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Effect of Mass Screening for Breast Cancer from the Aspect of Psychosocial Assessment of the Quality of Life |
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| Authors: | Takao Yokoe Tsunehiro Ishida Suketami Tominaga Tetsuo Kuroishi Tadaoki Morimoto Hideya Tashiro Sueyoshi Itoh Rikiya Abe Jun Ota Toshio Horino Tetsuo Taguchi Kazuyoshi Honda Michizou Sasakawa Yoshitomo Kashiki Satoru Yamamoto Kohji Enomoto Masami Ogita Koichi Yoshida Choichiro Kido Mamoru Fukuda Hiromu Watanabe Masaru Izuo |
| Affiliation: | Second Department of Surgery, Gunma University School of Medicine, 3–39–15 Showa-machi, Maebashi 371;Division of Epidemiology, Aichi Cancer Center Research Institute, 1–1 Kanokoden, Chikusa-ku, Nagoya 464;School of Medical Sciences, The University of Tokushima, 3–8–15 Kuramoto-cho, Tokushima 770;Department of Breast Surgery, National Kyushu Cancer Center Hospital, 595 Notame, Minami-ku, Fukuoka 815;Itoh Surgery Clinic, 12–13 Fudaba, Kochi 780;Department of Surgery, Fukushima Medical College, 1 Hikarigaoka, Fukushima 960–12;Department of Oncoiogic Surgery, The Research Institute for Microbial Diseases, Osaka University, 3–1 Yamadagaoka, Suita 565;Department of Diagnostic Imaging, Surgery, Tochigi Cancer Center, 4–9–12 Younan, Utsunomiya 320;Department of Surgery, Gifu Koseiren Gihoku Hospital, 1187–3 Takatomi-cho, Yamagata-gun, Gifu 501–21;Department of Surgery, Keio University School of Medicine, 35 Shinano-machi, Shinjuku-ku, Tokyo 160;Department of Surgery, National Sapporo Hospital, 4–2–3–54 Kikusui, Shiraishi-ku, Sapporo 062;Department of Surgery, Miyagi Seijinbyo Center, Shiote, Medeshima, Natori 981–12;Department of Diagnostic Radiology, Aichi Cancer Center Hospital, 1–1 Kanokoden, Chikisa-ku, Nagoya 464;First Department of Surgery, St. Marianna University School of Medicine, 2–16–1 Sugou, Miyamae-ku, Kawasaki 213;Department of Endocrine Surgery, Tokyo Woman's Medical College, 8–1 Kawada-cho, Shinjuku-ku, Tokyo 162 |
| Abstract: | To assess the quality of life (QOL) in patients with breast cancer receiving mass screening, a collaborative matched case-control study was conducted in nine hospitals throughout Japan. A total of 122 patients detected by mass screening (study group) and 226 patients found in out-patient clinics (control group) were assessed psychosocially on the basis of questionnaire information. The incidence of patients with early stage breast cancer was significantly higher in the study group than in the control group ( P <0.05). Chest wall pain was observed in 35.2% of the study group and in 46.5% of the control group ( P <0.05). Although control patients were more optimistic than study group patients, disturbed daily life and anxiety about recurrence were a little more frequent in the former group than in the latter. In particular, shoulder stiffness was frequently seen in the control group ( P <0.05). Early detection and information do not create anxiety in mass screening patients ( P <0.01). We should recommend mass screening to patients to detect early stage breast cancer and provide better QOL. |
| Keywords: | Breast cancer Mass screening Quality of life Psychosocial assessment |