Department of Surgery, Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea.
Breast Cancer Center, National Cancer Center, Goyang, Korea.
J Breast Cancer. 2014 Sep;17(3):189-99. doi: 10.4048/jbc.2014.17.3.189. Epub 2014 Sep 30.
Despite the fact that more breast cancer survivors are currently enjoying longer lifespans, there remains limited knowledge about the factors and issues that are of greatest significance for these survivors, particularly from their perspectives. This review was based on the concept that the topics addressed should focus on the perspectives of current survivors and should be extended to future modalities, which physicians will be able to use to gain a better understanding of the hidden needs of these patients. We intended to choose and review dimensions other than the pathology and the disease process that could have been overlooked during treatment. The eight topics upon which we focused included: delay of treatment and survival outcome; sexual well-being; concerns about childbearing; tailored follow-up; presence of a family history of breast cancer; diet and physical activity for survivors and their families; qualitative approach toward understanding of breast cancer survivorship, and; mobile health care for breast cancer survivors. Through this review, we aimed to examine the present clinical basis of the central issues noted from the survivors' perspectives and suggest a direction for future survivorship-related research.
尽管目前有更多的乳腺癌幸存者享有更长的寿命,但对于这些幸存者来说,最重要的因素和问题的相关知识仍然有限,尤其是从他们的角度来看。这篇综述基于这样一种理念,即所涉及的主题应该侧重于当前幸存者的观点,并扩展到未来的模式,医生可以利用这些模式更好地了解这些患者的隐藏需求。我们打算选择和审查治疗过程中可能被忽视的病理和疾病过程以外的维度。我们关注的八个主题包括:治疗延迟和生存结果;性健康;对生育的担忧;定制随访;乳腺癌家族史的存在;生存者及其家人的饮食和体育活动;理解乳腺癌生存的定性方法;以及乳腺癌生存者的移动医疗。通过这次综述,我们旨在从幸存者的角度审视目前临床上关注的核心问题,并为未来与生存相关的研究提出方向。