1. Well-Being, Depression, and Anxiety following Oncoplastic Breast Conserving Surgery versus Modified Radical Mastectomy Followed by Late Breast Reconstruction
- Author
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Ica Secoșan, C. Bredicean, Ioana Riviș, Catalina Giurgi-Oncu, Cristina Oprean, Ion Papava, Zorin Crainiceanu, Corina Vernic, and Daciana Grujic
- Subjects
medicine.medical_specialty ,Reconstructive surgery ,conservative surgery ,Health, Toxicology and Mutagenesis ,medicine.medical_treatment ,Mammaplasty ,Breast Neoplasms ,Modified Radical Mastectomy ,Mastectomy, Segmental ,Article ,Breast cancer ,Mastectomy, Modified Radical ,breast cancer ,well-being ,Internal medicine ,Statistical significance ,medicine ,Breast-conserving surgery ,Humans ,skin and connective tissue diseases ,Mastectomy ,DASS ,business.industry ,Public Health, Environmental and Occupational Health ,medicine.disease ,anxiety ,depression ,Anxiety ,Medicine ,Female ,medicine.symptom ,Breast reconstruction ,business - Abstract
Breast cancer requires complex clinical care. Well-being is an intricate concept, encompassing physical, functional, emotional, and social aspects. Background: This study aims to evaluate the relationship between the type of surgery our patients underwent and the timing of the reconstructive surgery with physical, emotional, social, and functional well-being. Furthermore, through our research we tried to identify potential mental health comorbidities in patients with breast cancer, clinical symptoms, and well-being in women with breast cancer, depending on the type of required surgery. Methods: The study included 69 women diagnosed with breast cancer, in stages I to III, divided in two groups: I—patients with oncoplastic breast-conserving surgery and contralateral correction surgery, for symmetry reasons, II—patients who underwent modified radical mastectomy and late breast reconstruction with contralateral symmetrisation. We evaluated socio-demographic aspects, alongside depression, anxiety, stress (DASS 21), and well-being (FACT-B). Data were statistically processed, statistical significance was set at p <, 0.05. Results: Clinical elements of depression, anxiety, and stress were noted in both groups, without statistical significance (p >, 0.05). Significant differences were found regarding psycho-emotional (p = 0.035) and functional well-being (p = 0.001), with higher scores for group I. The chi-square test indicated statistically significant differences (at p <, 0.01) between the groups, regarding the frequency of scores on items B4 and B9 (FACT-B items, related to feminine aesthetics and desirability), with evidently higher scores in group I than in group II. Conclusions: The state of well-being, as well as the items related to femininity and sexuality had higher values in the group of women treated by oncoplastic conservative surgery compared to late reconstruction after modified radical mastectomy.
- Published
- 2021