Evidence map›Paper›PMID 31712944›Full record

ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2020

Is quality of life after mastectomy comparable to that after breast conservation surgery? A 5-year follow up study from Mumbai, India.

K V Deepa, A Gadgil, Jenny Löfgren, S Mehare, Prashant Bhandarkar, N Roy

Open access · hybridAbstract read
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In one paragraph

Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 2 countries.

K V DeepaDepartment of Surgery, Manipal Hospital, New Delhi, India.
A GadgilDepartment of Surgery, BARC Hospital, WHO Collaboration Center for Research in Surgical Care Delivery in LMIC, Mumbai, India.
Jenny LöfgrenDepartment of Molecular Medicine and Surgery, Karolinska Institute, Stockholm, Sweden.
S MehareWHO Collaboration Center for Research in Surgical Care Delivery in LMIC, Mumbai, India.
Prashant BhandarkarBARC Hospital, WHO Collaboration Center for Research in Surgical Care Delivery in LMIC, Mumbai, India.
N RoyWHO Collaboration Center for Research in Surgical Care Delivery in LMIC, Mumbai, India. nobhojit.roy@ki.se.ORCID http://orcid.org/0000-0003-2022-7416
Bhabha Atomic Research Center Hospital · INKarolinska Institutet · SEAdvanced Centre for Treatment, Research and Education in Cancer · INManipal Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeBreast cancer is the commonest cancer in women worldwide. Surgery is a central part of the treatment. Modified radical mastectomy (MRM) is often replaced by breast conserving therapy (BCT) in high-income countries. MRM is still the standard choice, in low- and middle-income countries (LMICs) as radiotherapy, a mandatory component of BCT is not widely available. It is important to understand whether quality of life (QOL) after MRM is comparable to that after BCT. This has not been studied well in LMICs. We present, 5-year follow-up of QOL scores in breast cancer patients from India.

methodsWe interviewed women undergoing breast cancer surgery preoperatively, at 6 months after surgery, and at 1 year and 5 years, postoperatively. QOL scores were evaluated using FACT B questionnaire. Average QOL scores of women undergoing BCT were compared with those undergoing MRM. Total scores, domain scores and trends of scores over time were analyzed.

resultsWe interviewed 54 women with a mean age of 53 years (SD 9 ± years). QOL scores in all the women, dipped during the treatment period, in all subscales but improved thereafter and even surpassed the baseline in physical, emotional and breast-specific domains (p < 0.05) at 5 years. At the end of 5 years, there was no statistically significant difference between the MRM and BCT groups in any of the total or domain scores.

conclusionQOL scores in Indian women did not differ significantly between MRM and BCT in the long term. Both options are acceptable in the study setting.

Indexed as

Breast NeoplasmsFemaleFollow-Up StudiesHumansIndiaMastectomyMastectomy, SegmentalMiddle AgedProspective StudiesQuality of LifeBreast conserving surgeryMastectomyPost surgery quality of lifeQuality of life

Identifiers

PMID31712944
PMCPMC7028794
OpenAlexW2984451702

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.