim, M. K.Kim, T.Moon, H. G.Jin, U. S.Kim, K.Kim, J.Lee, J. W.Lee, E.Yoo, T. K.Noh, D. -Y.Minn, K. W.Han, W.
Ewha Authors
김규보
SCOPUS Author ID
김규보scopus
Issue Date
2015
Journal Title
EJSO
ISSN
0748-7983JCR Link

1532-2157JCR Link
Citation
EJSO vol. 41, no. 3, pp. 426 - 432
Keywords
Quality of lifeCosmetic resultBreast cancerBody Image ScaleBCCT core
Publisher
ELSEVIER SCI LTD
Indexed
SCIE; SCOPUS WOS scopus
Document Type
Article
Abstract
Purpose: Studies regarding the effects of aesthetic outcomes after breast cancer surgery on quality of life (QoL) have yielded inconsistent results. This study analyzed the aesthetic outcomes and QoL of women who underwent breast conserving surgery (BCS) or total mastectomy with immediate reconstruction (TMIR) using objective and validated methods. Patients and methods: QoL questionnaires (EORTC QLQ-C30, BR23, and HADs) were administered at least 1 year after surgery and adjuvant therapy to 485 patients who underwent BCS, 46 who underwent TMIR, and 87 who underwent total mastectomy (TM) without reconstruction. Aesthetic results were evaluated using BCCT.core software and by a panel of physicians. Patients' body image perception was assessed using the body image scale (BIS). Results: QoL outcomes, including for social and role functioning, fatigue, pain, body image, and arm symptoms, were significantly better in the BCS and TMIR groups than in the TM group (p<0.05 each). BIS was significantly better in the BCS than in the TM or TMIR group (p<0.001 each). In the BCS and TMIR groups, general QoL factors were not significantly associated with objective cosmetic outcomes, except for body image in the QLQ-BR23. In contrast, patients with poorer BIS score reported lower QoL in almost all items of the QLQ-C30, BR23, and HADS (p<0.05 each). Conclusion: In conclusion, BCS and TMIR enhanced QoL compared with TM. Among BCS and TMIR patients, objectively measured cosmetic results did not affect general QoL. Self-perception of body image seems to be more important for QoL after breast cancer surgery. (C) 2014 Elsevier Ltd. All rights reserved.
DOI
10.1016/j.ejso.2014.12.002
Appears in Collections:
의과대학 > 의학과 > Journal papers
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