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Title: Determinants of satisfaction with cosmetic outcome in breast cancer survivors: A cross-sectional study
Authors: Ho P.J. 
Hartman M. 
Young-Afat D.A.
Gernaat S.A.M.
Lee S.C.
Verkooijen H.M.
Keywords: adult
advanced cancer
breast cancer
breast reconstruction
cancer risk
cancer survivor
controlled study
cross-sectional study
Hospital Anxiety and Depression Scale
major clinical study
Malay (people)
partial mastectomy
patient satisfaction
patient-reported outcome
population research
quality of life
scoring system
Southeast Asian
Asian continental ancestry group
breast tumor
middle aged
quality of life
Asian Continental Ancestry Group
Breast Neoplasms
Cancer Survivors
Middle Aged
Patient Satisfaction
Quality of Life
Surveys and Questionnaires
Issue Date: 2018
Publisher: Public Library of Science
Citation: Ho P.J., Hartman M., Young-Afat D.A., Gernaat S.A.M., Lee S.C., Verkooijen H.M. (2018). Determinants of satisfaction with cosmetic outcome in breast cancer survivors: A cross-sectional study. PLoS ONE 13 (2) : e0193099. ScholarBank@NUS Repository.
Abstract: Little research has been done into cosmetic outcomes in non-Western breast cancer populations. We aimed to study the prevalence and determinants of dissatisfaction with cosmetic outcome after breast cancer surgery of Asian breast cancer survivors, and its association with patient-reported anxiety, depression, and quality of life. In a hospital-based cross-sectional study, 384 breast cancer survivors of at least 12 months after diagnosis completed questionnaires on satisfaction with cosmetic appearance, quality of life (EORTC-QLQ-C30) and anxiety and depression (HADS). Cumulative logit models were used to examine the adjusted association between dissatisfaction with cosmetic appearance and demographic and clinical characteristics. Kruskal-Wallis test was used to test for associations between dissatisfaction with cosmetic appearance and patient-reported outcomes. Overall, 20% of women reported to be (very) dissatisfied with cosmetic appearance. Survivors of Chinese ethnicity were more likely dissatisfied with cosmetic appearance compared to Malay survivors (22% and 14% respectively, adjusted OR = 2.4, 95%CI: 1.4–3.9). Women with DCIS (adjusted OR = 2.2, 95%CI: 1.3–3.7) or advanced stage disease (adjusted OR = 2.2, 95% CI: 1.2–3.9) had a higher risk of being dissatisfied with their cosmetic appearance. Women treated with mastectomy were at a higher risk of dissatisfaction with cosmetic appearance (adjusted OR = 1.7, 95%CI: 1.1–2.5). Dissatisfaction with cosmetic appearance was associated with increased depression scores. In this South-East Asian population, one in five breast cancer patients were (very) dissatisfied with the cosmetic outcome of treatment. Chinese women, women with larger tumors and women treated with mastectomy were most likely to report dissatisfaction with cosmetic appearance. © 2018 Ho et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Source Title: PLoS ONE
ISSN: 19326203
DOI: 10.1371/journal.pone.0193099
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