Patient Satisfaction and Quality of Life After Mastectomy at King Abdulaziz Medical City, Jeddah.
| Title: | Patient Satisfaction and Quality of Life After Mastectomy at King Abdulaziz Medical City, Jeddah. |
|---|---|
| Authors: | Barkar MA; College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.; College of Medicine, King Abdullah International Medical Research Center, Jeddah, SAU.; Mikwar Z; Department of General Surgery, Department of Surgery, King Abdulaziz Medical City, Jeddah, SAU.; Khalid AA; College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.; College of Medicine, King Abdullah International Medical Research Center, Jeddah, SAU.; Mohammedamin AA; College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.; College of Medicine, King Abdullah International Medical Research Center, Jeddah, SAU.; Aloufi AH; College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.; College of Medicine, King Abdullah International Medical Research Center, Jeddah, SAU.; Abualhamail AA; College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.; College of Medicine, King Abdullah International Medical Research Center, Jeddah, SAU.; Alghashim HA; College of Medicine, King Abdullah International Medical Research Center, Jeddah, SAU.; College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU. |
| Source: | Cureus [Cureus] 2023 Dec 24; Vol. 15 (12), pp. e51029. Date of Electronic Publication: 2023 Dec 24 (Print Publication: 2023). |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: Cureus, Inc Country of Publication: United States NLM ID: 101596737 Publication Model: eCollection Cited Medium: Print ISSN: 2168-8184 (Print) Linking ISSN: 21688184 NLM ISO Abbreviation: Cureus Subsets: PubMed not MEDLINE |
| Imprint Name(s): | Original Publication: Palo Alto, CA : Cureus, Inc. |
| Abstract: | Background Overall well-being after surgical intervention is one of the most important aspects of assessing quality of life (QOL), yet it is not well explored in the literature. In this paper, it was necessary to involve the patient's perspective of the nature of their QOL. The burden of being diagnosed with breast cancer is an adaptation to a new lifestyle, having to deal with disease stigma, interpersonal relations problems, and being limited to specific clothing. This can be very challenging for patients. This study aims to identify which patient group, based on their treatment regimen, exhibits higher levels of satisfaction and dissatisfaction compared to other groups. Methods A retrospective, cross-sectional study analyzing the QOL among female breast cancer patients who underwent mastectomy, with or without breast reconstruction, in King Abdulaziz Medical City, Jeddah, between 2009 and 2022. Patients' demographics and phone numbers were obtained from each patient's medical record file in our hospital. Phone call-based interviews were conducted to contact patients to assess their QOL, satisfaction, and regrets after surgery. We excluded patients who do not speak Arabic, are illiterate, have memory disorders, patients who underwent lumpectomy or palliative mastectomy, patients with metastatic stage 4 cancer at the time of diagnosis, patients who are males, and patients who passed away. Results A total of 2,309 patients were screened during the period aforementioned; a total of 346 patients met our inclusion criteria. All of whom are female participants with a current mean age of 52.3 ± 11.5 years. There were 301 (86.99%) participants reported being satisfied, while only 45 (13.01%) participants reported being unsatisfied with surgery outcomes. Although the majority of participants were satisfied after mastectomy, many of them still struggled with psychological, social, and/or emotional challenges. These challenges can have a significant impact on a patient's overall well-being and QOL and must be addressed to provide patients with the highest quality of care possible. Conclusion The study findings highlight the significant impact of mastectomy on patients' lives. It is important to consider individual patient experiences and circumstances when evaluating treatment outcomes and patient satisfaction. We observed that patient satisfaction may vary depending on several factors, including patients' baseline satisfaction. Those factors may be psychological, such as body image issues, low self-esteem, the feeling of losing a body part, and fear of recurrence or metastasis. Other factors may be postoperative-related complications, including lymphedema, redundant skin, chronic pain, and operation scar. Additionally, factors may be socially related, such as loss of confidence, social withdrawal, embarrassment, inability to buy prostheses, being limited to specific clothes, and occupational impact.; (Copyright © 2023, Barkar et al.) |
| Competing Interests: | The authors have declared that no competing interests exist. |
| References: | Psychooncology. 2018 Nov;27(11):2546-2558. (PMID: 29744965); Am J Health Syst Pharm. 2005 Oct 1;62(19):2019-25. (PMID: 16174838); Sci Rep. 2022 Aug 11;12(1):13682. (PMID: 35953505); Ann Surg Oncol. 2018 Oct;25(10):2917-2924. (PMID: 30014456); Lancet Oncol. 2009 Sep;10(9):865-71. (PMID: 19695956); Br J Surg. 2017 Aug;104(9):1197-1206. (PMID: 28401542); World J Surg. 2018 Jul;42(7):2076-2085. (PMID: 29426972); Iran Red Crescent Med J. 2016 Aug 10;18(10):e39465. (PMID: 28184329); Breast Cancer Res Treat. 2014 Feb;144(1):71-7. (PMID: 24500108); Eur J Oncol Nurs. 2012 Sep;16(4):439-43. (PMID: 22036771); Int J Qual Stud Health Well-being. 2021 Dec;16(1):1917880. (PMID: 34240677); Br J Gen Pract. 2013 Jan;63(606):e76-84. (PMID: 23336477); J R Soc Med. 2007 Feb;100(2):97-100. (PMID: 17277283); Eplasty. 2009 Jun 02;9:e18. (PMID: 19572009); Ann Plast Surg. 2016 Jun;76(6):640-4. (PMID: 25003439); JBI Database System Rev Implement Rep. 2015 Jan;13(1):112-21. (PMID: 26447012); Postgrad Med J. 2014 Apr;90(1062):222-7; quiz 226. (PMID: 24572639); J Clin Nurs. 2018 Jan;27(1-2):22-30. (PMID: 28231630); Public Health. 2016 Jul;136:117-25. (PMID: 27085319); Psychooncology. 2003 Jul-Aug;12(5):428-41. (PMID: 12833556); G Chir. 2015 Jul-Aug;36(4):145-52. (PMID: 26712068); Psychooncology. 2021 Feb;30(2):147-158. (PMID: 34602807); Breast Cancer Res Treat. 2013 Oct;141(3):421-7. (PMID: 24062210); Br J Surg. 2021 Sep 27;108(9):1034-1042. (PMID: 34476472); BMJ Open. 2018 Jan 11;8(1):e019189. (PMID: 29326193); CA Cancer J Clin. 2019 Nov;69(6):438-451. (PMID: 31577379); BMC Cancer. 2021 Aug 5;21(1):895. (PMID: 34353286); Br J Radiol. 2022 Feb 1;95(1130):20211033. (PMID: 34905391); AIMS Public Health. 2020 Sep 11;7(3):679-696. (PMID: 32968686); Psychol Res Behav Manag. 2019 Aug 20;12:691-700. (PMID: 31693712); J Natl Cancer Inst. 2018 Dec 1;110(12):1311-1327. (PMID: 30403799); Indian J Surg Oncol. 2015 Dec;6(4):374-7. (PMID: 27065664) |
| Contributed Indexing: | Keywords: breast cancer; mastectomy; patients satisfaction; quality of life; saudi arabia |
| Entry Date(s): | Date Created: 20231227 Latest Revision: 20231228 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC10750441 |
| DOI: | 10.7759/cureus.51029 |
| PMID: | 38149063 |
| Database: | MEDLINE |
Journal Article