A Prospective Study of Patient Sensations After Breast Cancer Surgery: A Two-Year Follow-Up

2.50
Hdl Handle:
http://hdl.handle.net/10755/165401
Category:
Abstract
Type:
Presentation
Title:
A Prospective Study of Patient Sensations After Breast Cancer Surgery: A Two-Year Follow-Up
Author(s):
Baron, Roberta; Fey, J. V.; VanZee, K. J.
Author Details:
Roberta Baron, Memorial Sloan-Kettering Cancer Center, New York, New York, USA; J. V. Fey; K. J. VanZee
Abstract:
TOPIC: Many breast cancer patients describe distressing postoperative sensations and question if these feelings are normal. 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 time and with different surgical procedures. Purpose: To evaluate prevalence, severity, and level of distress of sensations at one week (baseline), 3, 6, 12 and 24 months after breast cancer surgery. Theoretical 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. The BSAS contains 18 descriptors of breast/axilla sensations. Patients recorded each sensation as present or absent, and if present, 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 in different populations were compared using Fisher's Exact Test. FINDINGS AND IMPLICATIONS: 246 patients completed the BSAS at baseline, 3, 6, 12 and 24 months. Surgery included SLNB+Breast Conservation (BCT)(51%), SLNB+Total Mastectomy (TM)(14%), ALND+BCT(19%), and ALND+TM(16%). At baseline, tenderness was the most prevalent sensation in SLNB and ALND and persisted in SLNB through 24 months. At 24 months, tenderness caused the most distress in both groups. Numbness and tightness became most prevalent in ALND at 3, 6, 12 and 24 months and numbness was significantly more severe (p<.01) at those time points when compared to SLNB. Prevalence of phantom breast/nipple sensations in the TM population remained constant at baseline (39%), 3 and 6 months (38%), 12 months (37%), and decreased at 24 months (27%). In the total population, younger patients (<50yrs) had significantly more sensations at baseline (p<.01) than older patients (¡Ý50), and reported more numbness through 24 months. Certain sensations remain prevalent, severe, and distressing even two years after surgery. This information provides nurses with a better understanding of patients’ experiences over time leading to more accurate patient education and preoperative preparation.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2003
Conference Name:
28th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Denver, Colorado, 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 Prospective Study of Patient Sensations After Breast Cancer Surgery: A Two-Year Follow-Upen_GB
dc.contributor.authorBaron, Robertaen_US
dc.contributor.authorFey, J. V.en_US
dc.contributor.authorVanZee, K. J.en_US
dc.author.detailsRoberta Baron, Memorial Sloan-Kettering Cancer Center, New York, New York, USA; J. V. Fey; K. J. VanZeeen_US
dc.identifier.urihttp://hdl.handle.net/10755/165401-
dc.description.abstractTOPIC: Many breast cancer patients describe distressing postoperative sensations and question if these feelings are normal. 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 time and with different surgical procedures. Purpose: To evaluate prevalence, severity, and level of distress of sensations at one week (baseline), 3, 6, 12 and 24 months after breast cancer surgery. Theoretical 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. The BSAS contains 18 descriptors of breast/axilla sensations. Patients recorded each sensation as present or absent, and if present, 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 in different populations were compared using Fisher's Exact Test. FINDINGS AND IMPLICATIONS: 246 patients completed the BSAS at baseline, 3, 6, 12 and 24 months. Surgery included SLNB+Breast Conservation (BCT)(51%), SLNB+Total Mastectomy (TM)(14%), ALND+BCT(19%), and ALND+TM(16%). At baseline, tenderness was the most prevalent sensation in SLNB and ALND and persisted in SLNB through 24 months. At 24 months, tenderness caused the most distress in both groups. Numbness and tightness became most prevalent in ALND at 3, 6, 12 and 24 months and numbness was significantly more severe (p&lt;.01) at those time points when compared to SLNB. Prevalence of phantom breast/nipple sensations in the TM population remained constant at baseline (39%), 3 and 6 months (38%), 12 months (37%), and decreased at 24 months (27%). In the total population, younger patients (&lt;50yrs) had significantly more sensations at baseline (p&lt;.01) than older patients (&iexcl;&Yacute;50), and reported more numbness through 24 months. Certain sensations remain prevalent, severe, and distressing even two years after surgery. This information provides nurses with a better understanding of patients&rsquo; experiences over time leading to more accurate patient education and preoperative preparation.en_GB
dc.date.available2011-10-27T12:17:53Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:17:53Z-
dc.conference.date2003en_US
dc.conference.name28th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationDenver, Colorado, 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.-
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