Quality of Life and Emotional Impact after Immediate Breast Reconstruction

Authors

  • Carolline Gabrielle Campos De Souza Uni-FACEF, Av. Dr. Ismael Alonso Y Alonso, 2400 - Franca - SP, Brazil
  • Cecília Barbosa Oliveira Uni-FACEF, Av. Dr. Ismael Alonso Y Alonso, 2400 - Franca - SP, Brazil
  • Heloísa Loureiro Costa Uni-FACEF, Av. Dr. Ismael Alonso Y Alonso, 2400 - Franca - SP, Brazil
  • Frederico Alonso Sabino de Freitas Uni-FACEF, Av. Dr. Ismael Alonso Y Alonso, 2400 - Franca - SP, Brazil
  • Marcus Vinicius Jardini Barbosa Uni-FACEF, Av. Dr. Ismael Alonso Y Alonso, 2400 - Franca - SP, Brazil

DOI:

https://doi.org/10.31907/2414-2093.2020.06.02

Keywords:

Breast neoplasms, Mastectomy, Mammaplasty, Quality of life, Oncology.

Abstract

Background: Mastectomy is the main method of treating breast cancer and carries a mutilating stigma. Breast reconstruction restores body aesthetics, influencing psychosocial aspects and quality of life. Thus, the aim of the study was to analyze interpersonal and emotional relationships after immediate breast reconstruction. Methods: A qualitative, descriptive and prospective study, was performed through the application of a quality life questionnaire - Breast Evaluation Questionnaire (BEQ 55) in patients who had immediate breast reconstruction, between 2010 to 2019. Results: From the 89 (n=89) women registered in the clinic's database during the study period, 15 (n=15) of them agreed to participate. The average age was 46 years. Physical domain showed high scores, regarding intimate and sexual activities, professional and work activities, as well as social and recreation activities. Patient's comfort in front of men were progressive smaller regarding the body dressed, in a swimsuit and naked. The same pattern was observed intimate women and with health professionals. Considering sexual domain scores showed that the more covered, the greater the satisfaction, with an improvement regarding the breasts (73.3%) when compared to the whole body (60.0%). The same pattern was observed regarding the patients' comfort when being alone, revealing an improvement in the valorization of the breasts in relation to the whole body in the sense of self-image. Conclusion: This study allowed a better understanding of the impact of immediate breast reconstruction showing that this experience can be less traumatic and gradually overcome if there is support from family and health professionals.

References

Rebecca L, Siegel MPH, Kimberly D, Miller MPH, Ahmedin Jemal DVM. Cancer statistics, 2018. CA Cancer J Clin 2018;68:7-30. https://doi.org/10.3322/caac.21442

Roth RS, Lowery JC, Davis J, Wilkins EG. Quality of life and affective distress in women seeking immediate versus delayed breast reconstruction after mastectomy for breast cancer 2005;16(4):994-1002. https://doi.org/10.1097/01.prs.0000178395.19992.ca

Bultz BD, Carlson LE. Emotional distress: The sixth vital sign-future directions in cancer care. Psycho-Oncology 2006;15:93-95. https://doi.org/10.1002/pon.1022

Zhong T, McCarthy C, Min S, Zhang J, Beber B, Pusic AL, Hofer SOP. Patient satisfaction and health-related quality of life after autologous tissue breast reconstruction. Cancer 2012;118:1701-9. https://doi.org/10.1002/cncr.26417

Paredes CG, Pessoa SGP, Peixoto DTT, Amorim DN, Araújo JS, Barreto PRA. Impacto da reconstrução mamária na qualidade de vida de pacientes mastectomizadas atendidas no Serviço de Cirurgia Plástica do Hospital Universitário Walter Cantídio. Rev Bras Cir Plast 2013;28(1):100-104. https://doi.org/10.1590/s1983-51752013000100017

Jahkola T, Asko-Seljavaara S, von Smitten K. Immediate breast reconstruction. Scand J Plast Surg 2003;92:249-56. https://doi.org/10.1177/145749690309200403

Anderson RC, Cunningham B, Tafesse E, Lenderking WR. Validation of the breast evaluation questionnaire for use with breast surgery patients. Plast Reconstr Surg 2006; 18(3):597-60. https://doi.org/10.1097/01.prs.0000233040.82665.1 5

Ferreira LF, Sabino Neto M, Silva MMA, Resende VCL, Ferreira LM. Tradução para a língua portuguesa, adaptação cultural e validação do Breast Evaluation Questionnaire. Rev Soc Bras Cir Plast 2013;28(2):270- 5. https://doi.org/10.1590/s1983-51752013000200017

Spear SL, Majidian A. Immediate breast reconstruction in two stages using textured, integrated-valve, tissue expanders and breast implants: A retrospective review of 171 consecutive breast reconstructions from 1989 to 1996. Plast Reconstr Surg 1998;101(1):54-63. https://doi.org/10.1097/00006534-199801000-00010

Dauplat J, Kwiatkowski F, Rouanet P, Delay E, Clough K, Verhaeghe JL, Raoust I, Houvenaeghel G, Lemasurier P, Thivat E, Pomel C. Prospective multicentre STIC-RMI study on quality-of-life outcomes after mastectomy with or without immediate breast reconstruction. Br J Surg 2017;104(9):1197-1206. https://doi.org/10.1002/bjs.10537

Moreira JR, Sabino Neto M, Pereira JB, Biasi T, Garcia EB, Ferreira LM. Sexuality of women that suffered mastectomy and those who had been submitted to the mammary reconstruction. Rev Bras Mastologia 2010;20(4):177-182.

Eltahir Y, Werners LLCH, Dreise MM, van Emmichoven IAZ, Jansen L, Werker PMN, de Bock GH. Quality-of-Life outcomes between mastectomy alone and breast reconstruction: Comparison of patient-reported BREAST-Q and other health-related quality-of-life measures. Plast Reconstr Surg 2013;132(2):201-9. https://doi.org/10.1097/prs.0b013e31829586a7

Newman LA, Kuerer HM, Hunt KK, AFC, Ross MI, Theriault R, Fry N, Kroll SS, Robb GL, Singletary SE. Feasibility of Immediate Breast Reconstruction for Locally Advanced Breast Cancer 1999;6(6):671-5. https://doi.org/10.1007/s10434-999-0671-6

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Published

2020-10-10

Issue

Vol. 6 No. 1

Section

Articles

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