Mastectomy versus conservative surgical treatment: the impact on the quality of life of women with breast cancer

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dc.contributor.author Veiga, Daniela Francescato
dc.contributor.author Campos, Fabíola Soares Moreira
dc.contributor.author Ribeiro, Leda Marques
dc.contributor.author Archangelo Junior, Ivanildo
dc.contributor.author Veiga Filho, Joel [UNIFESP]
dc.contributor.author Juliano, Yara
dc.contributor.author Sabino Neto, Miguel [UNIFESP]
dc.contributor.author Ferreira, Lydia Masako [UNIFESP]
dc.date.accessioned 2015-06-14T13:41:36Z
dc.date.available 2015-06-14T13:41:36Z
dc.date.issued 2010-03-01
dc.identifier http://dx.doi.org/10.1590/S1519-38292010000100005
dc.identifier.citation Revista Brasileira de Saúde Materno Infantil . Instituto de Medicina Integral Prof. Fernando Figueira, v. 10, n. 1, p. 51-57, 2010.
dc.identifier.issn 1519-3829
dc.identifier.uri http://repositorio.unifesp.br/handle/11600/5665
dc.description.abstract OBJECTIVES: to compare the impact of mastectomy and conservative surgery on the quality of life of patients with breast cancer. METHODS: an assessment was made of the quality of life of patients undergoing mastectomy or segmentary mastectomy, at the Pouso Alegre Clinical Hospital, in the Brazilian State of Minas Gerais, using SF-36. The patients were grouped by age (<50 years and >50 years) and years of schooling (<8 years and >8 years). The Mann-Whitney test was used to compare the groups with regard to the age and schooling domains of SF-36. RESULTS: a significant difference between the two groups was found in the domains of physical functioning (p=0.04) and pain (p=0.01): with the patients undergoing a mastectomy registering the worst scores. Young patients who had undergone a mastectomy displayed the worst quality of life in terms of physical functioning (p=0.03), pain (p=0.01) and social functioning (p=0.01); those undergoing conservative surgery aged over 50 years scored worst on role emotional (p=0.05). Patients undergoing a mastectomy with lower levels of schooling scored lower in physical functioning (p=0.01), role physical (p=0.05) and pain (p=0.05). Among those who had attended school for more than eight years, those having undergone a mastectomy scored less in the pain domain (p=0.04). CONCLUSIONS: patients who had undergone a mastectomy had worse results in the physical component of the evaluation of quality of life and this negative impact was more strongly felt among younger patients and those with lower levels of schooling. en
dc.description.abstract OBJETIVOS: comparar o impacto da mastectomia e da cirurgia conservadora na qualidade de vida de pacientes com câncer mamário. MÉTODOS: avaliou-se qualidade de vida de pacientes submetidas à mastectomia ou à mastectomia segmentar, no Hospital das Clínicas de Pouso Alegre, Minas Gerais, Brasil, utilizando-se o SF-36. As pacientes foram estratificadas quanto à idade (<50 anos e >50 anos) e escolaridade (<8 anos e >8 anos). Aplicou-se o teste de Mann-Whitney para comparar os grupos quanto aos domínios do SF-36, idade e escolaridade. RESULTADOS: observou-se diferença significante entre os grupos nos domínios capacidade funcional (p=0,04) e dor (p=0,01): as pacientes mastectomizadas com piores resultados. Pacientes mastectomizadas mais jovens apresentaram pior qualidade de vida em capacidade funcional (p=0,03), dor (p=0,01) e aspectos sociais (p=0,01); as submetidas à cirurgia conservadora, com mais de 50 anos, resultado pior em aspectos emocionais (p=0,05). Pacientes mastectomizadas com menor escolaridade apresentaram escores menores em capacidade funcional (p=0,01), aspectos físicos (p=0,05) e dor (p=0,05). Entre as que frequentaram a escola por mais de oito anos, as mastectomizadas pontuaram menos no domínio dor (p=0,04). CONCLUSÕES: pacientes mastectomizadas apresentaram piores resultados no componente físico da qualidade de vida, e este impacto negativo foi mais acentuado entre pacientes mais jovens e com menor escolaridade. pt
dc.format.extent 51-57
dc.language.iso eng
dc.publisher Instituto de Medicina Integral Prof. Fernando Figueira
dc.relation.ispartof Revista Brasileira de Saúde Materno Infantil
dc.rights Acesso aberto
dc.subject Breast neoplasms en
dc.subject Mastectomy en
dc.subject Segmental Mastectomy en
dc.subject Quality of life en
dc.subject Neoplasias da mama pt
dc.subject Mastectomia pt
dc.subject Mastectomia segmentar pt
dc.subject Qualidade de vida pt
dc.title Mastectomy versus conservative surgical treatment: the impact on the quality of life of women with breast cancer en
dc.title.alternative Mastectomia versus tratamento cirúrgico conservador: impacto na qualidade de vida de mulheres com câncer mamário pt
dc.type Artigo
dc.contributor.institution Universidade do Vale do Sapucaí
dc.contributor.institution Universidade Federal de São Paulo (UNIFESP)
dc.description.affiliation Universidade do Vale do Sapucaí
dc.description.affiliation Universidade Federal de São Paulo (UNIFESP)
dc.description.affiliationUnifesp UNIFESP
dc.identifier.file S1519-38292010000100005.pdf
dc.identifier.scielo S1519-38292010000100005
dc.identifier.doi 10.1590/S1519-38292010000100005
dc.description.source SciELO



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