Oncoplastic Surgery in Breast-Conserving Treatment: Patient Profile and Impact on Quality of Life
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1159/000507240 http://hdl.handle.net/11449/206623 |
Resumo: | Background: Breast-conserving treatment (BCT) provides better quality of life (QL) than mastectomy without reconstruction. Oncoplastic surgery (OS) encompasses a series of surgical techniques, increasing the indications for BCT, but few studies have evaluated the impact on QL in patients who undergo BCT with OS. Materials and Methods: A prospective, cross-sectional study was conducted in women who underwent BCT. We evaluated the characteristics of patients who underwent BCT with and without OS and the associated QL. QL was assessed through the EORTC QLQ-30, EORTC QLQ-BR23, and Breast Cancer Treatment Outcome Scale (BCTOS) questionnaires. Results: A total of 300 patients underwent BCT, 72 underwent breast OS, and 37 underwent bilateral surgery. Patients who underwent OS were younger (p = 0.004), had a higher level of education (p = 0.01), had a smaller time interval since the end of treatment (p = 0.02), had tumours with greater dimensions (p = 0.003), and were more likely to receive neoadjuvant chemotherapy (p = 0.05). Based on the QL questionnaires, no difference was observed between the groups. Breast symmetry was not associated with high patient satisfaction (p = 0.55). Conclusion: Despite the fact that OS was performed in patients with worse tumour conditions and in more demanding patients, OS allowed similar cosmetic results to classical BCT. |
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Repositório Institucional da UNESP |
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Oncoplastic Surgery in Breast-Conserving Treatment: Patient Profile and Impact on Quality of LifeBackground: Breast-conserving treatment (BCT) provides better quality of life (QL) than mastectomy without reconstruction. Oncoplastic surgery (OS) encompasses a series of surgical techniques, increasing the indications for BCT, but few studies have evaluated the impact on QL in patients who undergo BCT with OS. Materials and Methods: A prospective, cross-sectional study was conducted in women who underwent BCT. We evaluated the characteristics of patients who underwent BCT with and without OS and the associated QL. QL was assessed through the EORTC QLQ-30, EORTC QLQ-BR23, and Breast Cancer Treatment Outcome Scale (BCTOS) questionnaires. Results: A total of 300 patients underwent BCT, 72 underwent breast OS, and 37 underwent bilateral surgery. Patients who underwent OS were younger (p = 0.004), had a higher level of education (p = 0.01), had a smaller time interval since the end of treatment (p = 0.02), had tumours with greater dimensions (p = 0.003), and were more likely to receive neoadjuvant chemotherapy (p = 0.05). Based on the QL questionnaires, no difference was observed between the groups. Breast symmetry was not associated with high patient satisfaction (p = 0.55). Conclusion: Despite the fact that OS was performed in patients with worse tumour conditions and in more demanding patients, OS allowed similar cosmetic results to classical BCT.Department of Mastology and Breast Reconstruction Barretos Cancer HospitalPostgraduate Program of Gynecology Obstetrics and Mastology Botucatu Medical School Sao Paulo State University - UNESPPostgraduate Program of Oncology Barretos Cancer HospitalDepartment of Physiotherapy Barretos Cancer HospitalDepartment of Clinical Oncology Barretos Cancer HospitalPostgraduate Program of Gynecology Obstetrics and Mastology Botucatu Medical School Sao Paulo State University - UNESPBarretos Cancer HospitalUniversidade Estadual Paulista (Unesp)De Oliveira-Junior, Idam [UNESP]Da Silva, Igor De AraujoDa Silva, Fabíola Cristina BrandiniDa Silva, Jonathas JoséSarri, Almir JoséPaiva, Carlos EduardoVieira, René Aloisio Da Costa [UNESP]2021-06-25T10:35:20Z2021-06-25T10:35:20Z2020-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://dx.doi.org/10.1159/000507240Breast Care.1661-38051661-3791http://hdl.handle.net/11449/20662310.1159/0005072402-s2.0-85092227436Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengBreast Careinfo:eu-repo/semantics/openAccess2021-10-23T08:11:06Zoai:repositorio.unesp.br:11449/206623Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-05-23T19:48:03.965239Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Oncoplastic Surgery in Breast-Conserving Treatment: Patient Profile and Impact on Quality of Life |
title |
Oncoplastic Surgery in Breast-Conserving Treatment: Patient Profile and Impact on Quality of Life |
spellingShingle |
Oncoplastic Surgery in Breast-Conserving Treatment: Patient Profile and Impact on Quality of Life De Oliveira-Junior, Idam [UNESP] |
title_short |
Oncoplastic Surgery in Breast-Conserving Treatment: Patient Profile and Impact on Quality of Life |
title_full |
Oncoplastic Surgery in Breast-Conserving Treatment: Patient Profile and Impact on Quality of Life |
title_fullStr |
Oncoplastic Surgery in Breast-Conserving Treatment: Patient Profile and Impact on Quality of Life |
title_full_unstemmed |
Oncoplastic Surgery in Breast-Conserving Treatment: Patient Profile and Impact on Quality of Life |
title_sort |
Oncoplastic Surgery in Breast-Conserving Treatment: Patient Profile and Impact on Quality of Life |
author |
De Oliveira-Junior, Idam [UNESP] |
author_facet |
De Oliveira-Junior, Idam [UNESP] Da Silva, Igor De Araujo Da Silva, Fabíola Cristina Brandini Da Silva, Jonathas José Sarri, Almir José Paiva, Carlos Eduardo Vieira, René Aloisio Da Costa [UNESP] |
author_role |
author |
author2 |
Da Silva, Igor De Araujo Da Silva, Fabíola Cristina Brandini Da Silva, Jonathas José Sarri, Almir José Paiva, Carlos Eduardo Vieira, René Aloisio Da Costa [UNESP] |
author2_role |
author author author author author author |
dc.contributor.none.fl_str_mv |
Barretos Cancer Hospital Universidade Estadual Paulista (Unesp) |
dc.contributor.author.fl_str_mv |
De Oliveira-Junior, Idam [UNESP] Da Silva, Igor De Araujo Da Silva, Fabíola Cristina Brandini Da Silva, Jonathas José Sarri, Almir José Paiva, Carlos Eduardo Vieira, René Aloisio Da Costa [UNESP] |
description |
Background: Breast-conserving treatment (BCT) provides better quality of life (QL) than mastectomy without reconstruction. Oncoplastic surgery (OS) encompasses a series of surgical techniques, increasing the indications for BCT, but few studies have evaluated the impact on QL in patients who undergo BCT with OS. Materials and Methods: A prospective, cross-sectional study was conducted in women who underwent BCT. We evaluated the characteristics of patients who underwent BCT with and without OS and the associated QL. QL was assessed through the EORTC QLQ-30, EORTC QLQ-BR23, and Breast Cancer Treatment Outcome Scale (BCTOS) questionnaires. Results: A total of 300 patients underwent BCT, 72 underwent breast OS, and 37 underwent bilateral surgery. Patients who underwent OS were younger (p = 0.004), had a higher level of education (p = 0.01), had a smaller time interval since the end of treatment (p = 0.02), had tumours with greater dimensions (p = 0.003), and were more likely to receive neoadjuvant chemotherapy (p = 0.05). Based on the QL questionnaires, no difference was observed between the groups. Breast symmetry was not associated with high patient satisfaction (p = 0.55). Conclusion: Despite the fact that OS was performed in patients with worse tumour conditions and in more demanding patients, OS allowed similar cosmetic results to classical BCT. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-01-01 2021-06-25T10:35:20Z 2021-06-25T10:35:20Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1159/000507240 Breast Care. 1661-3805 1661-3791 http://hdl.handle.net/11449/206623 10.1159/000507240 2-s2.0-85092227436 |
url |
http://dx.doi.org/10.1159/000507240 http://hdl.handle.net/11449/206623 |
identifier_str_mv |
Breast Care. 1661-3805 1661-3791 10.1159/000507240 2-s2.0-85092227436 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Breast Care |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1803045627924316160 |