Wanjing Chen1, Xiaoai Lv1, Xiaohong Xu1, Xiufei Gao1, Bei Wang2. 1. Department of Breast Surgery, Zhejiang Provincial Hospital of TCM, No.54, Youdian Road, Shangcheng District, Hangzhou, Zhejiang, 310006, China. 2. Department of Breast Surgery, Zhejiang Provincial Hospital of TCM, No.54, Youdian Road, Shangcheng District, Hangzhou, Zhejiang, 310006, China. cwj8128@126.com.
Abstract
AIMS: This meta-analysis aimed to evaluate the impact of breast reconstruction on the psychological aspects in patients with breast cancer. METHODS: A literature search on PubMed, Embase, ScienceDirect and Google scholar databases was conducted up to September 2017. The pooled risk radio (RR) or standard mean difference (SMD) and the corresponding 95% confidence intervals (CIs) were calculated using the RevMan 5.3 software. RESULTS: A total of 5 studies were included in this meta-analysis. There were 551 breast cancer patients receiving mastectomy plus breast reconstruction and 574 breast cancer patients receiving mastectomy alone. The results showed that breast reconstruction can significantly decrease the incidence of anxiety (RR = 0.62, 95% CI 0.47-0.82, P = 0.0006)/depression (RR = 0.54, 95% CI 0.32-0.93, P = 0.02) and scale score for evaluating anxiety (SMD = - 0.20, 95% CI - 0.37 to - 0.03, P = 0.02)/depression (SMD = - 0.22, 95% CI - 0.39 to - 0.66, P = 0.007) compared with mastectomy alone. CONCLUSIONS: Breast reconstruction after mastectomy was benefit for improving the psychological damages in patients with breast cancer.
AIMS: This meta-analysis aimed to evaluate the impact of breast reconstruction on the psychological aspects in patients with breast cancer. METHODS: A literature search on PubMed, Embase, ScienceDirect and Google scholar databases was conducted up to September 2017. The pooled risk radio (RR) or standard mean difference (SMD) and the corresponding 95% confidence intervals (CIs) were calculated using the RevMan 5.3 software. RESULTS: A total of 5 studies were included in this meta-analysis. There were 551 breast cancerpatients receiving mastectomy plus breast reconstruction and 574 breast cancerpatients receiving mastectomy alone. The results showed that breast reconstruction can significantly decrease the incidence of anxiety (RR = 0.62, 95% CI 0.47-0.82, P = 0.0006)/depression (RR = 0.54, 95% CI 0.32-0.93, P = 0.02) and scale score for evaluating anxiety (SMD = - 0.20, 95% CI - 0.37 to - 0.03, P = 0.02)/depression (SMD = - 0.22, 95% CI - 0.39 to - 0.66, P = 0.007) compared with mastectomy alone. CONCLUSIONS: Breast reconstruction after mastectomy was benefit for improving the psychological damages in patients with breast cancer.
Entities:
Keywords:
Anxiety; Breast reconstruction; Depression; Meta-analysis; Psychology
Authors: Catharina Bartmann; Leah-Maria Fischer; Theresa Hübner; Max Müller-Reiter; Achim Wöckel; Rhiannon V McNeill; Tanja Schlaiss; Sarah Kittel-Schneider; Ulrike Kämmerer; Joachim Diessner Journal: BMC Cancer Date: 2021-12-31 Impact factor: 4.430
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