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In the last decades, there have been no studies carried out in Looking for fwb in Vilnius on the quality of life of breast cancer patients. The aim of the present study was to evaluate changes in the quality Married for same also bbw in Finland life of Lithuanian women with the early stage of breast cancer nine months after surgery and its dependence on surgical strategy, adjuvant chemotherapy and the social and demographic status of the patients.
The main age of the patients was The groups were identical in their social and demographic status age, education, occupation and marital status. Changes in the quality of life in these groups were compared nine months after surgery. Nine months after surgery, the overall quality of life was found worse in both mastectomy and BCT groups. Changes were induced by the worsening of the emotional and social well-being. The quality of life became worse Looking for fwb in Vilnius the mastectomy plus chemotherapy sample.
No changes were detected in the mastectomy group without chemotherapy. In addition, the multivariate analysis showed that the marital status was quite a significant determinant of the functional well-being. Nine months after surgery, the study revealed a worsening of the overall quality of Looking for fwb in Vilnius in both groups of patients — those who had undergone mastectomy and BCT. The quality of life became considerably Looking for fwb in Vilnius in the mastectomy plus chemotherapy group.
Marital status was found to exert the most considerable influence on the women's quality of life in comparison with other social and demographic factors. Numerous studies on the quality of life of breast cancer patients, carried out in the last decades, presented rather scarce data on the psychosocial aspects of the transitional period between the primary treatment and survival [ 1 ].
The first year is most stressful because of the adaptation to the impact of the diagnosis, treatment and anxiety caused by the follow-up visits and tests [ 2 ]. A review of the literature [ 3 ] has shown that Looking for fwb in Vilnius women's psychological vulnerability and adaptation after mastectomy and breast conserving treatment BCT differ insignificantly, except the body image, which is better after BCT.
A later 5-year prospective study [ 4 ] has shown that although some quality of life domains became better after BCT than after mastectomy, Looking for fwb in Vilnius was a direct relation to the patients' age and other sociodemographic factors.
Studies have pointed out the importance of chemotherapy for the quality of life after the surgical treatment of breast cancer [ 15 ]. Chemotherapy in breast cancer 0-II stages lowered the quality of life scores overall across the four dimensions with a Looking for fwb in Vilnius greater impact on women with lower level of education [ Sexy mature women in Anuradhapura ].
Nausea and vomiting are common side effects of adjuvant chemotherapy. Additional troublesome effects are hair loss, weight gain and concentration problems. A disruptive effect of chemotherapy on younger Looking for fwb in Vilnius is premature menopause. One more distressing symptom that can last particularly long after the treatment is fatigue [ 6 ]. The aim of our study was to evaluate changes in the quality of life of Lithuanian women with the early stage of breast cancer nine months following surgery and its dependence on the surgical strategy, adjuvant chemotherapy, social and demographic status.
This study is part of an extended prospective longitudinal study on the early stage breast cancer patients. All women signed an informed consent form approved by the Lithuanian Bioethics Committee. Data on the patients' diagnosis, treatment and age were taken from the patients' records. On-treatment assessment was necessary to compare the results [ 8 ]. FACT-An was sent to the patients by mail nine months later. The patients who did not send written answers were contacted by phone to find out the reasons.
The most frequent explanation was: Only a few were traced to have changed their address or phone number. Seventy-seven patients who completed the questionnaires twice were included into the study. Each domain comprises six to seven questions scored by the use of a Likert-type scale ranging from 0 Horny asian in Hong Kong at all to 4 very much. The FACT-An includes 13 items that attempt to identify the intensity of fatigue experienced during the 7-day period before the questionnaire administration, plus seven additional items 20 in total pertaining to symptoms associated with anemic processes [ 7 ].
All scales are scored so that a higher score shows the better Looking for fwb in Vilnius of life. The patients were divided into groups according to their treatment and sociodemographic characteristics.
Changes in the quality of life in different groups nine months following surgery were compared. The t-test for dependent samples Looking for fwb in Vilnius used to compare the main score values for the QOL domains.
Multivariate analysis was performed to identify predictors for a poor QOL during the follow up. The mean age of patients was The social Slut in Evora SWB scores showed a decrease in the mastectomy group, and the social well-being and emotional well-being EWB scores became lower in the BCT group. In the mastectomy group without Adult chat no registration male fuck buddy, the QOL scores remained the same as one week after surgery.
These findings indicate a worsening of QOL, as a result of the worsening in the emotional and social well-being domains. The respondents' marital status had no significant influence on their participation in the second interview. Some specific study limitations were the lack of data about QOL of those who Looking for fwb in Vilnius not respond to the questionnaires. Besides, the patients answered the questionnaires for the first time in the hospital and the second time at home, and this might have influenced their answers.
The second limitation of the study was a small number of patients, who were divided into four groups: This might have reduced the possibility of generalizing the results. The worsening was caused mostly by the lowered social well-being scores in both groups and the lower emotional well-being in the BCT group. No significant changes were detected in the patients' physical well-being nine months after surgery.
Although some authors pointed out that the social and emotional well-being shows no rapid or dramatical changes over time or in response to physical health interventions [ 11 ], in our study the social and emotional well-being subscales were rather sensitive to reflect changes in the patients' quality of life after surgery and chemotherapy.
One of the possible reasons for the QOL worsening the social domain nine months after surgery might be the changed role of the women in their family after the illness or treatment.
These data on the QOL of Lithuanian women with early stage breast cancer differed from the findings of other researchers [ 45 ]. The declining Looking for fwb in Vilnius of life in the BCT group in the emotional and social domains confirmed the suggestion that women treated with breast conservation often perceive themselves as receiving less emotional support than those who underwent mastectomy [ 36 ].
The high quality life in the group of the mastectomy without chemotherapy showed the high adaptation possibilities of these patients. The overall quality of life declined nine months after surgery in both groups of patients — those after mastectomy and after BCT: No change in the quality of life was found among the patients after mastectomy without chemotherapy: Marital status, more than the other Looking for fwb in Vilnius and demographic factors, has been found to influence changes in the quality of life of Lithuanian women nine months after surgery.
GB designed the study, participated in data collection and statistical analysis and drafted the manuscript. JV coordinated the study and provided a critical review of the manuscript. VO participated in the design and coordination of the study and contributed to the intellectual content of the manuscript. All the authors have read and approved the final version of the manuscript. Special thanks belong Looking for fwb in Vilnius R.
Jonusauskaite for processing the data. National Center for Biotechnology InformationU. Published online Jun Author information Article notes Copyright and License information Disclaimer. Received Jun 20; Accepted Jun This article has been cited by other articles in PMC. Abstract Background In the last decades, there have been no studies carried out in Lithuania on the quality of life of breast cancer patients.
Results Nine months after surgery, the overall quality of life was found worse in both mastectomy and BCT groups.
Conclusion Nine months after surgery, the study revealed a worsening of the overall quality of life in both groups of patients — those who had undergone mastectomy and BCT.
Background Numerous studies on the quality of life of breast cancer patients, carried out in the last decades, presented rather scarce data on the psychosocial aspects of the transitional period between the primary treatment and survival [ 1 ]. Methods This study is part of an extended prospective longitudinal study on the Looking for fwb in Vilnius stage breast cancer patients.
Results The mean age of patients was Woman seeking sex in Kyoto Table 1 Clinical and demographic characteristics of patients. Open in a separate window. Table 2 FACT scores that significantly changed over time. Table 3 Results of multivariate regressive analysis p values.
Discussion Some specific study limitations were the lack of data about QOL of those who did not respond to the questionnaires. Competing interests The author s declare that they have no competing interests. Authors' contributions GB designed the study, participated in data collection and statistical analysis and drafted the manuscript. Pre-publication history The pre-publication history for this paper can be accessed here: Acknowledgements Special thanks belong to R.
Quality of life at the end of primary treatment of breast cancer: J Natl Cancer Inst. Chemotherapy, hormonal therapy and immunotherapy. Oxford University Press; Psychosocial impact of breast cancer: Quality of life following breast-conserving therapy or mastectomy: Population-based study of the relationship of treatment and sociodemographics on quality of life for early stage breast cancer.
Validity of cancer-related fatigue instruments. Assessing quality of life in research and clinical practice. Methods to explain the clinical significance of health status measures. Interpretation of quality of life changes. Health Qual Life Outcomes.
Meaningful change in cancer-specific quality of life scores: Differences between improvement and worsening.
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