Health-related quality of life after oncological resection and reconstruction of the chest wall

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http://hdl.handle.net/10138/312976

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Salo , J , Repo , J P , Roine , R P , Sintonen , H & Tukiainen , E J 2019 , ' Health-related quality of life after oncological resection and reconstruction of the chest wall ' , Journal of Plastic, Reconstructive & Aesthetic Surgery , vol. 72 , no. 11 , pp. 1776-1784 . https://doi.org/10.1016/j.bjps.2019.05.040

Title: Health-related quality of life after oncological resection and reconstruction of the chest wall
Author: Salo, J.; Repo, J. P.; Roine, R. P.; Sintonen, H.; Tukiainen, E. J.
Contributor: University of Helsinki, HUS Musculoskeletal and Plastic Surgery
University of Helsinki, HUS Musculoskeletal and Plastic Surgery
University of Helsinki, Faculty of Medicine
University of Helsinki, Clinicum
University of Helsinki, Department of Surgery
Date: 2019-11
Language: eng
Number of pages: 9
Belongs to series: Journal of Plastic, Reconstructive & Aesthetic Surgery
ISSN: 1748-6815
URI: http://hdl.handle.net/10138/312976
Abstract: Objectives: There is limited information of the health-related quality of life (HRQoL) after surgical treatment of chest wall tumors. This cross-sectional study aimed to assess long-term HRQoL after chest wall reconstruction following oncological resection. Methods: Seventy-eight patients having undergone chest wall tumor resection and reconstruction during 1997-2015 were invited to complete the 15D and QLQ-C30 HRQoL instruments. Results: Altogether, 55 patients (17 men and 38 women), with a mean (SD) age of 68 (14) years, completed the questionnaires (response rate 71%). Patients had been operated due to soft tissue sarcoma (n=16), advanced breast cancer (n=15), osteo- or chondrosarcoma (n=14), or other tumor (n=10). Median time after primary surgery was 66 (IQR 38, 141) months. The resection was full thickness in 29/55 cases and partial thickness in 26/55 cases. Chest wall reconstruction was required for 47/55 cases (85%). Reconstruction was performed using soft-tissue flap in eight cases, skeletal stabilizations with mesh or mesh-cement-mesh (sandwich method) in 15 cases, and skeletal stabilizations and soft-tissue flap in 24 cases. Patients' mean 15D score (0.878, SD 0.111) was comparable to that of the age- and gender-standardized general population (0.891, SD 0.041). Limitations in breathing and usual activities were noted. The QLQ-C30 cancer-specific HRQoL was 72 points (maximum 100). Scores in the QLQ-C30 Functional scales ranged from 78 (Physical) to 91 (Social). Conclusions: Long-term HRQoL in patients after chest wall reconstruction following oncological resection is fair and comparable to that of the general population. Limitations in breathing and usual activities can occur. (C) 2019 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
Subject: Quality of life
Chest watt
Reconstruction
Resection
15D
QLQ-C30
Sarcoma
Breast cancer
CELL LUNG-CANCER
EUROPEAN-ORGANIZATION
PULMONARY-FUNCTION
CLINICAL-TRIALS
INSTRUMENT
VALIDITY
3126 Surgery, anesthesiology, intensive care, radiology
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