Psychological and physical impact in women treated for breast cancer: Need for multidisciplinary surveillance and care provision |
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| Authors: | B. Vandendorpe Y. Drouet F. Ramiandrisoa P. Guilbert B. Costa S. Servagi-Vernat |
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| Affiliation: | 1. Department of Radiation Oncology, Oscar-Lambret Centre, 3, rue Frédéric-Combemale, 59000 Lille, France;2. Department of Radiation Oncology, Jean-Godinot Institute, 1, rue du Général-Koenig, 51100 Reims, France;3. Public Health Department, Léon-Bérard Centre, Lyon, France;4. CNRS UMR 5558 LBBE, Lyon university, Villeurbanne, France;5. Support Care Department, Godinot Institute, 1, rue du Général-Koenig, 51100 Reims, France;1. Department of Radiation Oncology, Yashoda Hospitals, Hyderabad, India;2. School of Advanced Sciences, Vellore Institute of Technology, Vellore, India;1. Shanghai Jiao Tong University School of Medicine, Shanghai, China;2. Department of Radiation Oncology, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai 200030 China;3. Department of Statistics, Shanghai Chest Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China;1. Department of radiation oncology, Complejo hospitalario universitario de Albacete (CHUA), C/Hnos Falcó 37, 02006 Albacete, Spain;2. Department of radiology, Complejo hospitalario universitario de Albacete (CHUA), Albacete, Spain;3. Department of radiation oncology, hospital universitario Santa Lucia, Cartagena, Spain;4. Gynecological cancer unit, radiation oncology department, ICMHO, IDIBAPS, university of Barcelona, hospital clinic, Barcelona, Spain;5. Laboratorio de oncología, unidad de medicina molecular, unidad asociada de biomedicina UCLM, unidad asociada al CSIC, centro regional de investigaciones biomédicas, universidad de Castilla-La Mancha, Albacete, Spain;6. Departamento de ciencias médicas, facultad de medicina de Albacete, universidad de Castilla-La Mancha, Albacete, Spain;7. Complejo hospitalario universitario de Albacete (CHUA), Albacete, Spain;8. Department of radiation oncology, hospital universitari Sant Joan, Reus, Spain;1. Département de Radiothérapie, Institut Bergonié, 33076 Bordeaux cedex, France;2. Département de Chirurgie Urologique, Clinique Saint Augustin, 33000 Bordeaux, France;3. Département de Physique Médicale, Institut Bergonié, 33076 Bordeaux cedex, France;4. Unité de Recherche Épidémiologique et Clinique, Institut Bergonié, 33076 Bordeaux cedex, France;5. Département d’Oncologie Médicale, Institut Bergonié, 33076 Bordeaux cedex, France |
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| Abstract: | PurposeCancer survivors often experience adverse physical and psychosocial effects. Fear of recurrence is a difficulty very commonly reported in post-cancer life. The primary objective of this study was to describe post-cancer supportive care needs in patients treated for breast cancer.Patients and methodsIn this monocentric observational study, cancer survivors aged ≥ 18 years, diagnosed with breast cancer and treated in 2017 (cohort A) and in 2015 (cohort B) were administered a post-cancer needs questionnaire, and the Fear of Cancer Recurrence Inventory (severity subscale).ResultsThe study included 139 patients. Pain (51.9%), fatigue (51.9%), weight gain during treatment (35.1%), psychological difficulties (20.5%), and difficulties in marriage and sexual life (13.1%) were the complaints in the post-cancer period. There were no differences between the two cohorts. The severity subscale of the Fear of Cancer Recurrence Inventory showed 35.8% patients with a score > 13. The fear of recurrence was a source of social difficulties, psychological disorders, and difficulties in marriage and sexual life.ConclusionsNot only FCR, but also issues such as fatigue, pain, psychological difficulties, and difficulties in marriage and sexual life all call for a psycho-oncological follow-up. Clinical and radio-senological surveillance is essential, but it absolutely must be accompanied by a multidisciplinary follow-up, with central importance to psychological care. |
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| Keywords: | Breast neoplasms Fear of cancer recurrence Cancer survivorship Tumeurs du sein Peur de la récidive Survivants du cancer |
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