STUDY OF QUALITY OF LIFE IN FEMALE BREAST CANCER SURVIVORS POST MODIFIED RADICAL MASTECTOMY

Dr. Ashok Kumar, Dr. Sumitoj Singh, Dr. Brij Mohan Joshi, Dr. Hardutt Jyoti, Dr. Mandeep Singh

Abstract


Introduction and objectives: Breast cancer one of the common cancer in females worldwide. Incidence of breast cancer is rising in India as in all
over world. This study was aimed at assessment of QOL after Modified radical mastectomy(MRM) in cancer survivors.
Material and methods: One year after MRM, QOL assessed in 100 breast cancer survivors using WHOQOL-BREF questionnaire instrument at
GND hospital, Amritsar, Punjab.
Results: The mean age of the breast cancer survivors was 55.72 (SD 11.86). Mean(SD) of Overall quality of life was 7.3 (0.732), of Physical
domain was 72.25(5.30), Psychological domain 71.3(6.72), Social domain scores67.67(6.19) and of environmental domain was 69.12(2.95)
respectively. Highest domain was of physical, followed by psychological and environmental domain. Social domain represented with least scores.
Younger patients with <50 years of age with better education and occupation and having high socioeconomic class have better general QOL
perception. Younger age groups, unmarried, educated and high socio-economical classes have better perception of their physical and
environmental factors. Social and psychosocial scores are better with increasing age, married life, higher education and good monthly income.
Conclusion: QOL is affected in most of breast cancer survivors as all the domains of life get affected after diagnosis and treatment of cancer. Most
of the patients appreciated optimum level of satisfaction after MRM. There is a definite role of education, counselling and support as well as need of
strengthening of health care system to conquer these potential areas in life of any cancer survivor.


Keywords


Quality of life, Breast cancer, Modified radical mastectomy, Sociodemographic factors.

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References


Agarwal G, Pradeep PV, Aggarwal V, Yip CH, Cheung PS. Spectrum of breast cancer in asian women. World J Surg. 2007; 31:1031-40.

Asthana S, Chauhan S, Labani S. Breast and cervical cancer risk in India: An update. Indian J Public Health. 2014;58: 5–10.

Tuttle TM, Habermann EB, Grund EH, Morris TJ, Virnig BA. Increasing use of contralateral prophylactic mastectomy for breast cancer patients: a trend toward more aggressive surgical treatment. J Clin Oncol. 2007;25:5203–09.

Katipamula R, Degnim AC, Hoskin T, Boughey JC, Loprinzi C, Grant CS, et al. Trends in mastectomy rates at the Mayo Clinic Rochester: effect of surgical year and preoperative magnetic resonance imaging. J Clin Oncol. 2009;27:4082–88.

Balch C, Jacobs L. Mastectomies on the rise for breast cancer: ‘‘the tide is changing. Ann Surg Oncol. 2009;16:2669–72.

Ashing-Giwa K, Gianz PA, Peterson L. Quality of life of African-American and white; long term breast carcinoma survivors. Cancer 1999;85(2): 418-26.

Segre M, Ferraz FC. [The concept of health]. Rev Saude Publica. 1997 Oct;31(5):538-42.

Parkin DM, Bray F, Ferlay J, Pisani P. Global cancer statistics, 2002. CA Cancer J Clin. 2005 Mar-Apr;55(2):74-108.

National Cancer Registry Program. Ten-year consolidated report of the Hospital Based Cancer Registries, 1984–1993, an assessment of the burden and care of cancer patients. New Delhi: Indian Council of Medical Research; 2001.

Agarwal G, Pradeep PV, Aggarwal V, Yip CH, Cheung PS. Spectrum of breast cancer in Asian women. World J Surg. 2007;31:1031–40.

Aggarwal V, Agarwal G, Lal P, Krishnani N, Mishra A, Verma AK, et al. Feasibility study of safe breast conservation in large and locally advanced cancers with use of radiopaque markers to mark pre-neoadjuvant chemotherapy tumor margins. World J Surg. 2008 Dec;32(12):2562-9.

Morris AD, Morris RD, Wilson JF, White J, Steinberg S, Okunieff P, et al. Breast-conserving therapy vs mastectomy in early stage breast cancer: a meta-analysis of 10-year survival. Cancer J. 1997;3:6–12.

"DCCPS: OCS: About Cancer Survivorship Research: Survivorship Definitions". Office of Cancer Survivorship of the US National Cancer Institute. 6 November 2006.

Cella DF, Bonomi AE. Measuring quality of life: 1995 update. Oncology 1995;9:47-60.

Perry S, Kowalski TL, Chang CH. Quality of life assessment in women with breast cancer: benefits, acceptability and utilization. Health Qual Life Outcomes. 2007 May 2;524.

Munasinghe WH, Nanayakkara P, Rathnayaka N. Quality of Life and Satisfaction with Care among Breast Cancer Survivors Receiving Different Treatments Strategies in Sri Lanka. Canc Therapy & Oncol Int J. 2016; 2(1): 555578.

Barrios MC. “Quality of Life In Female Breast Cancer Survivor In Panama”. Scholar Commons. 2016;18-40.

Awadalla AW, Ohaeri JU, Gholoum A, Khalid AO, Hamad HM, Jacob A. Factors associated with quality of life of outpatients with breast cancer and gynaecologic cancers and their family caregivers: a controlled study. BMC Cancer. 2007 Jun 19;7:102.

Till JE. Evaluation of support groups for women with breast cancer: importance of the navigator role. Health Qual Life Outcomes. 2003 May 1;1:16.

Naumann F, Martin E, Philpott M, Smith C, Groff D, Battaglini C. Can counseling add value to an exercise intervention for improving quality of life in breast cancer survivors? A feasibility study. J Support Oncol. 2012 Sep-Oct;10(5):188-94.

Kaur N, Miglani R, Grover R K. Information and rehabilitation needs of Indian breast cancer patients: Report of a cross-sectional study. Indian J Cancer. 2014;51:262-6.

Hill EK, Sandbo S, Abramsohn E, Makelarski J, Wroblewski K, Wenrich ER, et al. Assessing gynecologic and breast cancer survivors′ sexual health care needs. Cancer. 2011;117:2643-51.

Schultz PN, Klein MJ, Beck ML, Stava C, Sellin RV. Breast cancer: Relationship between menopausal symptoms, physiologic health effects of cancer treatment and physical constraints on quality of life in long-term survivors.J ClinNurs. 2005;14:204-11.


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