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Quality-of-Life and Self-Esteem Outcomes after Oncoplastic Breast-Conserving Surgery [Outcomes Article]

Veiga, Daniela F. M.D., Ph.D.; Veiga-Filho, Joel M.D.; Ribeiro, Leda M. M.D.; Archangelo-Junior, Ivanildo M.D.; Balbino, Priscilla F. R.; Caetano, Leci V.; Novo, Neil F. Ph.D.; Ferreira, Lydia M. M.D., Ph.D.

Plastic and Reconstructive Surgery: March 2010 - Volume 125 - Issue 3 - p 811-817
doi: 10.1097/PRS.0b013e3181ccdac5

Background: This prospective trial was designed to assess the impact of oncoplastic surgery on quality of life and self-esteem of breast cancer patients undergoing breast-conserving treatment.

Methods: Forty-five patients with primary breast cancer to be treated with breast-conserving surgery and immediate partial breast reconstruction were assessed with regard to quality-of-life and self-esteem outcomes preoperatively and 6 and 12 months postoperatively. Another 42 breast cancer patients, treated by conservative surgery without breast reconstruction at least 1 year previously, were assessed for the control group. Validated questionnaires (Short Form-36, Brazilian version, and the Rosenberg-EPM Self-Esteem Scale) were used. Data were analyzed by using the Mann-Whitney and Friedman tests.

Results: Participation rates at the follow-up assessments were 95.5 percent at the 6-month follow-up and 88.9 percent at the 12-month follow-up. Control and reconstruction groups were matched for age, body mass index, and demographic and oncologic aspects. At postoperative month 12, the breast reconstruction group had significantly better health status than the control group with regard to physical functioning (p < 0.000), health perception (p < 0.002), vitality (p < 0.007), social functioning (p < 0.02), role emotional (p < 0.02), mental health (p < 0.000), and self-esteem (p < 0.02). Compared with preoperatively, breast reconstruction group scores were significantly higher at 12 months postoperatively for seven of the eight dimensions of the Short Form-36: physical functioning (p < 0.01), role physical (p < 0.02), health perception (p < 0.02), vitality (p < 0.01), social functioning (p < 0.02), role emotional (p < 0.05), and mental health (p < 0.02). Self-esteem was also significantly better at 12 months (p < 0.02).

Conclusion: Oncoplastic surgery had a positive impact on quality of life and self-esteem of patients undergoing breast-conserving treatment.

Pouso Alegre and São Paulo, Brazil

From the Division of Plastic Surgery, Department of Surgery, the Division of Mastology, Department of Gynecology, the School of Medicine, and the Department of Biostatistics, Universidade do Vale do Sapucaí; and the Division of Plastic Surgery, Department of Surgery, Universidade Federal de São Paulo.

Received for publication July 31, 2009; accepted September 16, 2009.

Disclosures: This work did not receive any funding from any organization. None of the authors has a conflict of interest or financial interest to report.

Daniela F. Veiga, M.D., Ph.D., Division of Plastic Surgery, Universidade Federal de São Paulo, Rua Napoleão de Barros, 715–4° andar, CEP 04024-002, São Paulo, Brazil,

©2010American Society of Plastic Surgeons