Quality of life in patients treated with breast cancer surgery and adjuvant systemic therapy and/or adjuvant radiotherapy in Uruguay

Camejo, Natalia - Amarillo, Dahiana - Castillo, Cecilia - Guerrina, María - Savio, Florencia - Carrasco, Mariana - Strazzarino, Noelia - Hernández, Ana Laura - Herrera, Guadalupe - Krygier, Gabriel

Resumen:

Introduction: Breast cancer (BC) and its treatment can impair patient quality of life (QoL), and those undergoing more aggressive treatments may be more severely impacted. Objective: Assess the level of perception of the QoL of patients treated for BC at the Hospital de Clínicas and the Departmental Hospital of Soriano. Materials and methods: A questionnaire for cancer patients (EORTC, QLQ-C30) and one specific for BC (EORTC QLQ-BR23) were used. Results: A total of 158 patients who had completed chemotherapy treatment at least one year prior to the evaluation were enrolled. The average age was 61 years old. Qlqc questionnaire: The global QoL score (GQOL) was high: 70.9. Patients undergoing breast-conservation surgery (BCS) had better scores in physical and emotional functioning (p < 0.005) and presented less frequently with: pain, constipation, and financial difficulties (p < 0.005). Those undergoing sentinel lymph node biopsy (SLNB) had higher scores for GQOL and for physical, role, and social functioning scales (p < 0.001) and had less fatigue, pain, insomnia, and financial difficulties (p < 0.005). Questionnaire qlqbr: Sexual functioning and sexual enjoyment scales were relatively low. Patients undergoing BCS had better scores on the functional scales: body image and future outlook; and fewer breast symptoms (p < 0.005). Those undergoing SLNB also had better scores on the functional scales for body image and future outlook future and presented less frequently with symptoms (p < 0.005). Conclusion: Uruguayan BC patients experience high values on the GQOL scale; those undergoing BCS and SLNB had better scores on most functional and problem/symptom scales. Patients undergoing BCS had better scores in physical and emotional functioning and presented less frequently with pain, constipation, and financial difficulties. With respect to the type of axillary surgery received, patients who underwent SLNB had higher scores on the GQOL scale and on the physical, role, and social functional scales. The implementation of intervention strategies aimed at improving the quality of life, and the physical and emotional care of patients is recommended.

Detalles Bibliográficos
2024
Breast cancer
Breast-conseving surgery
Mastectomy
Quality of life
ADULTO
ANCIANO
NEOPLASIAS DE LA MAMA
PATOLOGÍA
TERAPÉUTICA
CIRUGÍA GENERAL
QUIMIOTERAPIA ADYUVANTE
TERAPIA COMBINADA
MUJERES
MASTECTOMÍA SEGMENTARIA
MASTECTOMÍA
PSICOLOGÍA
PERSONA DE MEDIANA EDAD
CALIDAD DE VIDA
RADIOTERAPIA ADYUVANTE
ESTADÍSTICAS DE SALUD
EPIDEMIOLOGÍA
BIOPSIA DEL GANGLIO LINFÁTICO CENTINELA
ENCUESTAS Y CUESTIONARIOS
Inglés
Universidad de la República
COLIBRI
https://hdl.handle.net/20.500.12008/56083
Acceso abierto
Licencia Creative Commons Atribución (CC - By 4.0)