Psychological considerations in the surgical management of early breast cancer patients
Psychological considerations in the surgical management of early breast cancer patients
Surgical research undertaken over the past decade has shown that simple mastectomy and wide excision plus radiotherapy for early breast cancer are similar in terms of disease-free interval and five year survival. It has been suggested that patients with breast cancer should be more involved in the decisions made about treatment. There are, however, little published data which indicate psychological outcome following choice of surgery. In October 1985, a prospective study was commenced to identify the factors which influenced patients' choice of surgery, whether there were differences in pre and post-operative adjustment between those patients undergoing mastectomy and those undergoing wide excision plus radiotherapy, and the extent to which being offered a choice influenced this process. Data were also collected from patients' husbands, and two control groups of patients. The overall results indicated that the patients offered a choice of surgery, and their husbands, were less distressed following diagnosis and treatment than those patients, and their husbands, not offered a choice. There were negligible differences between patients who chose mastectomy, and those who chose wide excision plus radiotherapy. It is argued that offering patients a choice of surgery reduces the levels of distress commonly observed in this group of patients, and that patients with early breast cancer should be offered a choice of surgery wherever possible. The results also indicated that the adjustment process is enhanced in the husbands of patients with early breast cancer when patients are actively involved in the decision about surgery. A questionnaire survey of consultant surgeons in England was undertaken concurrently to establish the surgical approach to the management of early breast cancer patients in hospitals outside Southampton. The results showed that there was no definitve approach to the surgical management of early breast cancer. The implications of the results from both studies are discussed in the context of the proposed national breast cancer screening programme. (D82118)
University of Southampton
Morris, Jennifer Margaret
17c13d0d-4fb8-4510-a76f-b2a29365f19f
1987
Morris, Jennifer Margaret
17c13d0d-4fb8-4510-a76f-b2a29365f19f
Morris, Jennifer Margaret
(1987)
Psychological considerations in the surgical management of early breast cancer patients.
University of Southampton, Doctoral Thesis.
Record type:
Thesis
(Doctoral)
Abstract
Surgical research undertaken over the past decade has shown that simple mastectomy and wide excision plus radiotherapy for early breast cancer are similar in terms of disease-free interval and five year survival. It has been suggested that patients with breast cancer should be more involved in the decisions made about treatment. There are, however, little published data which indicate psychological outcome following choice of surgery. In October 1985, a prospective study was commenced to identify the factors which influenced patients' choice of surgery, whether there were differences in pre and post-operative adjustment between those patients undergoing mastectomy and those undergoing wide excision plus radiotherapy, and the extent to which being offered a choice influenced this process. Data were also collected from patients' husbands, and two control groups of patients. The overall results indicated that the patients offered a choice of surgery, and their husbands, were less distressed following diagnosis and treatment than those patients, and their husbands, not offered a choice. There were negligible differences between patients who chose mastectomy, and those who chose wide excision plus radiotherapy. It is argued that offering patients a choice of surgery reduces the levels of distress commonly observed in this group of patients, and that patients with early breast cancer should be offered a choice of surgery wherever possible. The results also indicated that the adjustment process is enhanced in the husbands of patients with early breast cancer when patients are actively involved in the decision about surgery. A questionnaire survey of consultant surgeons in England was undertaken concurrently to establish the surgical approach to the management of early breast cancer patients in hospitals outside Southampton. The results showed that there was no definitve approach to the surgical management of early breast cancer. The implications of the results from both studies are discussed in the context of the proposed national breast cancer screening programme. (D82118)
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Published date: 1987
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Local EPrints ID: 461770
URI: http://eprints.soton.ac.uk/id/eprint/461770
PURE UUID: e6c4245c-7d09-4006-aa8a-799927a59777
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Date deposited: 04 Jul 2022 18:54
Last modified: 23 Jul 2022 00:34
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Author:
Jennifer Margaret Morris
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