使用BREAST-Q的患者报告结果和生活质量评估:多中心前性研究
Ghaithiry Selvarajoo1, Mee Hoong See1,2,3, Lee Lee Lai4
1Department of Surgery, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
World journal of surgery
|August 22, 2025
概括
与乳房切除相比, 乳房保护手术 (BCS) 导致马来西亚乳腺癌患者的生活质量和满意度提高. 这种工具有助于手术决策.
科学领域:
- 癌症学
- 手术的结果
- 患者报告的结果
背景情况:
- 乳腺癌是全球和马来西亚女性最常见的癌症.
- 患者报告的结果 (PROs),如生活质量 (QOL) 和满意度,对于评估乳腺癌手术的有效性至关重要.
- BREAST-Q是一个验证的工具来评估患者对手术结果的看法.
研究的目的:
- 在马来西亚乳腺癌患者的乳房切除和乳房保护手术 (BCS) 之间比较QOL和满意度.
- 评估BREAST-Q在评估不同乳腺癌手术结果中的有用性.
主要方法:
- 一项多中心前性队列研究,涉及230名乳腺癌0-III期的妇女.
- 患者在2022年1月至2023年4月期间接受了乳房切除或BCS.
- 在手术前和手术后6个月和12个月进行了BREAST- Q问卷调查,使用t测试和ANOVA分析数据.
主要成果:
- 与乳房切除手术患者相比,乳房切除手术患者的整体QOL和满意度显著提高.
- 在所有术后阶段,BCS对心理社会和性健康都有特别的益处.
- 在12个月后,身体健康有利于BCS,而乳腺切除术患者对手术团队的满意度更高.
结论:
- 与乳腺癌治疗的乳腺切除术相比,BCS与患者满意度和QOL更高相关.
- BREAST-Q是增强患者与外科医生的沟通,并为外科选择提供信息的重要工具.
- 这些发现支持BCS作为有益的手术选择,改善了患者的准备和决策.
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