2.50
Hdl Handle:
http://hdl.handle.net/10755/165366
Category:
Abstract
Type:
Presentation
Title:
A FIVE-YEAR FOLLOW-UP OF PATIENT SENSATIONS AFTER BREAST CANCER SURGERY
Author(s):
Baron, Roberta; Fey, Jane; Borgen, Patrick; Van Zee, Kimberly
Author Details:
Roberta Baron, RN, MSN, AOCN, Clinical Nurse Specialist, Memorial Sloan-Kettering Cancer Center, New York, New York, USA, email: baronr@mskcc.org; Jane Fey, Patrick Borgen, and Kimberly Van Zee
Abstract:
Topic: Breast cancer patients frequently experience postoperative sensations. This phenomenon remains poorly understood. Few studies have evaluated sensations in patients who had sentinel lymph node biopsy (SLNB) compared to axillary lymph node dissection (ALND). Our study evaluated sensations over 5 years with different surgical procedures. Purpose: To evaluate prevalence, severity, and level of distress of sensations at one week (baseline), 3, 6, 12, 24 and 60 months after breast cancer surgery. Framework: This study is based on the University of California San Francisco Symptom Management Model in which careful symptom assessment is a prerequisite for effective symptom management. Methods: Patients completed the Breast Sensation Assessment Scale (BSAS), an instrument developed by the investigators that contains 18 descriptors of breast/axilla sensations. Patients recorded each sensation as present or absent, and rated it on severity and level of distress. The BSAS demonstrated good reliability and validity in our previous studies. Data Analysis: Prevalence, severity and distress of sensations were compared using Fisher's Exact Test. Findings: The BSAS was completed at all 6 time points by 187 patients. Surgery included SLNB+Breast Conservation (BCT) n=106 (57%), SLNB+Total Mastectomy (TM) n=27 (14%), ALND+BCT n=35 (19%), and ALND+TM n=19 (10%). Five years after surgery, 34% of SLNB patients still experienced twinges and 33% experienced tenderness. ALND patients experienced significantly more numbness (55%) and tightness (47%) compared to those who had SLNB (p<.01). Of those patients reporting a sensation, less than 10% considered the sensation severe or distressing. Phantom breast/nipple sensations were experienced by 39% of the mastectomy population. Quality of life (QOL) information was completed by 131 patients, 89 who had SLNB and 42 who had ALND. Approximately 70% of patients in both groups reported that the sensations did not affect their QOL in any way. For those who experienced sensations that impacted their QOL, fear of recurrence was most frequently reported in both groups. Implications: While certain sensations remain prevalent at 5 years, they are generally not severe or distressing. This information will help nurses better understand patients? experiences so they can provide more accurate pre- and postoperative education and support.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2006
Conference Name:
31st Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Boston, Massachusetts, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleA FIVE-YEAR FOLLOW-UP OF PATIENT SENSATIONS AFTER BREAST CANCER SURGERYen_GB
dc.contributor.authorBaron, Robertaen_US
dc.contributor.authorFey, Janeen_US
dc.contributor.authorBorgen, Patricken_US
dc.contributor.authorVan Zee, Kimberlyen_US
dc.author.detailsRoberta Baron, RN, MSN, AOCN, Clinical Nurse Specialist, Memorial Sloan-Kettering Cancer Center, New York, New York, USA, email: baronr@mskcc.org; Jane Fey, Patrick Borgen, and Kimberly Van Zeeen_US
dc.identifier.urihttp://hdl.handle.net/10755/165366-
dc.description.abstractTopic: Breast cancer patients frequently experience postoperative sensations. This phenomenon remains poorly understood. Few studies have evaluated sensations in patients who had sentinel lymph node biopsy (SLNB) compared to axillary lymph node dissection (ALND). Our study evaluated sensations over 5 years with different surgical procedures. Purpose: To evaluate prevalence, severity, and level of distress of sensations at one week (baseline), 3, 6, 12, 24 and 60 months after breast cancer surgery. Framework: This study is based on the University of California San Francisco Symptom Management Model in which careful symptom assessment is a prerequisite for effective symptom management. Methods: Patients completed the Breast Sensation Assessment Scale (BSAS), an instrument developed by the investigators that contains 18 descriptors of breast/axilla sensations. Patients recorded each sensation as present or absent, and rated it on severity and level of distress. The BSAS demonstrated good reliability and validity in our previous studies. Data Analysis: Prevalence, severity and distress of sensations were compared using Fisher's Exact Test. Findings: The BSAS was completed at all 6 time points by 187 patients. Surgery included SLNB+Breast Conservation (BCT) n=106 (57%), SLNB+Total Mastectomy (TM) n=27 (14%), ALND+BCT n=35 (19%), and ALND+TM n=19 (10%). Five years after surgery, 34% of SLNB patients still experienced twinges and 33% experienced tenderness. ALND patients experienced significantly more numbness (55%) and tightness (47%) compared to those who had SLNB (p&lt;.01). Of those patients reporting a sensation, less than 10% considered the sensation severe or distressing. Phantom breast/nipple sensations were experienced by 39% of the mastectomy population. Quality of life (QOL) information was completed by 131 patients, 89 who had SLNB and 42 who had ALND. Approximately 70% of patients in both groups reported that the sensations did not affect their QOL in any way. For those who experienced sensations that impacted their QOL, fear of recurrence was most frequently reported in both groups. Implications: While certain sensations remain prevalent at 5 years, they are generally not severe or distressing. This information will help nurses better understand patients? experiences so they can provide more accurate pre- and postoperative education and support.en_GB
dc.date.available2011-10-27T12:17:15Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:17:15Z-
dc.conference.date2006en_US
dc.conference.name31st Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationBoston, Massachusetts, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.