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Cited by 53Breast Implant and ReconstructionCancer survivorship and careWomen's cancer prevention and management

The DOI matches its Crossref record; 30 of the 30 references it cites were found in a registry or an index.

A prospective study of mastectomy patients with and without delayed breast reconstruction: Long‐term psychosocial functioning in the breast cancer survivorship period

Metcalfe, Kelly A., Zhong, Toni, Narod, Steven A., Quan, May‐Lynn, Holloway, Claire, Hofer, Stefan, Bagher, Shaghayegh, Semple, John·2015·Journal of Surgical Oncology
DOI 10.1002/jso.23829
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Abstract

Introduction: For women who have mastectomy, breast reconstruction is an option which may improve psychosocial functioning. The purpose of this study was to evaluate changes in psychosocial functioning over a long follow‐up period after mastectomy, specifically examining the differences between those with mastectomy alone and those who underwent postmastectomy delayed breast reconstruction (DBR). Methods: This was a prospective longitudinal survey study of women with mastectomy in which a repeated measures design was used to compare psychosocial function scores over 3 timepoints: 1) pre‐mastectomy; 2) one year post‐mastectomy; and 3) long‐term post‐mastectomy (mean 6.3 years). In addition, psychosocial functioning was compared between the mastectomy alone group and the group who elected for DBR. Results: 67 women who completed questionnaires at all three time points were included. The long‐term follow‐up time post‐mastectomy was 75.2 months (6.3 years). Twenty‐eight women (41.8%) underwent DBR in the study period. For the entire cohort, between one‐year and long‐term post‐mastectomy, there were significant improvements in scores for body concerns (P = 0.03), cancer‐related distress (P = 0.01), and total distress (P = 0.04). At long‐term follow‐up, women with DBR had significantly higher levels of total distress (P = 0.01), obsessiveness (P = 0.03), and cancer‐related distress (P = 0.02) compared to those with mastectomy alone. There were no differences in quality of life between the two groups at any time point. Conclusions: Psychosocial functioning improves over time in patients treated with mastectomy in the long‐term breast cancer survivorship period, which may be related to the effect of time post‐treatment, rather than an effect of choice for or against DBR. J. Surg. Oncol. 2015 111:258–264. © 2014 Wiley Periodicals, Inc.

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Crossref · 10.1002/jso.23829

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  • In Toronto, after a long period post-mastectomy, women start coping and have near normal psychological functioning irrespective of reconstruction.

    “The study found that after a long period of mastectomy, women start coping with it and they have near normal psychological functioning irrespective of reconstruction.”

    From Coping in Post-Mastectomy Breast Cancer Survivors and Need for Intervention: Systematic Review. (2023) · cites this paper as [13]

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  1. Society AC, 2011, Breast Cancer Facts & Figures 2011–2012

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Metadata

Authors
Metcalfe, K. A., Zhong, T., Narod, S. A., Quan, M., Holloway, C., Hofer, S., Bagher, S., & Semple, J.
Affiliations
  • University of Toronto (CA)
  • University Health Network (CA)
  • Women’s College Hospital Research and Innovation Institute (CA)
  • Foothills Medical Centre (CA)
  • Sunnybrook Health Science Centre (CA)
Corresponding author
Metcalfe, Kelly A.
ORCID
Venue
Journal of Surgical Oncology
Publisher
Wiley
Published
2014-12-29
Volume
111
Issue
3
Pages
258-264
ISSN
  • 0022-4790 (ISSN-L)
  • 1096-9098
DOI
10.1002/jso.23829
OpenAlex
W2109542395
Cited by
53
References
30
Citations by year
2026: 3 · 2025: 5 · 2024: 6 · 2023: 7 · 2022: 1 · 2021: 6 · 2020: 3 · 2019: 2 · 2018: 5 · 2017: 8 · 2016: 6 · 2015: 1
FWCI
4.95
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Journal of Surgical Oncology (publishedVersion)
  • PubMed (publishedVersion)
Funders
Canadian Breast Cancer Foundation
Topics
  • Health Sciences › Medicine › Surgery › Breast Implant and Reconstruction
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
Keywords
delayed breast reconstruction, mastectomy, breast cancer survivorship, psychosocial functioning, body image concern, cancer-related distress, quality of life, long-term follow-up
MeSH terms
Adaptation, Psychological, Breast Neoplasms, Female, Follow-Up Studies, Humans, Longitudinal Studies, Mastectomy, Middle Aged, Neoplasm Invasiveness, Neoplasm Recurrence, Local, Neoplasm Staging, Prognosis, Prospective Studies, Quality of Life, Surveys and Questionnaires, Stress, Psychological, Survival Rate, Mammaplasty, Survivors

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