Avaliação da satisfação e da qualidade de vida na paciente submetida ao tratamento cirúrgico de câncer de mama pelo questionário Breast-Q

• Ano de defesa: 2021
• Autor(a) principal: Okajima, Karina Helena [UNIFESP]
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de São Paulo (UNIFESP)
• Palavras-chave em Português: Breast Cancer; Breast-Q; Quality Of Life; Satisfaction; Breast Cancer Surgery; Câncer De Mama; Qualidade De Vida; Satisfação; Cirurgia De Câncer De Mama
• Link de acesso: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=11272116; https://repositorio.unifesp.br/handle/11600/68211

Introduction: The Breast-Q is an instrument for evaluating the opinion of the patient through the answers to the questionnaire of the module corresponding to the type of surgery applied for the treatment of breast cancer. Objective: To compare psychological well-being, satisfaction and sexual well-being between groups of patients who underwent mastectomy and breast-conserving surgery using the Breast-Q questionnaire. Methods: Participants in this prospective study were women (aged 18 to 81 years) diagnosed with invasive or in situ breast carcinoma. All selected patients underwent mastectomy (MT) or breast-conserving surgery (QDT) between January 2018 and January 2019 and were invited to complete the BREAST-Q questionnaire module before and up to one month after surgery. We compared the mean difference before and after surgery between the MT and QDT groups using the Wilcoxon test. Inclusion criteria were women over the age of 18 with no prior history of surgery or breast cancer. Results: Breast-Q was applied to 73 women (34 MT, 39 QDT). The mean age was 54 ± 15 years for the TM group and 60 ± 12 years for the QDT group (p=0.08). Patients undergoing QDT group reported better psychosocial well-being when compared to the MT group (8.6 ± 27 vs. – 15 ± 25, respectively, p=0.008). There was a trend towards greater satisfaction with the breasts in the QDT group when compared to the MT group (-6.7 ± 24 vs. – 25 ± 34, respectively, p=0.06). There was no difference between the groups in terms of physical well-being (p=0.6) and sexual well-being (p=0.4). Conclusion: The Breast-Q questionnaire is a valuable tool to qualify patient satisfaction in breast cancer surgery. Conservative surgery was superior to mastectomy for psychosocial well-being and with a tendency towards greater satisfaction with the breasts.