The Positive Relationship of Body Mass Index, Drain Production, and Tumor Necrosis Factor-alpha in Stage IIIB Breast Cancer Patients after Modified Radical Mastectomy

Introduction: Modified radical mastectomy (MRM) is one of the treatments for breast cancer (BC). Seroma is a complication that is quite common and can prolong the length of a patient’s stay after MRM which can measure by drain production. Obesity is known to correlate with drain production and the l...

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Main Authors: Justinus Dwi Pratjojo Wisnubroto, Ester Hans Sunanto
Format: Article
Language:English
Published: Wolters Kluwer – Medknow Publications 2022-12-01
Series:Biomolecular and Health Science Journal
Subjects:
Online Access:https://journals.lww.com/10.4103/bhsj.bhsj_12_22
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author Justinus Dwi Pratjojo Wisnubroto
Ester Hans Sunanto
author_facet Justinus Dwi Pratjojo Wisnubroto
Ester Hans Sunanto
author_sort Justinus Dwi Pratjojo Wisnubroto
collection DOAJ
description Introduction: Modified radical mastectomy (MRM) is one of the treatments for breast cancer (BC). Seroma is a complication that is quite common and can prolong the length of a patient’s stay after MRM which can measure by drain production. Obesity is known to correlate with drain production and the levels of tumor necrosis factor-alpha (TNF-α). However, the study on the relationship between obesity with drain production and TNF-α remains unclear. Methods: This study was an observational analytic design with a cross-sectional approach. Samples consist of third-stage BC patients after MRM in Saiful Anwar Malang Hospital from June 2020 to September 2020. The blood sample will be taken 24 h after MRM and the value of TNF-α will be measured and drain production will be recorded. The statistical analysis using regression test with a significant level of P < 0.05. Results: There were 30 patients in this study with a mean age of 47 ± 4.5 years old. The mean height, weight, and body mass index (BMI) were 59 ± 6.7 kg; 156.90 ± 5.8 cm, and 24.75 ± 4.5 kg/m2, respectively. The most BC type was luminal B (60%). Increasing BMI affects drain production with a contribution of 83%, and 17% from another variable. Increasing BMI also affects TNF-α with a contribution of 45%, and 55% from another variable. Conclusion: BMI is one of the factors that affects positively drain production and TNF-α in overweight patients after mastectomy than normoweight patients.
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spelling doaj-art-8cac998dded34fe98059f3825eb8d2442025-08-20T02:17:57ZengWolters Kluwer – Medknow PublicationsBiomolecular and Health Science Journal2620-86362022-12-015211611910.4103/bhsj.bhsj_12_22The Positive Relationship of Body Mass Index, Drain Production, and Tumor Necrosis Factor-alpha in Stage IIIB Breast Cancer Patients after Modified Radical MastectomyJustinus Dwi Pratjojo WisnubrotoEster Hans SunantoIntroduction: Modified radical mastectomy (MRM) is one of the treatments for breast cancer (BC). Seroma is a complication that is quite common and can prolong the length of a patient’s stay after MRM which can measure by drain production. Obesity is known to correlate with drain production and the levels of tumor necrosis factor-alpha (TNF-α). However, the study on the relationship between obesity with drain production and TNF-α remains unclear. Methods: This study was an observational analytic design with a cross-sectional approach. Samples consist of third-stage BC patients after MRM in Saiful Anwar Malang Hospital from June 2020 to September 2020. The blood sample will be taken 24 h after MRM and the value of TNF-α will be measured and drain production will be recorded. The statistical analysis using regression test with a significant level of P < 0.05. Results: There were 30 patients in this study with a mean age of 47 ± 4.5 years old. The mean height, weight, and body mass index (BMI) were 59 ± 6.7 kg; 156.90 ± 5.8 cm, and 24.75 ± 4.5 kg/m2, respectively. The most BC type was luminal B (60%). Increasing BMI affects drain production with a contribution of 83%, and 17% from another variable. Increasing BMI also affects TNF-α with a contribution of 45%, and 55% from another variable. Conclusion: BMI is one of the factors that affects positively drain production and TNF-α in overweight patients after mastectomy than normoweight patients.https://journals.lww.com/10.4103/bhsj.bhsj_12_22body mass indexbreast cancerdrain productiontumor necrosis factor-alpha
spellingShingle Justinus Dwi Pratjojo Wisnubroto
Ester Hans Sunanto
The Positive Relationship of Body Mass Index, Drain Production, and Tumor Necrosis Factor-alpha in Stage IIIB Breast Cancer Patients after Modified Radical Mastectomy
Biomolecular and Health Science Journal
body mass index
breast cancer
drain production
tumor necrosis factor-alpha
title The Positive Relationship of Body Mass Index, Drain Production, and Tumor Necrosis Factor-alpha in Stage IIIB Breast Cancer Patients after Modified Radical Mastectomy
title_full The Positive Relationship of Body Mass Index, Drain Production, and Tumor Necrosis Factor-alpha in Stage IIIB Breast Cancer Patients after Modified Radical Mastectomy
title_fullStr The Positive Relationship of Body Mass Index, Drain Production, and Tumor Necrosis Factor-alpha in Stage IIIB Breast Cancer Patients after Modified Radical Mastectomy
title_full_unstemmed The Positive Relationship of Body Mass Index, Drain Production, and Tumor Necrosis Factor-alpha in Stage IIIB Breast Cancer Patients after Modified Radical Mastectomy
title_short The Positive Relationship of Body Mass Index, Drain Production, and Tumor Necrosis Factor-alpha in Stage IIIB Breast Cancer Patients after Modified Radical Mastectomy
title_sort positive relationship of body mass index drain production and tumor necrosis factor alpha in stage iiib breast cancer patients after modified radical mastectomy
topic body mass index
breast cancer
drain production
tumor necrosis factor-alpha
url https://journals.lww.com/10.4103/bhsj.bhsj_12_22
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