scholarly journals Associations between Reoperations and Psychological Factors after Contralateral Risk-Reducing Mastectomy: A Two-Year Follow-Up Study

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Dmytro Unukovych ◽  
Marie Wickman ◽  
Kerstin Sandelin ◽  
Brita Arver ◽  
Hemming Johansson ◽  
...  
Keyword(s):  
Body Image ◽  
Breast Reconstruction ◽  
Depression Scale ◽  
The Body ◽  
Body Image Scale ◽  
Related Quality ◽  
Health Related ◽  
Risk Reducing ◽  
Image Problems

Introduction. The aim of the study was to investigate associations between reoperations after contralateral risk-reducing mastectomies (CRRM) and emotional problems, body image, sexuality, and health related quality of life (HRQoL) in women with breast cancer and hereditary high risk.Patients and Methods. Patients scheduled for CRRM with breast reconstruction between 1998 and 2010 completed questionnaires, comprised of SF-36, the Hospital Anxiety and Depression Scale, the Body Image Scale, and the Sexual Activity Questionnaire, preoperatively and two years after CRRM. Data on reoperations was collected from medical charts.Results. A total of 80 women participated, with a response rate of 61 (76%) preoperatively and 57 (71%) at the two-year follow-up. At the two-year assessment, 44 (55%) patients had undergone ≥1 reoperation (reoperation group), whereas 36 (45%) had not (no reoperation group). No statistically significant differences between the groups were found for HRQoL, sexuality, anxiety, or depression. A higher proportion of patients in the “reoperation group” reported being dissatisfied with their bodies (81% versus 48%,p=0.01).Conclusion. The results suggest associations between reoperation following CRRM with breast reconstruction and body image problems. Special attention should be paid to body image problems among women who are subject to reoperations after CRRM.

scholarly journals Body image problems in women with and without breast cancer 6–20 years after bilateral risk-reducing surgery – A prospective follow-up study

The Breast ◽  
2019 ◽  
Vol 44 ◽  
pp. 120-127 ◽  
Author(s):  
Lucy Bai ◽  
Brita Arver ◽  
Hemming Johansson ◽  
Kerstin Sandelin ◽  
Marie Wickman ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Body Image ◽  
Follow Up Study ◽  
Risk Reducing ◽  
Image Problems

scholarly journals Partners’ perceptions of women’s body image problems and satisfaction of breast reconstruction long-term after risk-reducing mastectomy

2018 ◽  
Vol 29 ◽  
pp. viii557-viii558 ◽  
Author(s):  
L. Bai ◽  
B. Arver ◽  
H. Johansson ◽  
M. Wickman ◽  
K. Sandelin ◽  
...  
Keyword(s):  
Body Image ◽  
Breast Reconstruction ◽  
Women's Body Image ◽  
Risk Reducing ◽  
Image Problems

Prognostic impact of self-reported health on clinical outcomes in patients with heart failure

2020 ◽  
Author(s):  
Anne Ankerstjerne Rasmussen ◽  
Signe Holm Larsen ◽  
Martin Jensen ◽  
Selina Kikkenborg Berg ◽  
Trine Bernholdt Rasmussen ◽  
...  
Keyword(s):  
Heart Failure ◽  
Depression Scale ◽  
Anxiety And Depression ◽  
Prognostic Impact ◽  
Depression Subscale ◽  
Continuous Scale ◽  
Patient Reported ◽  
Related Quality ◽  
Health Related

Abstract Aims An in-depth understanding of the prognostic value of patient-reported outcomes (PRO) is essential to facilitate person-centred care in heart failure (HF). This study aimed to clarify the prognostic role of subjective mental and physical health status in patients with HF. Methods and results Patients with HF were identified from the DenHeart Survey (n = 1499) and PRO data were obtained at hospital discharge, including the EuroQol five-dimensional questionnaire (EQ-5D), the HeartQoL, and the Hospital Anxiety and Depression Scale (HADS). Clinical baseline data were obtained from medical records and linked to nationwide registries with patient-level data on sociodemographics and healthcare contacts. Outcomes were all-cause and cardiovascular (CV) mortality, CV events, and HF hospitalization with 1- and 3-year follow-up. Analysing the PRO data on a continuous scale, a worse score in the following were associated with risk of all-cause and CV mortality after 1 year: the HeartQoL (adjusted hazard ratios (HRs) 1.91, 95% confidence interval (CI) 1.42–2.57 and 2.17, 95% CI 1.50–3.15, respectively), the EQ-5D (adjusted HRs 1.26, 95% CI 1.15–1.38 and 1.27, 95% CI 1.13–1.42, respectively), the HADS depression subscale (adjusted HRs 1.12, 95% CI 1.07–1.17 and 1.11, 95% CI 1.05–1.17, respectively), and the HADS anxiety subscale (adjusted HRs 1.08, 95% CI 1.03–1.13 and 1.09, 95% CI 1.04–1.15, respectively). Three-year results were overall in concordance with the 1-year results. A similar pattern was also observed for non-fatal outcomes. Conclusion Health-related quality of life and symptoms of anxiety and depression at discharge were associated with all-cause and CV mortality at 1- and 3-year follow-up.

scholarly journals Health-related quality of life after pelvic organ prolapse surgery in Ethiopia: A 6 month follow-up study

2020 ◽  
Author(s):  
Tadesse Belayneh ◽  
Abebaw Gebeyehu ◽  
Mulat Adefris ◽  
Guri Rortveit ◽  
Janne Lillelid Gjerde ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Body Image ◽  
Surgical Treatment ◽  
Pelvic Organ Prolapse ◽  
Pelvic Organ ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

Abstract Background Pelvic organ prolapse (POP) affects health-related quality of life (HRQoL). Patient-reported outcomes (PRO) measures the quality of care from the patient’s perspective. PROs are an important measure of surgical outcome and used to calculate health gains after surgical treatment. We assessed HRQoL in women undergoing surgical repair of POP. Methods Two hundred fifteen women with stage III or IV prolapse underwent surgical POP repair between February 2018 and May 2019. Pelvic Organ Prolapse Quality of Life (P-QoL-20) was administered at baseline, 3 and 6 months postoperatively to assess HRQoL. Depressive symptoms and body image also evaluated. Linear mixed-effect models were used to compare pre and postoperative HRQoL scores and investigate potential predictors. Results Participant’s mean age was 49.3 ± 9.4 years. Most (81.9%) had stage III prolapse and underwent a vaginal hysterectomy, although 40% preferred uterine preservation. No differences were seen between women follow-up and those lost to follow-up in HRQoL (p > 0.05). The P-QoL, depressive symptoms, and body image were improved 6 months post-operatively. The change in P-QoL significantly associated with body image scores. The type of surgery did not show a significant difference. Being married showed an improvement in the personal relationship subscale score (β = 5.8, p < 0.01). Conclusions Our results indicated a potential improvement of HRQoL after surgical treatment. The result could be useful for patient counseling on the expected HRQoL outcomes of surgical treatment. Surgical service should be accessible for women suffering from POP to improve HRQoL.

scholarly journals Pseudomonas aeruginosaisolation in patients with non-cystic fibrosis bronchiectasis: a retrospective study

BMJ Open ◽  
2018 ◽  
Vol 8 (3) ◽  
pp. e014613 ◽  
Author(s):  
Hong Wang ◽  
Xiao-Bin Ji ◽  
Bei Mao ◽  
Cheng-Wei Li ◽  
Hai-Wen Lu ◽  
...  
Keyword(s):  
Clinical Symptoms ◽  
Depression Scale ◽  
Prognostic Indicator ◽  
Chinese Adult ◽  
Leicester Cough Questionnaire ◽  
Related Quality ◽  
Significant Prognostic Indicator ◽  
Health Related ◽  
Lost To Follow Up

ObjectivesPseudomonas aeruginosa (P. aeruginosa)occupies an important niche in the pathogenic microbiome of bronchiectasis. The objective of this study is to evaluate the clinical characteristics and prognostic value ofP. aeruginosain Chinese adult patients with bronchiectasis.MethodsThis retrospective and follow-up study enrolled 1188 patients diagnosed with bronchiectasis at Shanghai Pulmonary Hospital between January 2011 and December 2012. The patients’ clinical data including anthropometry, clinical symptoms, serum biomarkers, radiographic manifestations and lung function indices were reviewed. The median follow-up duration (IQR) was 44 (40-54) months, during which 289 patients were lost to follow-up. Data from 899 patients were collected and analysed for the outcomes of mortality, annual exacerbation frequency and health-related quality of life.ResultsP. aeruginosawas isolated from 232 patients, alongside other pathogens such asAspergillus(n=75) andCandida albicans(n=72). There were 74 deaths (12% of patients withP. aeruginosa, 7.3% of those without) over the course of the follow-up. The isolation ofP. aeruginosawas a risk factor for all-cause mortality (HR, 3.07; 95% CI 1.32 to 7.15) and was associated with high rates of exacerbations (ie, ≥3 exacerbations per year of follow-up) (HR, 2.40; 95% CI 1.20 to 4.79). Patients withP. aeruginosaalso had worse scores on the Hospital Anxiety and Depression Scale (anxiety, p=0.005; depression, p<0.001), the Leicester Cough Questionnaire (p=0.033) and the modified Medical Research Council scale (p=0.001) compared with those withoutP. aeruginosa.ConclusionsIsolation ofP. aeruginosain patients with bronchiectasis is a significant prognostic indicator and should be a major factor in the clinical management of the disease.

scholarly journals Breast Reconstruction–Prospective Follow up on Breast Cancer Patients’ Health-Related Quality of Life

2022 ◽  
Author(s):  
Mervi Rautalin ◽  
Tiina Jahkola ◽  
Risto P. Roine
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Breast Reconstruction ◽  
Health Related Quality ◽  
Breast Cancer Patients ◽  
Reconstruction Methods ◽  
Related Quality ◽  
Health Related

Abstract Background Analysing the results of breast reconstruction is important both in terms of oncological safety and health-related quality of life (HRQoL). Immediate breast reconstruction (IBR) is thought to be prone to complications and heavy for patients with no time to adapt to having cancer. Delayed reconstruction (DR) is an option after primary surgery and oncological treatments, but requires patients to go through two recovery periods after surgery. Methods A prospective study of 1065 breast cancer patients with repeated measurement of HRQoL with both generic (15D) and disease specific (EORTC QLQ C-30 BR23) measuring tools included 51 IBR patients and 41 DR patients. These patients’ HRQoL and reconstruction methods were studied in more detail alongside with clinical data to determine HRQoL levels for patients with IBR and those with mastectomy and DR during a 24-month follow-up. Measuring points were baseline, 3, 6, 12 and 24 months. Results Most frequent techniques used were abdominal flaps (IBR n = 16, DR n = 14), latissimus dorsi flaps (LD) (IBR n = 19, DR n = 10), implants (IBR n = 12) and fat grafting (DR n = 6). Smaller groups were excluded from group comparisons. Approximately one third of the patients encountered complications. Symptom scores did not differ between reconstruction methods. DR patients had better overall HRQoL at 12 months, but at 24 months the situation had changed in favour of IBR. Both approaches of reconstructive surgery produced good HRQoL with no significant differences between the approaches studied.

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