Department of Surgery, Faculty of Medicine, University of Niš, 18000 Niš, Serbia.
Clinic for Plastic and Reconstructive Surgery, Clinical Centre of Niš, 18000 Niš, Serbia.
Medicina (Kaunas). 2020 Aug 11;56(8):402. doi: 10.3390/medicina56080402.
Quality of life (QoL) after breast cancer surgery is an important public health issue. The aim of this study was to determine the relationship between the levels of perceived quality of life in patients operated on for breast cancer in relation to the type of surgery, using the standardized questionnaires. We assessed 425 women after surgery for breast cancer. The assessment included the application of the WHOQOL-bref (The World Health Organization Quality of Life-Bref), and FACT-B (Functional Assessment of Cancer Therapy-Breast) questionnaires. The statistical analysis of the data included multiple linear regression and correlation tests. Multiple linear regression analysis found that education, existence of comorbidities, time elapsed since surgery, and type of surgery were significant predictors of overall quality of life. Women's overall quality of life and general health has increased by 0.16 times for each subsequent year of surgery, and by 0.34 times for each subsequent higher education level. Breast-conserving surgery or mastectomy with breast reconstruction were statistically significant ( = 0.18) compared to total mastectomy. There is a significant difference in the quality of life perceived by patients in whom the breast has been preserved or reconstructed in relation to patients in whom total mastectomy has been performed.
乳腺癌手术后的生活质量（QoL）是一个重要的公共卫生问题。本研究旨在使用标准化问卷确定接受乳腺癌手术患者的生活质量感知水平与手术类型之间的关系。
我们评估了 425 名接受乳腺癌手术后的女性。评估包括应用 WHOQOL-bref（世界卫生组织生活质量简表）和 FACT-B（癌症治疗功能评估-乳房）问卷。数据分析包括多元线性回归和相关检验。多元线性回归分析发现，教育程度、合并症存在、手术时间以及手术类型是总体生活质量的显著预测因素。每增加一年的手术，女性的总体生活质量和一般健康状况会增加 0.16 倍，而每增加一个更高的教育水平，会增加 0.34 倍。保乳手术或乳房重建与全乳切除术相比具有统计学意义（=0.18）。与全乳切除术相比，保乳或重建乳房的患者感知到的生活质量有显著差异。
