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Area of Science:

  • Oncology
  • Surgical Oncology
  • Quality of Life Research

Background:

  • Early-stage breast cancer prognosis is similar after breast-conserving therapy (BCT) and mastectomy.
  • Quality of life (QoL) is a crucial factor in treatment decisions for breast cancer patients.
  • Patient-reported outcomes (PROs) provide valuable insights into QoL following different surgical interventions.

Purpose of the Study:

  • To retrospectively analyze and compare PROs based on the type of surgery received in early-stage breast cancer patients.
  • To establish reference values for PROs to aid in shared decision-making processes between patients and clinicians.
  • To identify factors influencing QoL outcomes after breast cancer surgery.

Main Methods:

  • Retrospective analysis of patients with pT1-T3N0-3M0 breast cancer treated between January 2005 and September 2016.
  • Exclusion of patients who received chemotherapy within six months prior to enrollment and those with bilateral identical surgeries.
  • Administration of EQ-5D-5L, EORTC-QLQ-C30/BR23, and BREAST-Q questionnaires to collect PRO data.
  • Statistical analysis using multivariable linear regression and analyses of variance (ANOVAs) to compare outcomes.

Main Results:

  • A response rate of 68% was achieved.
  • PROs in primary breast cancer (PBC) patients were comparable to those in second primary or recurrent (SBC) breast cancer patients.
  • Increasing age was associated with lower physical and sexual functioning.
  • Increasing time since surgery correlated with reduced fatigue.
  • Mastectomy and implant reconstruction were linked to lower satisfaction with breast scores compared to BCT.
  • Radiation therapy was associated with decreased satisfaction scores.

Conclusions:

  • PRO scores in breast cancer patients are significantly associated with age, time since surgery, type of surgical intervention, and radiation therapy.
  • The study provides reference values for PROs across different surgical approaches.
  • These findings support the prospective use of PROs in shared decision-making for breast cancer treatment.