Initial experience of the BREAST-Q breast-conserving therapy module.
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Embargo End Date
ICR Authors
Authors
O'Connell, RL
DiMicco, R
Khabra, K
O'Flynn, EA
deSouza, N
Roche, N
Barry, PA
Kirby, AM
Rusby, JE
DiMicco, R
Khabra, K
O'Flynn, EA
deSouza, N
Roche, N
Barry, PA
Kirby, AM
Rusby, JE
Document Type
Journal Article
Date
2016-11-01
Date Accepted
2016-08-26
Abstract
PURPOSE: The most recently developed module of the BREAST-Q, a validated patient outcome measure, is for patients who have undergone breast-conserving therapy (BCT) for cancer. This aim of this study was to assess patient satisfaction and quality of life after BCT using BREAST-Q, investigate clinical risk factors for lower satisfaction and explore the relationship between patient satisfaction with the appearance of their breasts and the other domains of the BREAST-Q. METHODS: Women who had undergone unilateral BCT in the preceding 1-6 years were invited to participate at the time of their annual surveillance mammogram. Clinicopathological data were collected from an electronic database. Linear regression was used to evaluate risk factors for lower satisfaction. Spearman's rho correlation coefficients were calculated to evaluate the relationship between domains. RESULTS: 200 women completed the questionnaire. Mean age was 60 years (SD 11.1). Time from surgery was 35.5 months (SD 17.8). Median score for 'Satisfaction with breasts' was 68 (interquartile range 55-80). Lowest scores were for 'sexual wellbeing' (57, IQR 45-66). On multivariate analysis, BMI at the time of surgery (p = 0.002), delayed wound healing (p = 0.001) and axillary surgery (p = 0.003) were independent risk factors for lower satisfaction. There was significant correlation between 'Satisfaction with breasts' and all other BREAST-Q domains. CONCLUSION: High BMI, delayed wound healing and axillary surgery are risk factors for lower patient satisfaction. This first publication reporting the whole dataset for the BREAST-Q BCT will serve as a benchmark for future studies of patient satisfaction following BCT.
Citation
Breast cancer research and treatment, 2016, 160 (1), pp. 79 - 89
Rights
Source Title
Publisher
SPRINGER
ISSN
0167-6806
eISSN
1573-7217
Collections
Research Team
Breast Cancer Radiotherapy
Magnetic Resonance
Magnetic Resonance