Mental status and quality of life after various options of surgical treatment of breast cancer in early postoperative period

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OBJECTIVE

To assess the impact of various breast reconstruction technique on the quality of life after mastectomy for breast cancer.

MATERIAL AND METHODS

There were 353 women with breast cancer stage I-IIIA and 40 healthy patients operated on for aesthetic causes. Group I (n=141) included women after total mastectomy, group II (n=133) — total mastectomy with simultaneous breast reconstruction, group III (n=79) — total mastectomy with delayed breast reconstruction, group IV (n=40) — breast surgery for aesthetic causes. To study patient satisfaction with postoperative outcomes, we surveyed patients before and 6 months after surgery. Quality of life was assessed using the SF-36 and Breast-Q questionnaires.

RESULTS

Early and delayed breast reconstruction was followed by lower anxiety and depression and higher quality of life compared to total mastectomy alone. Surgical procedure, serum cortisol, early postoperative complications, severity of depression, education and social status affected the quality of life.

Keywords:

breast cancer

early and delayed reconstructive surgeries

anxiety

depression

quality of life

cortisol

Authors:

A.Kh. Ismagilov

Republican Clinical Oncology Dispensary

V.E. Karasev

Omsk State Medical University;
Clinical Oncology Dispensary

Received:

01.11.2021

Accepted:

22.11.2021

List of references:

Konieczny M, Cipora E, Sygit K, Fal A. Quality of Life of Women with Breast Cancer and Socio-Demographic Factors. Asian Pacific Journal of Cancer Prevention. 2020;21(1):185-193. https://doi.org/10.31557/apjcp.2020.21.1.185
Petrovsky AV, Chgan L, Sobolevsky VA, Krokhina OV, Valiev RK, Nechushkin MI, Amosova VA. Quality of life in patients with multicentric breast cancer. Malignant Tumours. 2020;10(1):21-28. (In Russ.). https://doi.org/10.18027/2224-5057-2020-10-1-21-28
Aristokleous I, Saddiq M. Quality life after oncoplastic breast-conserving surgery: A systematic review. ANZ J Surg. 2019;89(6):639-646. https://doi.org/10.1111/ans.15097
Perez-Tejada J, Aizpurua-Perez I, Labaka A, Vegas O, Ugartemendia G, Amaia Arregi A. Distress, proinflammatory cytokines and self-esteem as predictors of quality of life in breast cancer survivors. Physiol Behav. 2021; 230:113297. https://doi.org/10.1016/j.physbeh.2020.113297
Koh E, Watson DI, Dean NR. Impact of Obesity on Quality of Life After Breast Reconstruction. Ann Plast Surg. 2019;83(6):622-628. https://doi.org/10.1097/sap.0000000000002122
Akbari H, Akbari ME. The comparison of three components of breast cancer in females with cancer and healthy ones: coping styles, psychological capital, and patience. Multidisciplinary Cancer Investigation. 2018;2(3):23-29.
Bueno JN, Haddad CAS, De Almeida Rizzi SKL, Giron PS, Facina G, Nazário ACP. Evaluation of body image, quality of life, tactile sensitivity and pain in women with breast cancer submitted to surgical intervention. Revista Da Associacao Medica Brasileira. 2018;64(6):530-536. https://doi.org/10.1590/1806-9282.64.06.530
Tometich DB, Small BJ, Carroll JE, Zhai W, Luta G, Zhou X, Kobayashi LC, Ahles T, Saykin AJ, Clapp JD, Jim HSL, Jacobsen PB, Hurria A, Graham D. Pretreatment psychoneurological symptoms and their association with longitudinal cognitive function and quality of life in older breast cancer survivors. Journal of Pain and Symptom Management. 2019; 57(3):596-606. https://doi.org/10.1016/j.jpainsymman.2018.11.015
Grushina TI, Tkachenko GA. Psychological distress in patients with breast cancer after different antitumor treatments. Tumors of Female Reproductive System. 2016;12(1):56-62. (In Russ.). https://doi.org/10.17650/1994-4098-2016-12-1-56-62
Prikhodko KA, Dolgova MV, Ptukh EYa, Stegniy KV. Strategies for experiencing a traumatic event in women with breast cancer. Palliative Medicine and Rehabilitation. 2016;3:44-48. (In Russ.).
Pačarić S, Kristek J, Mirat J, Kondža G, Turk T, Farčić N, Orkić Z, Nemčić A. The quality of life of Croatian women after mastectomy: A cross sectional single center study. BMC Public Health. 2018;18:999. https://doi.org/10.1186/s12889-018-5929-0
Syrowatka A, Motulsky A, Kurteva S, Hanley JA, Dixon WG, Meguerditchian AN, Tamblyn R. Predictors of distress in female breast cancer survivors: a systematic review. Breast Cancer Res Treat. 2017;165(2):229-245. https://doi.org/10.1007/s10549-017-4290-9
Gorbunov VI, Verushkina AS, Sharafutdinov MG, Orulkin VI, Efremova IV. Assessment of the quality of life of patients diagnosed with breast cancer in the Ulyanovsk region. Bulletin of the Interethnic Center for Quality of Life Research. 2016;27-28:50-54. (In Russ.).
Szutowicz-Wydra B, Wydra J, Kruszewski WJ, Ciesielski M, Szajewski M, Walczak J, Hansdorfer-Korzon R. Same Quality of Life for Polish Breast Cancer Patients Treated with Mastectomy and Breast Reconstruction or Breast-Conserving Therapy. Pol Przegl Chir. 2016;88(5):264-269. https://doi.org/10.1515/pjs-2016-0062
Howes BHL, Watson DI, Xu C, Fosh B, Canepa M, Dean NR. Quality of life following total mastectomy with and without reconstruction versus breast-conserving surgery for breast cancer: A case-controlled cohort study. Journal of Plastic, Reconstructive & Aesthetic Surgery. 2016;69(9):1184-1191. https://doi.org/10.1016/j.bjps.2016.06.004
Baisalbaeva AS, Adylkhanov TA, Kosymbaeva EO. Comparative assessment of the quality of life of patients in traditional and hypofractionated modes of radiation therapy of breast cancer. Science and Health. 2017;4:71-80. (In Russ.).
Monogarova MA, Bit-Sava EM, Kurbanova MG, Damenia AO. Assessment of the quality of life of patients with breast cancer after surgical treatment. Preventive and Clinical Medicine. 2020;3(76):93-98.(In Russ.).
Sbitany H. Prepectoral Breast Reconstruction. In: Mayer H, ed. Breast Reconstruction. Springer, Cham. 2020:61-72. https://doi.org/10.1007/978-3-030-34603-4_6
Ho PJ, Hartman M, Gernaat SAM, Cook AR, Lee SC, Hupkens L, Verkooijen HM. Associations between workability and patient-reported physical, psychological and social outcomes in breast cancer survivors: A cross-sectional study. Support Care Cancer. 2018;26(8):2815-2824. https://doi.org/10.1007/s00520-018-4132-2
Oh PJ, Cho JR. Changes in Fatigue, Psychological Distress, and Quality of Life After Chemotherapy in Women with Breast Cancer: A Prospective Study. Cancer Nurs. 2020;43(1):54-60. https://doi.org/10.1097/ncc.0000000000000689
Hsiao FH, Kuo W-H, Jow G-M, Wang M-Y, Chang K-J, Lai Y-M, Chen Y-T, Huang C-S. The changes of quality of life and their correlations with psychosocial factors following surgery among women with breast cancer from the post-surgery to post-treatment survivorship. Breast. 2019;44:59-65. https://doi.org/10.1016/j.breast.2018.12.011
Cobo-Cuenca AI, Martín-Espinosa NM, Rodríguez-Borrego MA, Carmona-Torres JM. Determinants of satisfaction with life and self-esteem in women with breast cancer. Qual Life Res. 2019;28:379-387. https://doi.org/10.1007/s11136-018-2017-y
Huang HY, Tsai WC, Chou WY, Hung YC, Liu LC, Huang KF, Wang WC, Leung KW, Hsieh RK, Kung P. Quality of life of breast and cervical cancer survivors. BMC Womens Health. 2017;17:30. https://doi.org/10.1186%2Fs12905-017-0387-x
Yan B, Yang Li-M, Hao Li-P, Yang C, Quan L, Wang Li-H, Wu Z, Li X-P, Gao Y-T, Sun Q, Yuan J-M. Determinants of Quality of Life for Breast Cancer Patients in Shanghai, China. PLoS One. 2016;11(4):e0153714. https://doi.org/10.1371/journal.pone.0153714
Jendrian S, Steffens K, Schmalfeldt B, Laakmann E, Bergelt C, Witzel I. Quality of life in patients with recurrent breast cancer after second breast-conserving therapy in comparison with mastectomy: The German experience. Breast Cancer Res Treat. 2017;163:517-526. https://doi.org/10.1007/s10549-017-4208-6

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