Abstract
Background and objectives: Quality of life (QoL) after breast cancer surgery is an important public health issue. The aim of this study was to determine the relationship between the levels of perceived quality of life in patients operated on for breast cancer in relation to the type of surgery, using the standardized questionnaires. Materials and Methods: We assessed 425 women after surgery for breast cancer. The assessment included the application of the WHOQOL-bref (The World Health Organization Quality of Life-Bref), and FACT-B (Functional Assessment of Cancer Therapy-Breast) questionnaires. The statistical analysis of the data included multiple linear regression and correlation tests. Results: Multiple linear regression analysis found that education, existence of comorbidities, time elapsed since surgery, and type of surgery were significant predictors of overall quality of life. Women’s overall quality of life and general health has increased by 0.16 times for each subsequent year of surgery, and by 0.34 times for each subsequent higher education level. Breast-conserving surgery or mastectomy with breast reconstruction were statistically significant (β = 0.18) compared to total mastectomy. Conclusions: There is a significant difference in the quality of life perceived by patients in whom the breast has been preserved or reconstructed in relation to patients in whom total mastectomy has been performed.
Highlights
Breast cancer is a significant public health issue, and it is considered the second most common cause of death among women worldwide [1]
The inclusion criterion was women with a primary diagnosis of breast cancer at any stage of the disease, who were submitted to breast cancer surgery in the last 25 years
Multiple linear regression analysis found that education, existence of comorbidities, time elapsed since surgery, and type of surgery were significant predictors of OQoLaGH (Table 4)
Summary
Breast cancer is a significant public health issue, and it is considered the second most common cause of death among women worldwide [1]. The 5-year prevalence was nearly 7 million cases worldwide It is the leading cause of cancer death in over 100 countries [1]. A large number of chronic diseases and injuries leave consequences in terms of reduced overall life and work ability, as well as some other parameters of quality of life. This certainly includes the quality of life in patients operated on for breast cancer. Quality of life (QoL) after breast cancer surgery is an important public health issue. Results: Multiple linear regression analysis found that education, existence of comorbidities, time elapsed since surgery, and type of surgery were significant predictors of overall quality of life
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