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Title: Health-Related Quality of Life and Patient Satisfaction After Treatment for Breast Cancer in Northern Taiwan

Abstract

Purpose: To evaluate health-related quality of life (QoL) and attitudes toward surgical procedures for breast cancer among patients in northern Taiwan. Methods and Materials: Two hundred twenty posttreatment breast cancer patients completed a QoL survey at two different hospitals in northern Taiwan. Patients (median age, 49 years; range, 32-69 years) had either undergone mastectomy (n = 157) or breast conservation treatment (BCT) (n 63). The Functional Assessment of Chronic Illness Therapy-Breast questionnaire was used to assess QoL. The patients were also asked about breast reconstruction or use of an artificial breast or not, as well as the decision-making process. Result: There was no significant difference in QoL between patients treated with BCT or mastectomy. Significantly more mastectomy patients had had breast reconstruction or wore an artificial breast (49.7% vs. 3.2%; p < 0.001). Of those who had BCT, 81% would make the same choice again, compared with only 49% of mastectomy patients (p < 0.001). Only 7.6% of patients who made the treatment decision themselves were dissatisfied with their treatment, compared with 25% for whom the decision was made by someone else (p = 0.004). Conclusions: Taiwanese women with breast cancer who had undergone mastectomy did not report a worsemore » QoL than those who received BCT, but they were more likely to be concerned about their resulting body image. Half would have chosen a less extensive procedure if they had it to do over. Women were more likely to be satisfied with the results of their treatment if they had decided themselves.« less

Authors:
 [1];  [2];  [3];  [4]; ;  [1];  [5]
  1. Department of Radiation Oncology, Chang Gung Memorial Hospital-Linkou Medical Center, Taoyuan, Taiwan (China)
  2. (China), E-mail: jtchang@adm.cgmh.org.tw
  3. Department of General Surgery, Chang Gung Memorial Hospital-Linkou Medical Center, Taoyuan, Taiwan (China)
  4. Department of Hematology and Oncology, Chang Gung Memorial Hospital-Linkou Medical Center, Taoyuan, Taiwan (China)
  5. Department of Medical Biotechnology, Chang Gung University, Taoyuan, Taiwan (China)
Publication Date:
OSTI Identifier:
21036197
Resource Type:
Journal Article
Journal Name:
International Journal of Radiation Oncology, Biology and Physics
Additional Journal Information:
Journal Volume: 69; Journal Issue: 1; Other Information: DOI: 10.1016/j.ijrobp.2007.02.019; PII: S0360-3016(07)00372-0; Copyright (c) 2007 Elsevier Science B.V., Amsterdam, The Netherlands, All rights reserved; Country of input: International Atomic Energy Agency (IAEA); Journal ID: ISSN 0360-3016
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; CARCINOMAS; DECISION MAKING; HOSPITALS; IMAGES; MAMMARY GLANDS; PATIENTS; SURGERY; TAIWAN; THERAPY; WOMEN

Citation Formats

Chang, Joseph Tung-Chieh, Department of Nursing, Chang Gung Institute of Technology, Taoyuan, Taiwan, Chen, C.-J., Lin, Y.-C., Chen, Y.-C., Lin, C.-Y., and Cheng, Ann-Joy. Health-Related Quality of Life and Patient Satisfaction After Treatment for Breast Cancer in Northern Taiwan. United States: N. p., 2007. Web. doi:10.1016/j.ijrobp.2007.02.019.
Chang, Joseph Tung-Chieh, Department of Nursing, Chang Gung Institute of Technology, Taoyuan, Taiwan, Chen, C.-J., Lin, Y.-C., Chen, Y.-C., Lin, C.-Y., & Cheng, Ann-Joy. Health-Related Quality of Life and Patient Satisfaction After Treatment for Breast Cancer in Northern Taiwan. United States. doi:10.1016/j.ijrobp.2007.02.019.
Chang, Joseph Tung-Chieh, Department of Nursing, Chang Gung Institute of Technology, Taoyuan, Taiwan, Chen, C.-J., Lin, Y.-C., Chen, Y.-C., Lin, C.-Y., and Cheng, Ann-Joy. Sat . "Health-Related Quality of Life and Patient Satisfaction After Treatment for Breast Cancer in Northern Taiwan". United States. doi:10.1016/j.ijrobp.2007.02.019.
@article{osti_21036197,
title = {Health-Related Quality of Life and Patient Satisfaction After Treatment for Breast Cancer in Northern Taiwan},
author = {Chang, Joseph Tung-Chieh and Department of Nursing, Chang Gung Institute of Technology, Taoyuan, Taiwan and Chen, C.-J. and Lin, Y.-C. and Chen, Y.-C. and Lin, C.-Y. and Cheng, Ann-Joy},
abstractNote = {Purpose: To evaluate health-related quality of life (QoL) and attitudes toward surgical procedures for breast cancer among patients in northern Taiwan. Methods and Materials: Two hundred twenty posttreatment breast cancer patients completed a QoL survey at two different hospitals in northern Taiwan. Patients (median age, 49 years; range, 32-69 years) had either undergone mastectomy (n = 157) or breast conservation treatment (BCT) (n 63). The Functional Assessment of Chronic Illness Therapy-Breast questionnaire was used to assess QoL. The patients were also asked about breast reconstruction or use of an artificial breast or not, as well as the decision-making process. Result: There was no significant difference in QoL between patients treated with BCT or mastectomy. Significantly more mastectomy patients had had breast reconstruction or wore an artificial breast (49.7% vs. 3.2%; p < 0.001). Of those who had BCT, 81% would make the same choice again, compared with only 49% of mastectomy patients (p < 0.001). Only 7.6% of patients who made the treatment decision themselves were dissatisfied with their treatment, compared with 25% for whom the decision was made by someone else (p = 0.004). Conclusions: Taiwanese women with breast cancer who had undergone mastectomy did not report a worse QoL than those who received BCT, but they were more likely to be concerned about their resulting body image. Half would have chosen a less extensive procedure if they had it to do over. Women were more likely to be satisfied with the results of their treatment if they had decided themselves.},
doi = {10.1016/j.ijrobp.2007.02.019},
journal = {International Journal of Radiation Oncology, Biology and Physics},
issn = {0360-3016},
number = 1,
volume = 69,
place = {United States},
year = {2007},
month = {9}
}