Translational Surgery Graduate Program and Division of Plastic Surgery, Universidade Federal de São Paulo - UNIFESP, Rua Botucatu, 740 - 2nd floor, Vila Clementino, CEP: 04023-062 São Paulo, SP, Brazil.
Translational Surgery Graduate Program and Division of Plastic Surgery, Universidade Federal de São Paulo - UNIFESP, Rua Botucatu, 740 - 2nd floor, Vila Clementino, CEP: 04023-062 São Paulo, SP, Brazil.
J Plast Reconstr Aesthet Surg. 2019 Mar;72(3):394-400. doi: 10.1016/j.bjps.2018.10.029. Epub 2018 Nov 13.
This cross-sectional study aimed to assess the influence of different surgical treatment modalities on the level of physical activity, functional capacity, and quality of life of breast cancer survivors. One hundred eighty women aged 30-60 years old were selected and allocated to control group (CG, women without breast cancer, n = 45), breast-conserving surgery group (BCG, n = 45), mastectomy group (MG, n = 45), and breast reconstruction group (BRG, n = 45). Physical activity, functional capacity, and quality of life were assessed, respectively, using the following self-report questionnaires validated for use in Brazil: International Physical Activity Questionnaire (IPAQ), Stanford Health Assessment Questionnaire (HAQ-20), and Medical Outcomes Study 36-item Short-Form Health Survey (SF-36). The groups were homogeneous relative to sociodemographic variables. The scores for physical activity (IPAQ) did not differ between CG and BRG, whereas they were better for CG than for BCG and MG (p = 0.0270). The results for functional capacity (HAQ-20) were better for CG than for MG (p = 0.0450), with no difference between the remaining groups. Differences were found for the SF-36 domains "physical functioning" (p < 0.01), "physical role functioning" (p < 0.001), "emotional role functioning" (p = 0.0174), and "general health" (p = 0.0307). CG and BRG differed significantly relative to the domains "physical role functioning" and "emotional role functioning" only. We concluded that patients who underwent breast reconstruction exhibited higher levels of physical activity and quality of life than patients subjected to mastectomy alone or breast-conserving surgery.
这项横断面研究旨在评估不同手术治疗方式对乳腺癌幸存者身体活动水平、功能能力和生活质量的影响。选择了 180 名 30-60 岁的女性，分为对照组（CG，无乳腺癌女性，n=45）、保乳手术组（BCG，n=45）、乳房切除术组（MG，n=45）和乳房重建组（BRG，n=45）。分别使用经过巴西验证的以下自我报告问卷评估身体活动、功能能力和生活质量：国际身体活动问卷（IPAQ）、斯坦福健康评估问卷（HAQ-20）和医疗结果研究 36 项简明健康调查（SF-36）。组间在社会人口统计学变量方面具有同质性。CG 和 BRG 的身体活动（IPAQ）评分没有差异，而 CG 优于 BCG 和 MG（p=0.0270）。CG 的功能能力（HAQ-20）评分优于 MG（p=0.0450），其余组之间无差异。SF-36 各领域存在差异，包括“身体功能”（p<0.01）、“身体角色功能”（p<0.001）、“情感角色功能”（p=0.0174）和“一般健康”（p=0.0307）。CG 和 BRG 在“身体角色功能”和“情感角色功能”两个领域与其他组有显著差异。我们得出结论，接受乳房重建的患者比仅接受乳房切除术或保乳手术的患者具有更高的身体活动水平和生活质量。
