title: Quality of life among women treated for breast cancer: a survey of three procedures in Mexico.
abstract: BACKGROUND
  This study aimed to determine the quality of life among patients treated with one of three different types of surgery for breast cancer.
  
  
  METHODS
  This cross-sectional study used a questionnaire survey completed by Mexican patients without active disease 1 year after breast cancer surgery.
  
  
  RESULTS
  The 139 patients enrolled in the study included 44 (31.6 %) who had undergone mastectomy with reconstruction, 41 (29.5 %) who had undergone a quadrantectomy, and 54 (38.9 %) who had undergone radical mastectomy without reconstruction. The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire, core version 30 (EORTC QLQ-C30) and EORTC Breast Quality-of-Life Questionnaire (QLQ-BR23) questionnaires were used. These instruments had a reliability greater than 0.82. Global health status (94.30 ± 12.04; p = 0.028) and role functioning (85.16 ± 17.23; p = 0.138) were highest in the quadrantectomy group. The pain score was highest in the group that had received mastectomy with reconstruction (26.13 ± 30.15; p = 0.042). The breast symptom score (22.56 ± 22.30; p = 0.009) and body image perception (85.56 ± 19.72; p = 0.025) were highest in the group that had conservative treatment. The overall health of the patients who had undergone mastectomy without reconstruction was lower (72.61 ± 20.89; p = 0.014) among the women older than 50 years than among the younger women.
  
  
  CONCLUSIONS
  The quadrantectomy procedure had better acceptance, but the overall health status did not differ between the groups. The overall health status was lower among the women older than 50 years who had received a mastectomy without reconstruction.
authors.affiliation: ONKOS Oncology Unit, Guadalajara, Jalisco, Mexico.
authors.forename: Ana Olivia
authors.initials: AO
authors.lastname: Cortés-Flores
authors.forename: Gilberto
authors.initials: G
authors.lastname: Morgan-Villela
authors.forename: Carlos José
authors.initials: CJ
authors.lastname: Zuloaga-Fernández del Valle
authors.forename: Jorge
authors.initials: J
authors.lastname: Jiménez-Tornero
authors.forename: Ernesto
authors.initials: E
authors.lastname: Juárez-Uzeta
authors.forename: Diana Paola
authors.initials: DP
authors.lastname: Urias-Valdez
authors.forename: Luis-Alberto
authors.initials: LA
authors.lastname: Garcia-González
authors.forename: Clotilde
authors.initials: C
authors.lastname: Fuentes-Orozco
authors.forename: Mariana
authors.initials: M
authors.lastname: Chávez-Tostado
authors.forename: Michel Dassaejv
authors.initials: MD
authors.lastname: Macías-Amezcua
authors.forename: Jesus
authors.initials: J
authors.lastname: Garcia-Renteria
authors.forename: Alejandro
authors.initials: A
authors.lastname: González-Ojeda
mesh_terms: D001943:Breast Neoplasms; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D016462:Mammaplasty; D008408:Mastectomy / Q000379:methods; D017060:Patient Satisfaction; D011788:Quality of Life; D011795:Surveys and Questionnaires