Quality of life and decision satisfaction after re-excision in breast cancer surgery.

IF 2.7 3区医学 Q1 SURGERY

American journal of surgery Pub Date : 2025-05-15 DOI:10.1016/j.amjsurg.2025.116401

Leah J Beight, Jaime Pardo, Stephanie K Serres, Rene Flores, Evelyn Inga, Prabh R Pannu, Hiral Thakkar, Laura Martin Manfroi, Jessica Means, Tarbia Hamid, Samir Mitri, Ted A James

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引用次数: 0

Abstract

Introduction: The literature reports positive margin rates after breast conserving surgery (BCS) as high as 20-60 %, often necessitating re-excision, which may negatively influence patients. This study evaluates how re-excision affects quality-of-life and decision satisfaction.

Methods: Patients who underwent re-excision following BCS from January 2013 to December 2015 at a single institution were surveyed on physical, social, and emotional wellbeing, as well as satisfaction with their initial surgical decision. Descriptive statistics and the Wilcoxon Rank Sum Test were used for analysis.

Results: Among 106 patients, 51 (48.1 %) completed the survey. Quality of life declined in all categories following re-excision, with a significant reduction in emotional wellbeing (p = 0.006). Decision satisfaction to undergo partial mastectomy decreased from 76.5 % to 47.1 %, while dissatisfaction rose from 2 % to 11.8 %.

Conclusion: Re-excision was associated with decreased emotional wellbeing and increased decision dissatisfaction with breast conservation. These findings emphasize the need to optimize preoperative counseling and margin control during the primary surgery to enhance patient experience.

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乳腺癌手术再切除后的生活质量和决策满意度。

文献报道保乳手术（BCS）后的阳性切缘率高达20- 60%，往往需要再次切除，这可能对患者产生负面影响。本研究评估再切除如何影响生活质量和决策满意度。方法：对2013年1月至2015年12月在同一医院接受BCS后再次手术的患者进行身体、社会和情绪健康调查，以及对初次手术决定的满意度。采用描述性统计和Wilcoxon秩和检验进行分析。结果：106例患者中51例（48.1%）完成调查。再次切除后，所有类别的生活质量均下降，情绪健康显著下降（p = 0.006）。乳房部分切除术的决定满意度从76.5%下降到47.1%，而不满意度从2%上升到11.8%。结论：再次切除与情绪幸福感下降和对保乳决策不满增加有关。这些发现强调需要优化术前咨询和切缘控制在初级手术，以提高患者的经验。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American journal of surgery 医学-外科

CiteScore

5.00

自引率

6.70%

发文量

570

审稿时长

56 days

期刊介绍： The American Journal of Surgery® is a peer-reviewed journal designed for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. AJS is the official journal of 7 major surgical societies* and publishes their official papers as well as independently submitted clinical studies, editorials, reviews, brief reports, correspondence and book reviews.