2.50
Hdl Handle:
http://hdl.handle.net/10755/165721
Category:
Abstract
Type:
Presentation
Title:
A Prospective Study of Patient Sensations After Breast Cancer Surgery
Author(s):
Baron, Roberta
Author Details:
Roberta Baron, Memorial Sloan-Kettering Cancer Center, New York, New York, USA
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, and 12 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: 261 patients completed the BSAS at baseline, 3, 6, and 12 months. Surgery included SLNB + Breast Conservation (BCT)(53%), SLNB + Total Mastectomy (TM)(13%), ALND + BCT(20%), and ALND + TM(14%). At baseline, tenderness and soreness were the most prevalent in SLNB and ALND. In SLNB, this remained constant at 3, 6, and 12 months. In ALND, numbness and tightness became the most prevalent at 3, 6, and 12 months and were significantly more severe and distressing (p < .05) when compared to SLNB. Prevalence of phantom breast/nipple sensations in the TM population remained fairly constant. Prevalence at baseline was 38%, 3 months 40%, 6 months 36%, and 12 months (38%). TM patients with tissue expander reconstruction (TE) had significantly more aching and tingling at baseline (p < .05) than those without TE. There was no significant difference in prevalence of sensations at baseline in patients who had SLNB + TE compared to ALND + TE. Certain sensations remain prevalent, severe, and distressing even one year after surgery. This information will help nurses better understand patients' experiences so they can provide more accurate education before and after surgery.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2002
Conference Name:
27th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Washington, D.C., 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 Surgeryen_GB
dc.contributor.authorBaron, Robertaen_US
dc.author.detailsRoberta Baron, Memorial Sloan-Kettering Cancer Center, New York, New York, USAen_US
dc.identifier.urihttp://hdl.handle.net/10755/165721-
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, and 12 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: 261 patients completed the BSAS at baseline, 3, 6, and 12 months. Surgery included SLNB + Breast Conservation (BCT)(53%), SLNB + Total Mastectomy (TM)(13%), ALND + BCT(20%), and ALND + TM(14%). At baseline, tenderness and soreness were the most prevalent in SLNB and ALND. In SLNB, this remained constant at 3, 6, and 12 months. In ALND, numbness and tightness became the most prevalent at 3, 6, and 12 months and were significantly more severe and distressing (p &lt; .05) when compared to SLNB. Prevalence of phantom breast/nipple sensations in the TM population remained fairly constant. Prevalence at baseline was 38%, 3 months 40%, 6 months 36%, and 12 months (38%). TM patients with tissue expander reconstruction (TE) had significantly more aching and tingling at baseline (p &lt; .05) than those without TE. There was no significant difference in prevalence of sensations at baseline in patients who had SLNB + TE compared to ALND + TE. Certain sensations remain prevalent, severe, and distressing even one year after surgery. This information will help nurses better understand patients' experiences so they can provide more accurate education before and after surgery.en_GB
dc.date.available2011-10-27T12:23:43Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:23:43Z-
dc.conference.date2002en_US
dc.conference.name27th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationWashington, D.C., 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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