Psychosocial outcomes of breast-conserving surgery versus mastectomy: A meta-analytic review

Journal/Book: Health Psychol. 1997; 16: 750 First St NE, Washington, DC 20002-4242. Amer Psychological Assoc. 284-298.

Abstract: Effective breast-conserving surgical techniques for early-stage disease were developed to improve breast cancer patients' quality of life. The literature comparing the psychosocial sequelae of these newer treatments with mastectomy is ambiguous and shows an unexpected lack of substantial benefits, To clarify these inconsistencies, meta-analytic methods were used to summarize the findings of 40 investigations, Mean weighted effect sizes were calculated for 6 psychosocial outcomes. Modest advantages for breast-conserving surgery were identified for psychological, marital-sexual, and social adjustment; body/self-image; and cancer-related fears and concerns. Method of assignment to treatment and timing of assessment were relevant ibr some outcomes.

Note: Review Moyer A, Univ Calif San Francisco, Ctr Social & Behav Sci, 1350 7TH Ave, CSBS-204, San Francisco,CA 94143 USA

Keyword(s): breast cancer; breast-conserving treatment; mastectomy; psychosocial issues; quality of life; MODIFIED RADICAL-MASTECTOMY; RANDOMIZED CLINICAL-TRIAL; QUALITY-OF-LIFE; BODY-IMAGE; CANCER-PATIENTS; PSYCHOLOGICAL MORBIDITY; FOLLOW-UP; SOCIAL SUPPORT; STAGE-II; 1ST YEAR

Zurück | Weiter