Surgery and health-related quality of life-A prospective follow up study on breast cancer patients in Finland

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http://hdl.handle.net/10138/333421

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Rautalin , M , Jahkola , T & Roine , R P 2021 , ' Surgery and health-related quality of life-A prospective follow up study on breast cancer patients in Finland ' , European Journal of Surgical Oncology , vol. 47 , no. 7 , pp. 1581-1587 . https://doi.org/10.1016/j.ejso.2021.02.006

Title: Surgery and health-related quality of life-A prospective follow up study on breast cancer patients in Finland
Author: Rautalin, Mervi; Jahkola, Tiina; Roine, Risto P.
Contributor: University of Helsinki, HUS Musculoskeletal and Plastic Surgery
University of Helsinki, Clinicum
University of Helsinki, University of Eastern Finland (UEF)
Date: 2021-07
Language: eng
Number of pages: 7
Belongs to series: European Journal of Surgical Oncology
ISSN: 0748-7983
URI: http://hdl.handle.net/10138/333421
Abstract: Introduction: The influence of different surgical approaches on breast cancer patients' Health-related Quality of life (HRQoL) is an important determinant when making decisions on the choice of treat-ment. Knowledge on how patients actually perceive different surgical treatments regarding long-term HRQoL is still scarce. Materials & methods: 1065 patients with primary breast cancer operated on from 2008 to 2015 at Helsinki University Hospital, Finland were prospectively followed-up for two years. They filled in two HRQoL questionnaires, the EORTC QLQ C30 -BR 23 and the 15D, at baseline and at 3, 6, 12 and 24 months after surgery. Clinical data on treatments given and the course of recovery were collected from patient records. Patients were divided into four mutually exclusive groups according to surgical method: breast resection (n = 415), oncoplastic resection (n = 248), mastectomy (n = 351) and immediate reconstruction (n = 51). Clinical data were combined with HRQoL scores and analysed as multivariate modelling. Results: All groups experienced initially worsening overall HRQoL after baseline. Oncoplastic resection patients had the best body image and their HRQoL reached the highest level after treatments at 12 months whereas the reconstruction patients reached the highest HRQoL level first at 24 months. Mas-tectomy patients had the lowest scores throughout the 24-month follow-up. Conclusion: Extensive surgery, in terms of immediate reconstruction, led to slower HRQoL recovery than oncoplastic techniques. Mastectomy patients are at risk of having the lowest HRQoL scores throughout their recovery after surgery. (c) 2021 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
Subject: Breast cancer
Breast cancer surgery
Health-related quality of life
Breast reconstruction
Breast cancer surgery outcome
PROM
OF-LIFE
CONSERVING SURGERY
CONSERVATION SURGERY
ONCOLOGICAL SAFETY
MASTECTOMY
3122 Cancers
3126 Surgery, anesthesiology, intensive care, radiology
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