Faculty of Medicine, University of Porto, Alameda Prof. Hernâni Monteiro, 4200-319, Porto, Portugal.
EPIUnit-Institute of Public Health, University of Porto. Rua das Taipas, 135, 4050-598, Porto, Portugal.
J Cancer Res Clin Oncol. 2023 Jul;149(7):3229-3241. doi: 10.1007/s00432-022-04228-2. Epub 2022 Jul 29.
In breast cancer management not only mortality and surgical morbidity measurements are important but also patient satisfaction indexes. The authors evaluated the satisfaction and health-related quality of life (HRQOL) using the breast-conserving therapy (BCT) and breast reduction (BR) modules of BREAST-Q.
This is a cross-sectional study that analyzed breast cancer patients consecutively submitted to breast surgery between January 2011 and April 2018 using two modules of BREAST-Q. 968 patients were contacted and 232 answers were gathered: 171 patients submitted to oncoplastic level 1 surgery answered the BCT module and 61 submitted to oncoplastic level 2 surgery answered the BR module. Clinical data were retrieved from patients' medical records.
Among the 232 questionnaires received, the median scores for psychosocial well-being, sexual well-being and (postoperative) satisfaction with breasts for BCT and BR modules were, respectively, 77.0 and 73.5 (p = 0.17); 62.0 and 53.0 (p = 0.14); 72.0 and 66.0 (p = 0.66). The median of adverse effects of radiation in the BCT module was 87.0. The median satisfaction with outcome in the BR module was 86.0. Both groups of patients revealed high scores of satisfaction with care. For the BCT patients, satisfaction with breasts strongly correlated with sexual well-being and was moderately correlated with psychosocial and physical well-being. For the BR patients, the satisfaction with outcome strongly correlated with satisfaction with medical team and moderately correlated with the remaining scales.
Both oncoplastic surgery levels yielded similar satisfaction outcomes when assessed using BCT and BR modules of BREAST-Q.
在乳腺癌管理中，不仅死亡率和手术发病率测量很重要，而且患者满意度指数也很重要。作者使用 BREAST-Q 的保乳治疗（BCT）和乳房缩小（BR）模块评估了满意度和健康相关生活质量（HRQOL）。
这是一项横断面研究，分析了 2011 年 1 月至 2018 年 4 月连续接受乳房手术的乳腺癌患者，使用 BREAST-Q 的两个模块。共联系了 968 名患者，收集了 232 份答案：171 名接受整形水平 1 手术的患者回答了 BCT 模块，61 名接受整形水平 2 手术的患者回答了 BR 模块。临床数据从患者的病历中检索。
在收到的 232 份问卷中，BCT 和 BR 模块的心理社会健康、性健康和（术后）乳房满意度的中位数评分分别为 77.0 和 73.5（p=0.17）；62.0 和 53.0（p=0.14）；72.0 和 66.0（p=0.66）。BCT 模块中放射治疗的不良反应中位数为 87.0。BR 模块中对结果的满意度中位数为 86.0。两组患者对护理的满意度均较高。对于 BCT 患者，对乳房的满意度与性健康密切相关，与心理社会和身体健康中度相关。对于 BR 患者，对结果的满意度与对医疗团队的满意度强烈相关，与其余量表中度相关。
使用 BREAST-Q 的 BCT 和 BR 模块评估时，两种整形手术水平都产生了相似的满意度结果。
