A Systematic Review of Factors Affecting Quality of Life After Post-Mastectomy Breast Reconstruction in Women with Breast Cancer
A partir d'une revue systématique de la littérature publiée entre mars et avril 2019 (44 études, 16 683 patientes), cette identifie les facteurs associés à la qualité de vie chez des patientes ayant reçu une reconstruction mammaire après une mastectomie
Objective : The aim of this study is to present a broader perspective of factors affecting the quality of life after post-mastectomy breast reconstruction in women with breast cancer by considering these patients’ self-reported outcomes. Methods : The search was performed from March 29 to April 19, 2019, on the following databases: PsycInfo; Web of Science Core Collection, Current Contents Connect, Derwent Innovations Index, KCI-Korean Journal Database, Russian Science Citation Index, SciELO Citation Index, and MEDLINE. The studies were included if they identified factors affecting self-reported quality of life after reconstruction, in women with breast cancer. Results : One hundred and twenty-two records were identified. After quality assessment, 44 studies were included for qualitative synthesis. This review comprised a total of 16.683 women who underwent breast reconstruction. The results identified a broad collection of 32 empirically-based variables associated with several domains of quality of life. These variables were grouped into four categories: (i) surgical (ii) clinical, (iii) psychosocial, and (iv) sociodemographic variables. Conclusions : This systematic review goes beyond surgical factors of morbidity and uses patient-reported outcomes to scope wider issues that influence quality of life, such as psychosocial and sociodemographic variables. It sustains the need to adopt a more holistic approach and advises the consideration of preoperative psychosocial factors to better understand these patients’ quality of life after breast reconstruction and to implement future preventive measures.
Psycho-Oncology 2019