Effect of cosmetic outcome on quality of life after breast cancer surgery
Effect of cosmetic outcome on quality of life after breast cancer surgery
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DOI：
10.1016/j.ejso.2014.12.002
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发表时间：
2015-03-01
期刊：
影响因子：
3.8
通讯作者：
Han, W.
中科院分区：
文献类型：
--
作者：
Kim, M. K.;Kim, T.;Han, W.
目的：关于乳腺癌手术后美学效果对生活质量的影响的研究结果并不一致。本研究采用客观有效的方法分析了保乳手术(BCS)或乳房全切术后即刻重建(TMIR)患者的美学效果和生活质量。患者和方法：对485例BCS、46例TMIR和87例未行重建的全乳房切除(TM)患者在术后至少1年进行生活质量问卷调查。美容效果使用BCCT.core软件和一个医生小组进行评估。结果：BCS组和TMIR组患者的生活质量(包括社会和角色功能、疲劳、疼痛、身体形象和手臂症状)明显好于TM组(P
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