Does Quality of Life Among Modified Radical Mastectomy and Breast Conservation Surgery Patients Differ? A 5-Year Comparative Study

Bhat, Vivek; Roshini, A. P.; Ramesh, Rakesh

doi:10.1007/s13193-019-00962-1

Cited by 13 publications

(20 citation statements)

References 14 publications

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“…To improve Chinese breast cancer survivors’ body image, access to lumpectomy and reconstruction needs to be increased. Survivors with lumpectomy were shown to experience better overall body image than those with mastectomy [ 26 , 35 – 37 ]. Reconstruction also contributes to women’s wholeness and addresses their body image concerns to some extent [ 36 , 38 ].…”

Section: Discussionmentioning

confidence: 99%

Assessing the relationship between body image and quality of life among rural and urban breast cancer survivors in China

Zhou

2022

BMC Women's Health

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Background Breast cancer survivors experience altered body image and quality of life (QoL) due to the disease and its treatment. The multidimensional nature of body image and QoL makes their relationships complex. This study aimed to examine the associations between the two concepts in Chinese breast cancer survivors and test whether these associations are moderated by rural–urban residence. Methods A cross-sectional design was adopted. Breast cancer survivors were recruited via a convenience sampling method. Two validated questionnaires (the Body Image Self-Rating Questionnaire for Breast Cancer and 36-item Short-Form Health Survey) and questions assessing demographic and clinical covariates were administered. Multiple linear regressions were used to assess the relationship between body image and QoL domains and to examine the moderating effect of rural–urban residence. Results In our sample of 354 breast cancer survivors, half (50.28%) lived in rural areas. After adjusting for demographic and clinical variables, better perception of body image-related sexual activity change, role change, and psychological change was significantly associated with better physical (β ranged from − 0.15 to − 0.11, p < 0.05) and mental (β ranged from − 0.46 to − 0.34, p < 0.001) well-being. Better perception of body image-related social and behavior change was significantly associated only with better mental well-being (β ranged from − 0.40 to − 0.33, p < 0.001). The association between body image and mental well-being was much stronger in urban subjects (b = − 0.38, p < 0.001) than in rural subjects (b = − 0.20, p < 0.001). Conclusions Our findings suggest that multidimensional body image is associated with physical and mental well-being in Chinese breast cancer survivors. Body image appears to play a larger role in urban breast cancer survivors’ mental well-being. Our results indicate that incorporating interventions that address body image issues would be advantageous for survivorship care to enhance QoL in breast cancer survivors. Furthermore, rural–urban differences should be considered in the strategic design of survivorship care programs in rural and urban settings.

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Section: Discussionmentioning

confidence: 99%

Assessing the relationship between body image and quality of life among rural and urban breast cancer survivors in China

Zhou

2022

BMC Women's Health

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“…Bhat, V. (2019), India (17) 40 50.9 Modified radical mastectomy and breast-conserving surgery (LTQOL-BC) Both groups presented significant changes in QoL in terms of BI.…”

Section: Resultsmentioning

confidence: 99%

The impact of mastectomy on body image and sexuality in women with breast cancer: a systematic review

Faria¹,

Rodrigues²,

Marquez³

et al. 2021

PSIC

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Objective: The study aims to evaluate the impact of mastectomy on body image and sexuality of women with breast cancer, as well as to provide a general understanding of their quality of life. Method: This review followed the PRISMA guidelines. The expression “Mastectomy AND (sexuality OR “body image”)” was searched in Lilacs, Scielo, Pubmed and Scopus databases. Articles published in English, Portuguese and Spanish between 2010 and 2020 were selected. The text analysis was carried out by peers. Results: 69.3% (43) of the studies presented mastectomy as a technique that worsens body image, sexual functioning and quality of life of women. Less radical procedures, such as breast-conserving surgery, showed lower impact on these indicators. Breast reconstruction is an alternative to mitigate breast surgery impacts. Conclusion: Mastectomy caused the major impacts on body image, sexual functioning and quality of life. These implications need to be considered during therapeutic choice.

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“…To improve Chinese breast cancer survivors' body image, access to lumpectomy and reconstruction needs to be increased. Survivors with lumpectomy were shown to experience better overall body image than those with mastectomy [33][34][35]. Reconstruction also contributes to women's wholeness and addresses their body image concerns to some extent [35].…”

Section: Discussionmentioning

confidence: 99%

Assessing the Relationship between Body Image and Quality of Life Among Rural and Urban Breast Cancer Survivors in China

et al. 2021

Preprint

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Purpose This study aimed to examine the associations between multidimensional body image and quality of life (QoL) and test whether the associations between body image and QoL are moderated by rural-urban residence in Chinese breast cancer survivors. Methods A cross-sectional design was adopted. Breast cancer survivors were recruited via a convenience sampling method. Two validated questionnaires (Body Image Self-Rating Questionnaire for Breast Cancer and SF-36) and questions assessing demographic and clinical covariates were administered. Results In our sample of 354 breast cancer survivors, half (50.28%) lived in rural areas. After adjusting for demographic and clinical variables, better perception of body image-related sexual activity change, role change, and psychological change was significantly associated with better physical and mental well-being. Better perception of body image-related social and behavior change domains was only significantly associated with better mental well-being. The association between body image and mental well-being was much stronger in urban subjects (b = -0.38, p < 0.001) than in rural subjects (b = -0.20, p < 0.001). Conclusions Our findings suggest that multidimensional body image is associated with physical and mental well-being in Chinese breast cancer survivors. Body image appears to play a larger role in urban breast cancer survivors’ mental well-being. Our findings indicate that incorporating interventions that address body image issues would be advantageous for survivorship care programs focused on enhancing QoL in breast cancer survivors. Considering the rural-urban differences supports strategic design of the care programs in rural and urban settings.

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Does Quality of Life Among Modified Radical Mastectomy and Breast Conservation Surgery Patients Differ? A 5-Year Comparative Study

Cited by 13 publications

References 14 publications

Assessing the relationship between body image and quality of life among rural and urban breast cancer survivors in China

Assessing the relationship between body image and quality of life among rural and urban breast cancer survivors in China

The impact of mastectomy on body image and sexuality in women with breast cancer: a systematic review

Assessing the Relationship between Body Image and Quality of Life Among Rural and Urban Breast Cancer Survivors in China

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