Evidence map›Paper›PMID 31908528›Full record

ArticleCancer management and research2019

Dynamic Changes Of Body Image And Quality Of Life In Breast Cancer Patients.

Tzu-Yi Wu, Tsai-Wang Chang, Sheng-Mao Chang, Yun-Ying Lin, Jung-Der Wang, Yao-Lung Kuo

Open access · goldAbstract read
In one paragraph

Article in Cancer management and research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
1.7field-weighted citation impact, top 13% 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

18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. A meta-analysis of randomized controlled trials comparing breast-conserving surgery and mastectomy in terms of patient survival rate and quality of life in breast cancer.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2024
    Pooled it
  3. Effects of the appearance care on psychosocial outcomes for breast cancer: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Pooled it
  4. Trial
  5. Trial
  6. Decision-making driving factors in breast reconstruction among premenopausal breast cancer patients in China: a Q-methodology study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  7. Article
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  9. Relationship between dyadic communication and body image among women with breast cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  10. Article
  11. Factors Associated with Body Image and Self-Esteem in Mastectomized Breast Cancer Survivors.International journal of environmental research and public health · 2023
    Article
  12. Quality of Life in Patients with Pancreatic Cancer-A Literature Review.International journal of environmental research and public health · 2023
    Review
  13. Article
  14. Article
  15. Effects of the Better Model Based Counseling on Sexuality of Women with Breast Cancer.International journal of sexual health : official journal of the World Association for Sexual Health · 2022
    Article
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  17. Article
  18. Article
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 1 country.

Tzu-Yi WuDepartment of Occupational Therapy, College of Medical and Health Science, Asia University, Taichung, Taiwan.
Tsai-Wang ChangDivision of Breast Surgery, Department of Surgery, Tainan Municipal An-Nan Hospital - China Medical University, Tainan, Taiwan.
Sheng-Mao ChangDepartment of Statistics, National Cheng Kung University, Tainan, Taiwan.ORCID 0000-0003-2785-0155
Yun-Ying LinDepartment of Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Jung-Der WangDepartments of Internal Medicine and Occupational and Environmental Medicine, National Cheng Kung University Hospital, Tainan, Taiwan.ORCID 0000-0002-3176-4500
Yao-Lung KuoDepartment of Surgery, National Cheng-Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan and Dou-Liou, Taiwan.
National Cheng Kung University · TWNational Cheng Kung University Hospital · TWAsia University · TWChina Medical University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDynamic changes of body image and quality of life (QoL) in breast cancer patients were not commonly investigated. We aimed to compare the dynamic changes in QoL and body image of breast cancer survivors receiving breast-conserving surgery or total mastectomy within 5-10 years after surgery.

methodsPatients with non-metastatic breast cancer who received surgery were invited to complete the World Health Organization Quality of Life-Brief (WHOQOL-BREF) questionnaire and the Body Image Scale (BIS) within 10 years after surgery. We applied kernel smoothing methods to capture the dynamic changes of the patients' QoL and body image within 5 years after surgery. We also constructed multiple linear regression models to identify predictive factors for QoL and body image.

resultsA total of 581 patients were collected, and 211 of them received breast-conserving surgery. There were no statistically significant differences in QoL and body image for breast-conserving surgery versus total mastectomy, but the former showed fluctuating trends. BIS was a predictor of every item and domain in the WHOQOL-BREF in the multiple linear regression model, and explanatory of the trends of dynamic change over time. Patients without lymph node dissection seemed to have less positive feelings but were more satisfied with sexual activities.

conclusionBody image is predictive of the QoL of breast cancer patients. Dynamic changes of body image and QoL would be useful for shared decision-making regarding surgery in breast cancer patients.

Indexed as

body imagebreast cancer survivorsbreast-conserving surgeryquality of lifetotal mastectomy

Identifiers

PMID31908528
PMCPMC6925559
OpenAlexW2995921124

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.