P S Soon1,2,3, S Ruban4, H T J Mo5, R Lee6, L Saliba6, A Shah7, D Segara5, S Yarrow5, A Girgis8,4. 1. Department of Surgery, Bankstown Hospital, Eldridge Rd, Bankstown, NSW, 2200, Australia. p.soon@unsw.edu.au. 2. South Western Sydney Clinical School, University of New South Wales, Sydney, NSW, 2052, Australia. p.soon@unsw.edu.au. 3. Centre for Oncology Education and Research Translation, Ingham Institute for Applied Medical Research, Liverpool, NSW, 2170, Australia. p.soon@unsw.edu.au. 4. Centre for Oncology Education and Research Translation, Ingham Institute for Applied Medical Research, Liverpool, NSW, 2170, Australia. 5. Department of Surgery, Bankstown Hospital, Eldridge Rd, Bankstown, NSW, 2200, Australia. 6. Department of Surgery, Fairfield Hospital, Prairiewood, NSW, 2176, Australia. 7. Department of Surgery, Liverpool Hospital, Liverpool, NSW, 2170, Australia. 8. South Western Sydney Clinical School, University of New South Wales, Sydney, NSW, 2052, Australia.
Abstract
PURPOSE: In Australia, about 40% of patients undergo mastectomy to treat breast cancer, with negative impacts on body image, sexual function and quality of life. Whilst breast reconstruction is associated with increased patient self-esteem and a greater sense of wholeness and well-being, the national reconstruction rate is low at 18%. This study aimed to compare demographics, treatment factors and information provision about breast reconstruction in women who had and did not have breast reconstruction following mastectomy treatment and identify goals and concerns underpinning women's reconstruction decisions. METHODS: Female patients who had a mastectomy to treat breast cancer between 2010 and 2014 in a culturally and linguistically diverse (CALD) and socially disadvantaged region participated in a cross-sectional study, completing a questionnaire in their language of choice (English, Vietnamese, Chinese or Arabic). RESULTS: Completed surveys were returned by 168 women (42% response rate; 77% English-speaking), of whom only 19.0% (n = 32) reported having had breast reconstruction. Reconstruction rates were significantly lower in women who reported speaking a language other than English at home versus only English (37.5% vs 62.5%, p = 0.03). However, all women expressed a desire for more information about breast reconstruction and more support to make their decision about breast reconstruction. CONCLUSIONS: Patients identified a need for greater information provision on breast reconstruction, highlighting an urgent need for resources specifically about breast reconstruction, particularly for non-English-speaking patients. Greater provision of information prior to mastectomy is critical to underpin breast cancer patients' decisions about breast reconstruction, especially for non-English speaking patients.
PURPOSE: In Australia, about 40% of patients undergo mastectomy to treat breast cancer, with negative impacts on body image, sexual function and quality of life. Whilst breast reconstruction is associated with increased patient self-esteem and a greater sense of wholeness and well-being, the national reconstruction rate is low at 18%. This study aimed to compare demographics, treatment factors and information provision about breast reconstruction in women who had and did not have breast reconstruction following mastectomy treatment and identify goals and concerns underpinning women's reconstruction decisions. METHODS: Female patients who had a mastectomy to treat breast cancer between 2010 and 2014 in a culturally and linguistically diverse (CALD) and socially disadvantaged region participated in a cross-sectional study, completing a questionnaire in their language of choice (English, Vietnamese, Chinese or Arabic). RESULTS: Completed surveys were returned by 168 women (42% response rate; 77% English-speaking), of whom only 19.0% (n = 32) reported having had breast reconstruction. Reconstruction rates were significantly lower in women who reported speaking a language other than English at home versus only English (37.5% vs 62.5%, p = 0.03). However, all women expressed a desire for more information about breast reconstruction and more support to make their decision about breast reconstruction. CONCLUSIONS:Patients identified a need for greater information provision on breast reconstruction, highlighting an urgent need for resources specifically about breast reconstruction, particularly for non-English-speaking patients. Greater provision of information prior to mastectomy is critical to underpin breast cancerpatients' decisions about breast reconstruction, especially for non-English speaking patients.
Entities:
Keywords:
Breast cancer; Breast reconstruction; CALD; Mastectomy
Authors: Zhongru Cao; Yuting Li; Li Wang; Yanhua Liu; Lei Zhang; Li Ma; Yunfei An; Yibo Wang; Huiyan Li Journal: Iran J Public Health Date: 2020-07 Impact factor: 1.429
Authors: Abdulwahid M Salih; Zuhair D Hammood; Fahmi H Kakamad; Karzan M Salih; Hiwa O Baba; Hunar A Hassan; Shvan H Mohammed; Goran A Qadir; Hemn A Hassan; Ismael Y Abdullah Journal: Int J Surg Case Rep Date: 2020-06-22
Authors: Jacqueline A Ter Stege; Leonie A E Woerdeman; Daniela E E Hahn; Martine A van Huizum; Frederieke H van Duijnhoven; Jacobien M Kieffer; Valesca P Retèl; Kerry A Sherman; Arjen J Witkamp; Hester S A Oldenburg; Eveline M A Bleiker Journal: BMC Med Inform Decis Mak Date: 2019-08-19 Impact factor: 2.796
Authors: Thi Thu Le Pham; Janneke Berecki-Gisolf; Angela Clapperton; Kerry S O'Brien; Sara Liu; Katharine Gibson Journal: Int J Environ Res Public Health Date: 2021-01-16 Impact factor: 3.390
Authors: Jacqueline A Ter Stege; Daniela B Raphael; Hester S A Oldenburg; Martine A van Huizum; Frederieke H van Duijnhoven; Daniela E E Hahn; Regina The; Klemens Karssen; Eveline M L Corten; Irene S Krabbe-Timmerman; Menno Huikeshoven; Quinten P Q Ruhé; Nikola A N Kimmings; Wies Maarse; Kerry A Sherman; Arjen J Witkamp; Leonie A E Woerdeman; Eveline M A Bleiker Journal: Health Expect Date: 2021-10-28 Impact factor: 3.377