Beyza Özçınar1, Sertaç Ata Güler2, Nazmiye Kocaman3, Mine Özkan3, Bahadır M Güllüoğlu2, Vahit Özmen1. 1. Department of General Surgery, Istanbul University Istanbul School of Medicine, İstanbul, Turkey. 2. Department of General Surgery, Marmara University School of Medicine, İstanbul, Turkey. 3. Department of Pschiatry, İstanbul University İstanbul School of Medicine, İstanbul, Turkey.
Abstract
OBJECTIVE: Aim of this prospective study was to determine the complications of different treatment modalities for breast cancer and assess their impact on patients' quality-of-life and psychological status. MATERIALS AND METHODS: Patients surgically treated for early-stage breast cancer were enrolled in the study. Complications after treatment and quality-of-life parameters were measured and recorded. RESULTS: 218 patients, all female with a median age of 48 (19-82) years, were included in the study. In early period, significant limitation of shoulder movements, increased pain and decreased in functional capacity were observed, whereas in mid-term, all shoulder movements, as well as pain and functional capacity returned normal. In both early period and mid-terms, anxiety scores were significantly decreased, whereas depression scores were significantly increased. In early period, there was a significant decrease in physical and mental area scores. Social area scores were significantly increased, whereas environmental, mental and physical area scores were significantly decreased in mid-term and late period. CONCLUSION: Overall, patients' quality-of-life was found to be significantly deteriorated in both early period and mid-term and returned to pre-treatment period at long term follow up.
OBJECTIVE: Aim of this prospective study was to determine the complications of different treatment modalities for breast cancer and assess their impact on patients' quality-of-life and psychological status. MATERIALS AND METHODS: Patients surgically treated for early-stage breast cancer were enrolled in the study. Complications after treatment and quality-of-life parameters were measured and recorded. RESULTS: 218 patients, all female with a median age of 48 (19-82) years, were included in the study. In early period, significant limitation of shoulder movements, increased pain and decreased in functional capacity were observed, whereas in mid-term, all shoulder movements, as well as pain and functional capacity returned normal. In both early period and mid-terms, anxiety scores were significantly decreased, whereas depression scores were significantly increased. In early period, there was a significant decrease in physical and mental area scores. Social area scores were significantly increased, whereas environmental, mental and physical area scores were significantly decreased in mid-term and late period. CONCLUSION: Overall, patients' quality-of-life was found to be significantly deteriorated in both early period and mid-term and returned to pre-treatment period at long term follow up.
Entities:
Keywords:
Breast cancer; axillary dissection; chronic pain; quality-of-life; radiotherapy
Authors: David N Krag; Thomas B Julian; Seth P Harlow; Donald L Weaver; Taka Ashikaga; John Bryant; Richard M Single; Norman Wolmark Journal: Ann Surg Oncol Date: 2004-03 Impact factor: 5.344
Authors: T Kuehn; W Klauss; M Darsow; S Regele; F Flock; C Maiterth; R Dahlbender; I Wendt; R Kreienberg Journal: Breast Cancer Res Treat Date: 2000-12 Impact factor: 4.872
Authors: Karen K Swenson; Mary J Nissen; Carolyn Ceronsky; Lindsey Swenson; Martin W Lee; Todd M Tuttle Journal: Ann Surg Oncol Date: 2002-10 Impact factor: 5.344
Authors: M P Schijven; A J J M Vingerhoets; H J T Rutten; G A P Nieuwenhuijzen; R M H Roumen; M E van Bussel; A C Voogd Journal: Eur J Surg Oncol Date: 2003-05 Impact factor: 4.424
Authors: Bernard Fisher; Stewart Anderson; John Bryant; Richard G Margolese; Melvin Deutsch; Edwin R Fisher; Jong-Hyeon Jeong; Norman Wolmark Journal: N Engl J Med Date: 2002-10-17 Impact factor: 91.245
Authors: J S Rietman; P U Dijkstra; H J Hoekstra; W H Eisma; B G Szabo; J W Groothoff; J H B Geertzen Journal: Eur J Surg Oncol Date: 2003-04 Impact factor: 4.424
Authors: Umberto Veronesi; Giovanni Paganelli; Giuseppe Viale; Alberto Luini; Stefano Zurrida; Viviana Galimberti; Mattia Intra; Paolo Veronesi; Chris Robertson; Patrick Maisonneuve; Giuseppe Renne; Concetta De Cicco; Francesca De Lucia; Roberto Gennari Journal: N Engl J Med Date: 2003-08-07 Impact factor: 91.245