Table 7 A list of studies of surgical treatment and quality o life in breast cancer patients (1974–2007)
Author (s) [Ref.] | Year | Treatment (assessment time) | Conclusion(s) |
|---|---|---|---|
de Haes et al. [85] | 1985 | MAS vs. tumorectomy (11 months after surgery) | No differences expect worse body image in MAS patients. |
de Haes et al. [86] | 1986 | MAS vs. tumorectomy (11 and 18 months after surgery) | Overall QOL improved over time in both groups; poor body image in MAS. |
Ganz et al. [87] | 1992 | MAS vs. BCS after one year | No significant differences in QOL and both groups improved; BCS patients did not experience significantly better QOL but had fewer problems with clothing and body image. |
Shimozuma et al. [88] | 1994 | Surgery-any | Hospitalization had a strong negative relation to overall QOL; type of surgery had no significant association with QOL. |
Neises et al. [89] | 1994 | MAS or BCS | Older women suffer as much as younger patients after MAS. |
Fallowfield [90] | 1994 | Surgery and tamoxifen vs. tamoxifen alone | At 2 years similar psychological health; no evidence of impaired QOL for elderly women after surgery |
Shimozuma et al. [91] | 1995 | MRM or BCS (before surgery and 3 times up 2 years after) | No significant differences in overall QOL; patients with BCS need more psychological support. |
Hart et al. [92] | 1997 | MAS + prostheses or MAS + reconstruction or MAS alone | No one technique is necessary for all women to optimize QOL; women should choose and make their own decisions. |
Dorval et al. [93] | 1998 | Partial or total MAS (3 and 18 months after) | Both appeared to be equivalent in long-term QOL. Younger women might benefit more from partial MAS. |
Curran et al. [94] | 1998 | MRM vs. BCS | Significant benefit in body image and satisfaction in BCS group; no difference in fear of recurrence. |
Wapnir et al. [95] | 1999 | Lumpectomy with axillary dissection (LAD) or mastectomy | No major differences except for dressing, comfort with nudity and sexual drive in favor of ALD. |
Shimozuma et al. [96] | 1999 | MRM or BCS (1 year after) | At one year good QOL, with no relationship to the type of surgery. |
Pusic et al. [97] | 1999 | Lumpectomy + irradiation or MAS + reconstruction or MAS alone | Postoperative QOL varied with age; for age less than 55 QOL was lowest for MAS, over 55 was lowest for lumpectomy. |
Amichetti et al. [98] | 1999 | BCS + irradiation in non-infiltrating breast cancer | Good QOL and body image and lack of negative impact on sexuality. |
King et al. [99] | 2000 | MAS or BCS (3 months and 1 year after) | Most symptoms declined over time but arm and menopausal symptoms persisted; worse QOL in younger patients. |
Kenny et al. [100] | 2000 | MAS or BCS + irradiation (1 year after) | Better body image and physical function in BCS; more impact on younger women regardless of treatment type. |
Nissen et al. [101] | 2001 | MAS or MAS + reconstruction or BCS (6 times assessment up to 2 years after) | QOL other than body image were not better in BCS or MAS + reconstruction than in who had MAS alone; MAS + reconstruction was associated with greater mood disturbance and poorer QOL. |
Janni et al. [102] | 2001 | MAS or BCS (median 46 months follow-up) | Surgical modalities had no long-term impact on overall QOL, but certain body image related problems in MAS was observed. |
Girotto et al. [103] | 2003 | MAS + reconstruction in older women | Improved QOL in older patients especially improved mental health. |
Cocquyt et al. [104] | 2003 | Skin-sparing MAS or BCS | Both yielded comparable QOL, but cosmetic outcome was better after skin-sparing MAS. |
Engel et al [105] | 2004 | MAS or BCS (5 years follow-up) | MAS patients had lower body image, role and sexual functioning; BCS should be encouraged in all ages. |
Ganz et al. [106] | 2004 | Lumpectomy + chemotherapy or MAS + chemotherapy or Lumpectomy alone or MAS alone in non-metastatic breast cancer patients | At the end of primary treatment all treatment groups reported good emotional functioning but decreased physical health especially among women who had MAS or received chemotherapy. |
Dubernard et al. [107] | 2004 | SLNB | Axillary procedure affected only QOL related to arm morbidity. |
Elder et al. [108] | 2005 | MAS + immediate breast reconstruction (before and 12 months after) | After 12 months good QOL comparable with aged-matched women from the general population. |
Barranger et al. [109] | 2005 | SLNB vs. ALND in breast-sparing treatment | SLNB was associated with significantly lower mid term morbidity. |
Fleissig [110] | 2006 | SLNB vs. ALND | Regarding arm functioning and QOL the use of SNB was recommended in patients with node negative breast cancer. |
Pandey et al. [111] | 2006 | MAS or BCS | No significant change in overall QOL after surgery; poorer QOL in MAS patients. |
Rietman et al. [112] | 2006 | SLNB or ALND (before and after 2 years) | Less treatment related upper limb morbidity, perceived disability in activities of daily life and worsening of QOL after SNLB compared with ALND. |
Parker et al. [113] | 2007 | MAS or MAS+ reconstruction or BCS (short- and long-term effects on aspects of psychosocial adjustment and QOL | Overall, the general patterns of psychosocial adjustment and QOL were similar among the three surgery groups. |