Associations between Reoperations and Psychological Factors after Contralateral Risk-Reducing Mastectomy: A Two-Year Follow-Up Study
Introduction. The aim of the study was to investigate associations between reoperations after contralateral risk-reducing mastectomies (CRRM) and emotional problems, body image, sexuality, and health related quality of life (HRQoL) in women with breast cancer and hereditary high risk. Patients and M...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | International Journal of Breast Cancer |
| Online Access: | http://dx.doi.org/10.1155/2016/4604852 |
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| _version_ | 1849468111725527040 |
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| author | Dmytro Unukovych Marie Wickman Kerstin Sandelin Brita Arver Hemming Johansson Yvonne Brandberg |
| author_facet | Dmytro Unukovych Marie Wickman Kerstin Sandelin Brita Arver Hemming Johansson Yvonne Brandberg |
| author_sort | Dmytro Unukovych |
| collection | DOAJ |
| description | Introduction. The aim of the study was to investigate associations between reoperations after contralateral risk-reducing mastectomies (CRRM) and emotional problems, body image, sexuality, and health related quality of life (HRQoL) in women with breast cancer and hereditary high risk. Patients and Methods. Patients scheduled for CRRM with breast reconstruction between 1998 and 2010 completed questionnaires, comprised of SF-36, the Hospital Anxiety and Depression Scale, the Body Image Scale, and the Sexual Activity Questionnaire, preoperatively and two years after CRRM. Data on reoperations was collected from medical charts. Results. A total of 80 women participated, with a response rate of 61 (76%) preoperatively and 57 (71%) at the two-year follow-up. At the two-year assessment, 44 (55%) patients had undergone ≥1 reoperation (reoperation group), whereas 36 (45%) had not (no reoperation group). No statistically significant differences between the groups were found for HRQoL, sexuality, anxiety, or depression. A higher proportion of patients in the “reoperation group” reported being dissatisfied with their bodies (81% versus 48%, p=0.01). Conclusion. The results suggest associations between reoperation following CRRM with breast reconstruction and body image problems. Special attention should be paid to body image problems among women who are subject to reoperations after CRRM. |
| format | Article |
| id | doaj-art-f867a43edbeb4c8aac69335f1d57d00f |
| institution | Kabale University |
| issn | 2090-3170 2090-3189 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Breast Cancer |
| spelling | doaj-art-f867a43edbeb4c8aac69335f1d57d00f2025-08-20T03:25:56ZengWileyInternational Journal of Breast Cancer2090-31702090-31892016-01-01201610.1155/2016/46048524604852Associations between Reoperations and Psychological Factors after Contralateral Risk-Reducing Mastectomy: A Two-Year Follow-Up StudyDmytro Unukovych0Marie Wickman1Kerstin Sandelin2Brita Arver3Hemming Johansson4Yvonne Brandberg5Department of Oncology-Pathology, Karolinska Institutet, 171 76 Stockholm, SwedenDepartment of Reconstructive Plastic Surgery, Karolinska University Hospital, 171 76 Stockholm, SwedenDepartment of Molecular Medicine and Surgery, Karolinska Institutet, 171 76 Stockholm, SwedenDepartment of Oncology-Pathology, Karolinska Institutet, 171 76 Stockholm, SwedenDepartment of Oncology-Pathology, Karolinska Institutet, 171 76 Stockholm, SwedenDepartment of Oncology-Pathology, Karolinska Institutet, 171 76 Stockholm, SwedenIntroduction. The aim of the study was to investigate associations between reoperations after contralateral risk-reducing mastectomies (CRRM) and emotional problems, body image, sexuality, and health related quality of life (HRQoL) in women with breast cancer and hereditary high risk. Patients and Methods. Patients scheduled for CRRM with breast reconstruction between 1998 and 2010 completed questionnaires, comprised of SF-36, the Hospital Anxiety and Depression Scale, the Body Image Scale, and the Sexual Activity Questionnaire, preoperatively and two years after CRRM. Data on reoperations was collected from medical charts. Results. A total of 80 women participated, with a response rate of 61 (76%) preoperatively and 57 (71%) at the two-year follow-up. At the two-year assessment, 44 (55%) patients had undergone ≥1 reoperation (reoperation group), whereas 36 (45%) had not (no reoperation group). No statistically significant differences between the groups were found for HRQoL, sexuality, anxiety, or depression. A higher proportion of patients in the “reoperation group” reported being dissatisfied with their bodies (81% versus 48%, p=0.01). Conclusion. The results suggest associations between reoperation following CRRM with breast reconstruction and body image problems. Special attention should be paid to body image problems among women who are subject to reoperations after CRRM.http://dx.doi.org/10.1155/2016/4604852 |
| spellingShingle | Dmytro Unukovych Marie Wickman Kerstin Sandelin Brita Arver Hemming Johansson Yvonne Brandberg Associations between Reoperations and Psychological Factors after Contralateral Risk-Reducing Mastectomy: A Two-Year Follow-Up Study International Journal of Breast Cancer |
| title | Associations between Reoperations and Psychological Factors after Contralateral Risk-Reducing Mastectomy: A Two-Year Follow-Up Study |
| title_full | Associations between Reoperations and Psychological Factors after Contralateral Risk-Reducing Mastectomy: A Two-Year Follow-Up Study |
| title_fullStr | Associations between Reoperations and Psychological Factors after Contralateral Risk-Reducing Mastectomy: A Two-Year Follow-Up Study |
| title_full_unstemmed | Associations between Reoperations and Psychological Factors after Contralateral Risk-Reducing Mastectomy: A Two-Year Follow-Up Study |
| title_short | Associations between Reoperations and Psychological Factors after Contralateral Risk-Reducing Mastectomy: A Two-Year Follow-Up Study |
| title_sort | associations between reoperations and psychological factors after contralateral risk reducing mastectomy a two year follow up study |
| url | http://dx.doi.org/10.1155/2016/4604852 |
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