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Erschienen in: Aesthetic Plastic Surgery 6/2018

12.06.2018 | Original Article

Degree of Acceptance of Breast Reconstruction and the Associated Factors Among a Population of Chinese Women with Breast Cancer

verfasst von: Fengqiu Gong, Liying Ding, Xiaojun Chen, Dianye Yao, Yaoye Wu, Lihong Xie, Qiuyi Ouyang, Ping Wang, Gang Niu

Erschienen in: Aesthetic Plastic Surgery | Ausgabe 6/2018

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Abstract

Background

Breast cancer is one of the most common female “malignancies” reported worldwide in recent years. This study is aimed to understand the degree of acceptance of breast reconstruction among breast cancer patients in Chinese women and to explore the related factors.

Methods

Breast cancer patients were asked to fill in the demographic questionnaire, and consent for evaluation of Breast Reconstruction Acceptance Scale, Social Support Scale, and Functional Assessment of Cancer Therapy-breast Quality of Life Instrument (FACT-B). The data were assessed using multivariate logistic regression analysis for the correlations between the degree of acceptance of breast reconstruction and age, marital status, family monthly income, quality of life, and social support.

Results

57.5% of 715 patients were not familiar with breast reconstruction. Results showed correlation with the degree of acceptance of breast reconstruction. Multivariate analysis indicated that age (41–50 years old, OR: 0.25, 95% CI: 0.08–0.76; > 50, OR: 0.05, 95% CI: 0.02–0.15), marital status (married, OR: 0.15, 95% CI: 0.05–0.43; divorced/widowed, OR: 0.11, 95% CI: 0.03–0.42), family income (3–10 thousand RMB, OR: 2.01, 95% CI: 1.08–3.76; > 10 thousand RMB, OR: 2.14, 95% CI: 1.05–4.37), quality of life (fair, OR: 0.59, 95% CI: 0.39–0.91), and social support (excellent, OR: 0.50, 95% CI: 0.30–0.83) were all correlated with the degree of acceptance of breast reconstruction.

Conclusion

Chinese breast cancer patients have a low degree of acceptance of breast reconstruction. The degree of acceptance was found to be correlated with age, marital status, family monthly income, quality of life, and social support.

Level of Evidence IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.​springer.​com/​00266.
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Literatur
1.
Zurück zum Zitat Yang L, Li LD, Chen YD et al (2006) Time trends, estimates and projects for breast cancer incidence and mortality in China. Zhonghua Zhong Liu Za Zhi 28:438–440PubMed Yang L, Li LD, Chen YD et al (2006) Time trends, estimates and projects for breast cancer incidence and mortality in China. Zhonghua Zhong Liu Za Zhi 28:438–440PubMed
2.
Zurück zum Zitat Lee BT, Duggan MM, Keenan MT et al (2011) Commonwealth of Massachusetts Board of Registration in Medicine Expert Panel on immediate implant-based breast reconstruction following mastectomy for cancer: executive summary, June 2011. J Am Coll Surg 213:800–805CrossRef Lee BT, Duggan MM, Keenan MT et al (2011) Commonwealth of Massachusetts Board of Registration in Medicine Expert Panel on immediate implant-based breast reconstruction following mastectomy for cancer: executive summary, June 2011. J Am Coll Surg 213:800–805CrossRef
3.
Zurück zum Zitat Li W, Piao H, Qu D et al (2011) Assessment of quality-of-life influence of immediate or delayed autologous breast reconstructions. Cancer Res Prev Treat 2011:535–538 Li W, Piao H, Qu D et al (2011) Assessment of quality-of-life influence of immediate or delayed autologous breast reconstructions. Cancer Res Prev Treat 2011:535–538
4.
Zurück zum Zitat Epstein S, Tran BN, Cohen JB et al (2018) Racial disparities in postmastectomy breast reconstruction: national trends in utilization from 2005 to 2014. Cancer 3:1–11 Epstein S, Tran BN, Cohen JB et al (2018) Racial disparities in postmastectomy breast reconstruction: national trends in utilization from 2005 to 2014. Cancer 3:1–11
5.
Zurück zum Zitat Mu L, Xin M, Luan J (2011) Valuation on and the current study status of breast reconstruction following breast cancer surgery. Chin J Breast Dis (Electronic Version) 2011:215–221 Mu L, Xin M, Luan J (2011) Valuation on and the current study status of breast reconstruction following breast cancer surgery. Chin J Breast Dis (Electronic Version) 2011:215–221
6.
Zurück zum Zitat Zhang X, Zhang P, Chen J (2010) Investigation of approval degree of breast conserving therapy and breast reconstruction of women with breast diseases. Chin J Bases Clin Gen Surg 2010:1240–1244 Zhang X, Zhang P, Chen J (2010) Investigation of approval degree of breast conserving therapy and breast reconstruction of women with breast diseases. Chin J Bases Clin Gen Surg 2010:1240–1244
7.
Zurück zum Zitat Zhao R, Qiao Q, Yue Y et al (2003) The psychological impact of mastectomy on women with breast cancer. Chin J Plast Surg 19:294–296 Zhao R, Qiao Q, Yue Y et al (2003) The psychological impact of mastectomy on women with breast cancer. Chin J Plast Surg 19:294–296
8.
Zurück zum Zitat Chen H, Du Y, Jia G (2003) Factor analysis is applied in the test of family burden scale structure validity. Chin J Health Stat 20:93–94 Chen H, Du Y, Jia G (2003) Factor analysis is applied in the test of family burden scale structure validity. Chin J Health Stat 20:93–94
9.
Zurück zum Zitat Xiao S (1994) The theoretical basis and application of social support rating scale. J Clin Psychiatry 2:98–100 Xiao S (1994) The theoretical basis and application of social support rating scale. J Clin Psychiatry 2:98–100
10.
Zurück zum Zitat Brady MJ, Cella DF, Mo F et al (1997) Reliability and validity of the functional assessment of cancer therapy-breast quality-of-life instrument. J Clin Oncol 15:974–986CrossRef Brady MJ, Cella DF, Mo F et al (1997) Reliability and validity of the functional assessment of cancer therapy-breast quality-of-life instrument. J Clin Oncol 15:974–986CrossRef
11.
Zurück zum Zitat Wan CH, Zhang DM, Tang XL et al (2003) Introduction on measurement scale of quality of life for patients with breast cancer: Chinese version of FACT2B. Chin Mental Health J 17:298–300 Wan CH, Zhang DM, Tang XL et al (2003) Introduction on measurement scale of quality of life for patients with breast cancer: Chinese version of FACT2B. Chin Mental Health J 17:298–300
12.
Zurück zum Zitat Lee CN, Belkora J, Chang Y et al (2011) Are patients making high-quality decisions about breast reconstruction after mastectomy? Plast Reconstr Surg 127:18–26CrossRef Lee CN, Belkora J, Chang Y et al (2011) Are patients making high-quality decisions about breast reconstruction after mastectomy? Plast Reconstr Surg 127:18–26CrossRef
13.
Zurück zum Zitat Kruper L, Holt A, Xu XX et al (2011) Disparities in reconstruction rates after mastectomy: patterns of care and factors associated with the use of breast reconstruction in Southern California. Ann Surg Oncol 18:2158–2165CrossRef Kruper L, Holt A, Xu XX et al (2011) Disparities in reconstruction rates after mastectomy: patterns of care and factors associated with the use of breast reconstruction in Southern California. Ann Surg Oncol 18:2158–2165CrossRef
14.
Zurück zum Zitat Brennan ME, Spillane AJ (2013) Uptake and predictors of post-mastectomy reconstruction in women with breast malignancy–systematic review. Eur J Surg Oncol 39:527–541CrossRef Brennan ME, Spillane AJ (2013) Uptake and predictors of post-mastectomy reconstruction in women with breast malignancy–systematic review. Eur J Surg Oncol 39:527–541CrossRef
15.
Zurück zum Zitat Levine SM, Levine A, Raghubir J, Levine JP (2012) A 10-year review of breast reconstruction in a university-based public hospital. Ann Plast Surg 69:376–379CrossRef Levine SM, Levine A, Raghubir J, Levine JP (2012) A 10-year review of breast reconstruction in a university-based public hospital. Ann Plast Surg 69:376–379CrossRef
16.
Zurück zum Zitat Charavel M, Bremond A, Courtial I (1997) Psychosocial profile of women seeking breast reconstruction. Eur J Obstet Gynecol Reprod Biol 74:31–35CrossRef Charavel M, Bremond A, Courtial I (1997) Psychosocial profile of women seeking breast reconstruction. Eur J Obstet Gynecol Reprod Biol 74:31–35CrossRef
17.
Zurück zum Zitat Zhao R, Qiao Q, Yue Y et al (2003) The psychological impact of mastectomy on women with breast cancer. Zhonghua Zheng Xing Wai Ke Za Zhi 19:294–296PubMed Zhao R, Qiao Q, Yue Y et al (2003) The psychological impact of mastectomy on women with breast cancer. Zhonghua Zheng Xing Wai Ke Za Zhi 19:294–296PubMed
18.
Zurück zum Zitat Jeevan R, Mennie JC, Mohanna PN et al (2016) National trends and regional variation in immediate breast reconstruction rates. Br J Surg 103:1147–1156CrossRef Jeevan R, Mennie JC, Mohanna PN et al (2016) National trends and regional variation in immediate breast reconstruction rates. Br J Surg 103:1147–1156CrossRef
Metadaten
Titel
Degree of Acceptance of Breast Reconstruction and the Associated Factors Among a Population of Chinese Women with Breast Cancer
verfasst von
Fengqiu Gong
Liying Ding
Xiaojun Chen
Dianye Yao
Yaoye Wu
Lihong Xie
Qiuyi Ouyang
Ping Wang
Gang Niu
Publikationsdatum
12.06.2018
Verlag
Springer US
Erschienen in
Aesthetic Plastic Surgery / Ausgabe 6/2018
Print ISSN: 0364-216X
Elektronische ISSN: 1432-5241
DOI
https://doi.org/10.1007/s00266-018-1171-5

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