Comparison of breast cancer surgery cases in urban and rural areas: Clinical factors and patient-reported outcomes.

IF 3.1 4区医学 Q3 ONCOLOGY

Tumori Pub Date : 2025-09-29 DOI:10.1177/03008916251378266

Kosho Yamanouchi, Chika Sakimura, Ken Taniguchi, Yukio Kamohara

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引用次数: 0

Abstract

Objective: This study aimed to evaluate regional disparities in surgical approaches and patient-reported outcomes (PROs) among early breast cancer patients in urban and rural areas of Nagasaki Prefecture, Japan.

Methods: We retrospectively analyzed clinicopathological data from 1032 patients (urban: 818; rural: 214) who underwent breast cancer surgery between 2014 and 2021. PROs were assessed using the BREAST-Q survey conducted from October 2022 to June 2024 among patients; a total of 76 patients (urban n = 40; rural n = 36) completed the questionnaire.

Results: Total mastectomy was significantly more frequent in rural facilities (66.8%) than in urban ones (49.9%). Importantly, patients undergoing breast‑conserving surgery (BCS), regardless of geographic location, reported significantly better quality‑of‑life outcomes (higher satisfaction with body image, psychological well‑being, and sexual well‑being).

Conclusion: Geographic disparities in access to specialized surgeons and radiotherapy infrastructure may influence surgical strategies, which in turn impact PROs. These results underscore the need to address logistical barriers, surgeon availability, and rural healthcare infrastructure to ensure equitable access to BCS and improve PROs and overall quality of life.

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城市和农村乳腺癌手术病例的比较：临床因素和患者报告的结果。

目的：本研究旨在评估日本长崎县城市和农村早期乳腺癌患者手术入路和患者报告预后（PROs）的地区差异。方法：回顾性分析2014年至2021年间接受乳腺癌手术的1032例患者的临床病理资料（城市：818例，农村：214例）。采用2022年10月至2024年6月在患者中进行的BREAST-Q调查评估赞成度；共76例患者（城镇40例，农村36例）完成问卷调查。结果：农村地区全乳切除术的发生率（66.8%）明显高于城市地区（49.9%）。重要的是，接受保乳手术（BCS）的患者，无论地理位置如何，都报告了明显更好的生活质量结果（对身体形象、心理健康和性健康的满意度更高）。结论：专科外科医生和放疗基础设施的地理差异可能影响手术策略，进而影响PROs。这些结果强调需要解决后勤障碍、外科医生的可用性和农村医疗保健基础设施问题，以确保公平获得BCS，并改善PROs和整体生活质量。

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

Tumori 医学-肿瘤学

CiteScore

3.50

自引率

0.00%

发文量

审稿时长

6 months

期刊介绍： Tumori Journal covers all aspects of cancer science and clinical practice with a strong focus on prevention, translational medicine and clinically relevant reports. We invite the publication of randomized trials and reports on large, consecutive patient series that investigate the real impact of new techniques, drugs and devices inday-to-day clinical practice.