nach oben

Breast Cancer Research and Treatment

Erschienen in:

01.01.2013 | Review

The effect of breast reconstruction surgery on body image among women after mastectomy: a meta-analysis

verfasst von: Su-Ying Fang, Bih-Ching Shu, Ying-Ju Chang

Erschienen in: Breast Cancer Research and Treatment | Ausgabe 1/2013

Einloggen, um Zugang zu erhalten

Abstract

The purpose of this study was to analyze the available evidence concerning the effects of breast reconstruction (BR) on body image of women with breast cancer. BR is a potential intervention to improve the body image of women with breast cancer. Conflicting research findings about the effects of breast reconstructive surgery on body image compared to breast conservative surgery (BCS) or mastectomy exist. A meta-analysis of studies found in MEDLINE, CINAHL, PsychINFO, PubMed as well as PQDT (dissertation and theses), and other unpublished literature resources from 1970 to 2010 were searched. Comparable studies that examined the difference of body image between breast cancer women receiving mastectomy plus BR and those with BCS were included. A clear definition about the domains of body image including body stigma, body concern, and transparency were identified. Mean effect sizes were calculated. Twelve studies were included in the meta-analysis. Women with BR and BCS were no different on the body concern domain of body image. However, women with BR had a significantly worse score on body stigma domain of body image than women receiving BCS. Women with BR had a better body image score than women with mastectomy. Women who are satisfied with their body shape may still perceive deficiencies because of the stigma of mastectomy and affect on body image. Consistent application of valid and reliable measures of body image specific to breast cancer women is needed.

Group EBCTC (1995) Effects of radiotherapy and surgery in early breast cancer—an overview of the randomized trials. N Engl J Med 333:1444–1456. doi:10.1056/NEJM199511303332202 CrossRef

Coon WW (ed) (1988) The surgeon’s role int the management of patient with breast cancer. Breast cancer: collaborative management, vol 129–135. Lewis Publishers, Chelsea

Crompvoets S (2006) Comfort, control, or conformity: women who choose breast reconstruction following mastectomy. Health Care Women Int 27:75–93PubMedCrossRef

Neill KM, Armstrong N, Burnett CB (1998) Choosing reconstruction after mastectomy: a qualitative analysis. Oncol Nurs Forum 25:743–750PubMed

Nissen MJ, Swenson KK, Kind EA (2002) Quality of life after postmastectomy breast reconstruction. Oncol Nurs Forum 29:547–553PubMedCrossRef

Arora NK, Gustafson DH, Hawkins RP, McTavish F, Cella DF, Pingree S, Mendenhall JH, Mahvi DM (2001) Impact of surgery and chemotherapy on the quality of life of younger women with breast carcinoma. Cancer 92:1288–1298. doi:10.1002/1097-0142(20010901)92:5<1288:aid-cncr1450>3.0.co;2-e PubMedCrossRef

Rowland JH, Desmond KA, Meyerowitz BE, Belin TR, Wyatt GE, Ganz PA (2000) Role of breast reconstructive surgery in physical and emotional outcomes among breast cancer survivors. J Natl Cancer Inst 92:1422–1429. doi:10.1093/jnci/92.17.1422 PubMedCrossRef

Yurek D, Farrar W, Anderson BL (2000) Breast cancer surgery: comparing surgical groups and determining individual differences in postoperative sexuality and body change tress. J Consult Clin Psychol 68:697–709PubMedCrossRef

Cocquyt VF, Blondeel PN, Depypere HT, Van De Sijpe KA, Daems KK, Monstrey SJ, Van Belle SJP (2003) Better cosmetic results and comparable quality of life after skin-sparing mastectomy and immediate autologous breast reconstruction compared to breast conservative treatment. Br J Plast Surg 56:462–470. doi:10.1016/s0007-1226(03)00198-x PubMedCrossRef

10.

Mock V (1993) Body image in women treated for breast cancer. Nurs Res 42:153–157PubMedCrossRef

11.

Nano MT, Gill PG, Kollias J, Bochner MA, Malycha P, Winefield HR (2005) Psychological impact and cosmetic outcome of surgical breast cancer strategies. ANZ J Surg 75:940–947. doi:10.1111/j.1445-2197.2005.03517.x PubMedCrossRef

12.

Dian D, Schwenn K, Mylonas I, Janni W, Jaenicke F, Friese K (2007) Aesthetic result among breast cancer patients undergoing autologous breast reconstruction versus breast conserving therapy. Arch Gynecol Obstet 275:445–450. doi:10.1007/s00404-006-0270-8 PubMedCrossRef

13.

Nicholson RM, Leinster S, Sassoon EM (2007) A comparison of the cosmetic and psychological outcome of breast reconstruction, breast conserving surgery and mastectomy without reconstruction. Breast 16:396–410PubMedCrossRef

14.

Harcourt D, Rumsey N (2004) Mastectomy patients’ decision-making for or against immediate breast reconstruction. PsychoOncology 13:106–115PubMedCrossRef

15.

Abu-Nab Z, Grunfeld EA (2007) Satisfaction with outcome and attitudes towards scarring among women undergoing breast reconstructive surgery. Patient Educ Couns 66:243–249. doi:10.1016/j.pec.2006.12.008 PubMedCrossRef

16.

Kasper AS (1995) The social construction of breast loss and reconstruction. Women’s Health 7:179–192

17.

Chen CM, Cano SJ, Klassen AF, King T, McCarthy C, Cordeiro PG, Morrow M, Pusic AL (2010) Measuring quality of life in oncologic breast surgery: a systematic review of patient-reported outcome measures. Breast J 16:587–597. doi:10.1111/j.1524-4741.2010.00983.x PubMedCrossRef

18.

Baxter NN, Goodwin PJ, McLeod RS, Dion R, Devins G, Bombardier C (2006) Reliability and validity of the body image after breast cancer questionnaire. Breast J 12:221–232PubMedCrossRef

19.

Moyer A (1997) Psychosocial outcomes of breast-conserving surgery versus mastectomy: a meta-analytic review. Health Psychol 16:284–298PubMedCrossRef

20.

Glynn L (2006) A critical appraisal tool for library and information research. Libr Hi Tech 24:387–399CrossRef

21.

Rosenthal R (1995) Writing meta-analytic reviews. Psychol Bull 118:183–192CrossRef

22.

Wellisch D, DiMatteo R, Silverstein M, Landsverk J, Hoffman R, Waisman J, Handel N, Waisman-Smith E, Schain W (1989) Psychosocial outcomes of breast cancer therapies: lumpectomy versus mastectomy. Psychosomatics 30:365–373PubMedCrossRef

23.

Parker P, Youssef A, Walker S, Basen-Engquist K, Cohen L, Gritz E, Wei Q, Robb G (2007) Short-term and long-term psychosocial adjustment and quality of life in women undergoing different surgical procedures for breast cancer. Ann Surg Oncol 14:3078–3089. doi:10.1245/s10434-007-9413-9 PubMedCrossRef

24.

Noguchi M, Kitagawa H, Kinoshita K, Earashi M, Miyazaki I, Tatsukuchi S, Saito Y, Mizukami Y, Nonomura A, Nakamura S, Michigishi T (1993) Psychologic and cosmetic self-assessments of breast conserving therapy compared with mastectomy and immediate breast reconstruction. J Surg Oncol 54:260–266. doi:10.1002/jso.2930540416 PubMedCrossRef

25.

DerSimonian R, Laird N (1986) Meta-analysis in clinical trials. Control Clin Trials 7:177–188. doi:10.1016/0197-2456(86)90046-2 PubMedCrossRef

26.

Front VJ (1999) Body image, sexual functioning and mood disturbance among three early breast cancer treatment groups. Pacific Graduate School of Psychology, Palo Alto

27.

Leinster SJ, Ashcroft JJ, Slade P, Dewey ME (1989) Mastectomy versus conservative surgery. J Psychosoc Oncol 7:179–192. doi:10.1300/J077v07n01_12 CrossRef

28.

Winters ZE, Benson JR, Pusic AL (2010) A systematic review of the clinical evidence to guide treatment recommendations in breast reconstruction based on patient-reported outcome measures and health-related quality of life. Ann Surg 252:929–942. doi:10.1097/SLA.0b013e3181e623db PubMedCrossRef

29.

Janz NK, Mujahid M, Lantz PM, Fagerlin A, Salem B, Morrow M, Deapen D, Katz SJ (2005) Population-based study of the relationship of treatment and sociodemographics on quality of life for early stage breast cancer. Qual Life Res 14:1467–1479. doi:10.1007/s11136-005-0288-6 PubMedCrossRef

30.

Schover LR, Yetman RJ, Tuason LJ, Meisler E, Esselstyn CB, Hermann RE, Grundfest-Broniatowski S, Dowden RV (1995) Partial mastectomy and breast reconstruction. A comparison of their effects on psychosocial adjustment, body image, and sexuality. Cancer 75:54–64. doi:10.1002/1097-0142(19950101)75:1<54:aid-cncr2820750111>3.0.co;2-i PubMedCrossRef

31.

Al-Ghazal SK, Fallowfield L, Blamey RW (2000) Comparison of psychological aspects and patient satisfaction following breast conserving surgery, simple mastectomy and breast reconstruction. Eur J Cancer 36:1938–1943. doi:10.1016/s0959-8049(00)00197-0 PubMedCrossRef

32.

Fung K, Lau Y, Fielding R, Or A, Yip AW (2001) The impact of mastectomy, breast-conserving treatment and immediate breast reconstruction on the quality of life of Chinese women. ANZ J Surg 71:202–206PubMedCrossRef

33.

Pusic A, Thompson TA, Kerrigan CL, Sargeant R, Slezak S, Chang BW, Helzlsouer KJ, Manson PN (1999) Surgical options for early-stage breast cancer: factors associated with patient choice and postoperative quality of life. Plast Reconstr Surg 104:1325–1333PubMedCrossRef

34.

Sackey H, Sandelin K, Frisell J, Wickman M, Brandberg Y (2010) Ductal carcinoma in situ of the breast. Long-term follow-up of health-related quality of life, emotional reactions and body image. Eur J Surg Oncol 36:756–762. doi:10.1016/j.ejso.2010.06.016 PubMedCrossRef

35.

Freilich G (2004) Saving the breast: an important motivation for women in favour of early detection. Eur J Cancer Suppl 2:157. doi:10.1016/s1359-6349(04)90947-0 CrossRef

36.

Herk GM (ed) (2005) AIDS and stigma. The sociology of health and illness: critical perspective. Worth Publishers, New York

37.

Feather BL, Rucker M, Kaiser SB (1989) Social concerns of post-mastectomy women: stigmata and clothing. Home Econ Res J 17:289–299. doi:10.1177/1077727x8901700402 CrossRef

38.

Fang SY, Balneaves LG, Shu BC (2010) “A Struggle Between Vanity and Life”: the experience of receiving breast reconstruction in women of Taiwan. Cancer Nurs 33:E1–E11PubMedCrossRef

39.

Pelusi J (2006) Sexuality and body image: research on breast cancer survivors documents altered body image and sexuality. Am J Nurs 106:32–38PubMedCrossRef

40.

Reaby LL, Hort LK, Vandervord J (1994) Body image, self-concept, and self-esteem in women who had a mastectomy and either wore an external breast prosthesis or had breast reconstruction and women who had not experienced mastectomy. Health Care Women Int 15:361–375PubMedCrossRef

41.

Roth RS, Lowery JC, Davis J, Wilkins EG (2005) Quality of life and affective distress in women seeking immediate versus delayed breast reconstruction after mastectomy for breast cancer. Plast Reconstr Surg 116:993–1002PubMedCrossRef

Titel: The effect of breast reconstruction surgery on body image among women after mastectomy: a meta-analysis
verfasst von: Su-Ying Fang
Bih-Ching Shu
Ying-Ju Chang
Publikationsdatum: 01.01.2013
Verlag: Springer US
Erschienen in: Breast Cancer Research and Treatment / Ausgabe 1/2013
Print ISSN: 0167-6806
Elektronische ISSN: 1573-7217
DOI: https://doi.org/10.1007/s10549-012-2349-1

Neu im Fachgebiet Onkologie

24.04.2024 | DGIM 2024 | Nachrichten

Springer Medizin

The effect of breast reconstruction surgery on body image among women after mastectomy: a meta-analysis

Abstract

Neu im Fachgebiet Onkologie

Bei Senioren mit Prostatakarzinom auf Anämie achten!

ICI-Therapie in der Schwangerschaft wird gut toleriert

Krebspatienten impfen: Was? Wen? Und wann nicht?

Müde im Alter? Auch an die Nebenniere denken

Update Onkologie

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 1/2013

Potential implications of adjuvant endocrine therapy for the oral health of postmenopausal women with breast cancer

Trends in co-prescribing of antidepressants and tamoxifen among women with breast cancer, 2004–2010

High stearoyl-CoA desaturase 1 expression is associated with shorter survival in breast cancer patients

Dual association between polyphenol intake and breast cancer risk according to alcohol consumption level: a prospective cohort study

Evaluation of BRCA1 mutations in an unselected patient population with triple-negative breast cancer

Placental weight and mortality in premenopausal breast cancer by tumor characteristics

Neu im Fachgebiet Onkologie

Bei Senioren mit Prostatakarzinom auf Anämie achten!

ICI-Therapie in der Schwangerschaft wird gut toleriert

Krebspatienten impfen: Was? Wen? Und wann nicht?

Müde im Alter? Auch an die Nebenniere denken

Update Onkologie