A systematic review of factors affecting quality of life after postmastectomy breast reconstruction in women with breast cancer.

Abstract:

OBJECTIVE:The aim of this study is to present a broader perspective of factors affecting the quality of life after postmastectomy breast reconstruction in women with breast cancer by considering these patients' self-reported outcomes. METHODS:The search was performed from 29 March to 19 April 2019, on the following databases: PsycInfo; Web of Science Core Collection, Current Contents Connect, Derwent Innovations Index, KCI-Korean Journal Database, Russian Science Citation Index, SciELO Citation Index, and MEDLINE. The studies were included if they identified factors affecting self-reported quality of life after breast reconstruction, in women with breast cancer. RESULTS:One hundred and twenty-two records were identified. After quality assessment, 44 studies were included for qualitative synthesis. This review comprised a total of 16 683 women who underwent breast reconstruction. The results identified a broad collection of 32 empirically based variables associated with several domains of quality of life. These variables were grouped into four categories: (a) surgical, (b) clinical, (c) psychosocial, and (d) sociodemographic variables. CONCLUSIONS:This systematic review goes beyond surgical factors of morbidity and uses patient-reported outcomes to scope wider issues that influence quality of life, such as psychosocial and sociodemographic variables. It sustains the need to adopt a more holistic approach and advises the consideration of preoperative psychosocial factors to better understand these patients' quality of life after breast reconstruction and to implement future preventive measures.

journal_name

Psychooncology

journal_title

Psycho-oncology

authors

Sousa H,Castro S,Abreu J,Pereira MG

doi

10.1002/pon.5206

subject

Has Abstract

pub_date

2019-11-01 00:00:00

pages

2107-2118

issue

11

eissn

1057-9249

issn

1099-1611

journal_volume

28

pub_type

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