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Cited by 80Women's cancer prevention and managementCancer survivorship and careBreast Cancer Treatment Studies

A comparative study of post-operative psychosocial function in women with primary operable breast cancer randomized to breast conservation therapy or mastectomy

Poulsen, B., Graversen, H.P., Beckmann, J., Blichert-Toft, M.·1997·European Journal of Surgical Oncology (EJSO)
DOI 10.1016/s0748-7983(97)90804-0
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Abstract

In a randomized patient series of 184 women suffering from primary operable breast carcinoma, psychosocial adjustment to breast-conserving therapy (BCT) vs mastectomy (M) was analysed retrospectively, including: (i) a comparison of intergroup characteristics; (ii) patient experience of the quality of professional pre-operative information; and (iii) the extent to which influence on choice of treatment was required. Using LASA (Linear Analogue Self-Assessment Scale), STAI (State-Trait Anxiety Inventory), and a semi-structured interview, no psychosocial benefits were found in BCT compared with M. Mean observation time was 31 months (range: 15-65). Body image was less impaired in BCT than in M. Both groups scored highly on professional information, but reported reduced ability to take in such information in the peri-operative period. Both groups tended to depend on the surgeon when choosing between surgical options. Irrespective of primary therapy, women must still confront the fact that they have had cancer, a life-threatening disease which may recur. A need for further research into peri-operative information procedures was demonstrated, and some suggestions were derived concerning the surgeon's role in deciding on surgical options.

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Crossref · 10.1016/s0748-7983(97)90804-0

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35 of 35 references verified0 citation errors · 0 not checkable

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  • In Danish women, mastectomy had a huge impact on social contact, quality of life, psychological balance, and overall mood but no difference in performance of day-to-day activity compared with breast-conserving therapy.

    “A comparative analysis of quality of life between post-mastectomy and breast-conserving therapies observed that mastectomy had a huge impact on making social contact, quality of life, psychological balance, and overall mood in these women but had no difference in performance of day-to-day activity. 16”

    From Coping in Post-Mastectomy Breast Cancer Survivors and Need for Intervention: Systematic Review. (2023) · cites this paper as [16]

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Authors
Poulsen, B., Graversen, H. P., Beckmann, J., & Blichert-Toft, M.
Affiliations
Odense University Hospital (DK)
Corresponding author
Poulsen, B.
ORCID
Poulsen, B.
Venue
European Journal of Surgical Oncology (EJSO)
Publisher
Elsevier BV
Published
1997-08
Volume
23
Issue
4
Pages
327-334
ISSN
0748-7983 (ISSN-L)
DOI
10.1016/s0748-7983(97)90804-0
OpenAlex
W2095524576
Cited by
80
References
38
Citations by year
2023: 1 · 2021: 2 · 2019: 1 · 2017: 1 · 2015: 2 · 2014: 3 · 2013: 1 · 2012: 3
FWCI
2.29
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • European Journal of Surgical Oncology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Breast Cancer Treatment Studies
Keywords
breast cancer, breast-conserving therapy, mastectomy, psychosocial adjustment, body image, preoperative information, patient decision-making, anxiety, quality of life, postoperative outcomes
MeSH terms
Adaptation, Psychological, Adult, Aged, Anxiety, Attitude to Health, Body Image, Breast Neoplasms, Female, Follow-Up Studies, Humans, Lymph Node Excision, Middle Aged, Patient Education as Topic, Personality Inventory, Quality of Life, Sexual Behavior, Mastectomy, Modified Radical, Mastectomy, Segmental

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