Health-related quality of life assessment after breast reconstruction.

2.50
Hdl Handle:
http://hdl.handle.net/10541/85405
Title:
Health-related quality of life assessment after breast reconstruction.
Authors:
Potter, S; Thomson, H J; Greenwood, R J; Hopwood, Penelope; Winters, Z E
Abstract:
BACKGROUND: Health-related quality of life (HRQL) is an important outcome following breast reconstruction. This study evaluated current methods of HRQL assessment in patients undergoing latissimus dorsi breast reconstruction, hypothesizing that early surgical morbidity would be reflected by poorer HRQL scores. METHODS: Patients completed the European Organization for Research and Treatment of Cancer (EORTC) QLQ-C30 and breast module (QLQ-BR23), the Functional Assessment of Cancer Therapy (FACT) general measure, and breast module and arm subscale (FACT-B + 4), and the Body Image Scale and Hospital Anxiety and Depression Scale (HADS) 3 months after surgery. They also reported additional HRQL problems not included in the questionnaires. HRQL scores were compared between patients with and without early surgical morbidity. RESULTS: Sixty women completed the questionnaires, of whom 25 (42 per cent) experienced complications. All EORTC and FACT subscale and HADS scores were similar in patients with or without morbidity. Women with complications were twice as likely to report feeling less feminine and dissatisfied with the appearance of their scar than those without problems. Thirty-two women (53 per cent) complained of problems not covered by the questionnaires, most commonly donor-site morbidity. CONCLUSION: Existing HRQL instruments are not sufficiently sensitive to detect clinically relevant problems following breast reconstruction.
Affiliation:
Department of Clinical Sciences at South Bristol, University of Bristol, Bristol Royal Infirmary, Bristol, UK. Shelley.Potter@bristol.ac.uk
Citation:
Health-related quality of life assessment after breast reconstruction. 2009, 96 (6):613-20 Br J Surg
Journal:
The British Journal of Surgery
Issue Date:
Jun-2009
URI:
http://hdl.handle.net/10541/85405
DOI:
10.1002/bjs.6605
PubMed ID:
19434704
Type:
Article
Language:
en
ISSN:
1365-2168
Appears in Collections:
All Christie Publications

Full metadata record

DC FieldValue Language
dc.contributor.authorPotter, Sen
dc.contributor.authorThomson, H Jen
dc.contributor.authorGreenwood, R Jen
dc.contributor.authorHopwood, Penelopeen
dc.contributor.authorWinters, Z Een
dc.date.accessioned2009-11-05T11:50:33Z-
dc.date.available2009-11-05T11:50:33Z-
dc.date.issued2009-06-
dc.identifier.citationHealth-related quality of life assessment after breast reconstruction. 2009, 96 (6):613-20 Br J Surgen
dc.identifier.issn1365-2168-
dc.identifier.pmid19434704-
dc.identifier.doi10.1002/bjs.6605-
dc.identifier.urihttp://hdl.handle.net/10541/85405-
dc.description.abstractBACKGROUND: Health-related quality of life (HRQL) is an important outcome following breast reconstruction. This study evaluated current methods of HRQL assessment in patients undergoing latissimus dorsi breast reconstruction, hypothesizing that early surgical morbidity would be reflected by poorer HRQL scores. METHODS: Patients completed the European Organization for Research and Treatment of Cancer (EORTC) QLQ-C30 and breast module (QLQ-BR23), the Functional Assessment of Cancer Therapy (FACT) general measure, and breast module and arm subscale (FACT-B + 4), and the Body Image Scale and Hospital Anxiety and Depression Scale (HADS) 3 months after surgery. They also reported additional HRQL problems not included in the questionnaires. HRQL scores were compared between patients with and without early surgical morbidity. RESULTS: Sixty women completed the questionnaires, of whom 25 (42 per cent) experienced complications. All EORTC and FACT subscale and HADS scores were similar in patients with or without morbidity. Women with complications were twice as likely to report feeling less feminine and dissatisfied with the appearance of their scar than those without problems. Thirty-two women (53 per cent) complained of problems not covered by the questionnaires, most commonly donor-site morbidity. CONCLUSION: Existing HRQL instruments are not sufficiently sensitive to detect clinically relevant problems following breast reconstruction.en
dc.language.isoenen
dc.subjectBreast Canceren
dc.subject.meshBody Image-
dc.subject.meshBreast Neoplasms-
dc.subject.meshCross-Sectional Studies-
dc.subject.meshFemale-
dc.subject.meshHealth Status-
dc.subject.meshHumans-
dc.subject.meshMammaplasty-
dc.subject.meshMiddle Aged-
dc.subject.meshPostoperative Complications-
dc.subject.meshPsychiatric Status Rating Scales-
dc.subject.meshQuality of Life-
dc.subject.meshQuestionnaires-
dc.subject.meshSensitivity and Specificity-
dc.subject.meshTreatment Outcome-
dc.titleHealth-related quality of life assessment after breast reconstruction.en
dc.typeArticleen
dc.contributor.departmentDepartment of Clinical Sciences at South Bristol, University of Bristol, Bristol Royal Infirmary, Bristol, UK. Shelley.Potter@bristol.ac.uken
dc.identifier.journalThe British Journal of Surgeryen

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