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Psychosocial aspects and life project disruption in young women diagnosed with metastatic hormone-sensitive HER2-negative breast cancer
- Source :
- Dipòsit Digital de la UB, Universidad de Barcelona, Breast, Vol 53, Iss, Pp 44-50 (2020), The Breast : official journal of the European Society of Mastology
- Publication Year :
- 2020
- Publisher :
- Elsevier, 2020.
-
Abstract
- Metastatic breast cancer (MBC) diagnosis in young women negatively impacts on quality of life (QoL) and daily activities, disrupting their life project and forcing them to face new psychosocial challenges. The recently published results on the improvement of the overall survival of pre- or perimenopausal women with hormone-receptor-positive, HER2-negative MBC treated with CDK4/6 inhibitors plus endocrine therapy, while preserving, and in some items improving their QoL, will change the landscape of the management of this patient population. Their extended survival and potential improvement in QoL will, therefore, modify their specific needs in terms of psychosocial support. The complexity of the care of young women with MBC is described herein, based on an extensive literature review. Further research about the specific psychosocial requirements of these women and a new multidisciplinary holistic approach is paramount to properly address their concerns and preferences. The communication with and support of their partners, parents and children is an important factor affecting the QoL of these patients. Altogether, a multidisciplinary care, open communication and personalized support is required to address the psychosocial implications of the new prognostic expectations on these patients with the incorporation of new targeted therapies.<br />Highlights • Life project disruption in young women with metastatic breast cancer. • Scarce research and lack of specific QoL questionnaires. • Multidisciplinary holistic approach key to address concerns of young MBC patients. • New therapies extend survival and improve quality of life of MBC patients. • Psychosocial support needs to be adapted to these new prognostic expectations.
- Subjects :
- Gerontology
Activities of daily living
Intervenció psicològica
Review
Psycho-oncology
CDK4/6 inhibitor
Hormone-receptor-positive /HER2-Negative
0302 clinical medicine
Breast cancer
Cost of Illness
Multidisciplinary approach
Psychological intervention
030212 general & internal medicine
Neoplasm Metastasis
Open communication
HER2 negative
Patient satisfaction
General Medicine
Middle Aged
Prognosis
Metastatic breast cancer
lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens
Hormone-sensitive
030220 oncology & carcinogenesis
Female
Psychosocial
Adult
Quality of life
Antineoplastic Agents, Hormonal
Breast Neoplasms
Receptors, Cell Surface
Holistic Health
Psychiatric Rehabilitation
lcsh:RC254-282
Càncer de mama
Young Adult
03 medical and health sciences
medicine
Humans
Family
Patient Care Team
business.industry
Social Support
Premenopausal women
medicine.disease
Premenopause
Satisfacció dels pacients
Surgery
business
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Dipòsit Digital de la UB, Universidad de Barcelona, Breast, Vol 53, Iss, Pp 44-50 (2020), The Breast : official journal of the European Society of Mastology
- Accession number :
- edsair.doi.dedup.....1e6c7ae8779358f127a4666a309d62c0