Evidence map›Paper›PMID 40804623›Full record

ArticleBMC women's health2025

The use of standardised tools to measure post-mastectomy quality of life among women in Africa: a scoping review.

Alexis Harerimana, Gugu Mchunu

Abstract readScoping Review
In one paragraph

Article in BMC women's health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

2 authors.

Alexis HarerimanaFaculty of Health Sciences, Durban University of Technology, Durban, South Africa. alexis.harerimana@my.jcu.edu.au.
Gugu MchunuFaculty of Health Sciences, Durban University of Technology, Durban, South Africa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBreast cancer survivorship is increasingly prevalent, yet quality of life (QoL) outcomes post-mastectomy remain a critical concern in Africa. Women post-mastectomy encounter significant physical, psychological, social, and sexual health challenges that are inadequately addressed in clinical settings. Using standardised tools to measure QoL post-mastectomy of women is imperative. Thus, this scoping review aims to map evidence on the use of standardised tools to measure post-mastectomy quality of life among women in Africa.

methodsThis scoping review followed the Levac et al. framework. A systematic search-between 2015 and 2025 across Africa-yielded 473 records: 345 from five databases-CINAHL (n = 22), Emcare (n = 55), Medline (n = 65), Scopus (n = 78), and Web of Science (n = 125)-and 128 from other sources. Ultimately, 34 studies met the inclusion criteria for data extraction and thematic analysis. The review followed PRISMA-ScR guidelines.

resultsThe 34 studies reviewed involved 5466 participants. Mean ages ranged from 38 to 57 years. QoL post-mastectomy was evaluated using standardised tools such as the EORTC QLQ-C30/BR23, WHOQOL-BREF, BREAST-Q, and FACT-B. Several studies translated and validated QoL assessment tools into local languages, notably Arabic and Yoruba, enhancing contextual relevance. Mastectomy negatively affected overall QoL, body image, psychological wellbeing, sexual functioning, and social relationships. Educational and psychosocial interventions enhanced QoL, particularly those integrating self-compassion training, physical rehabilitation, and group counselling.

conclusionQoL post-mastectomy among women in Africa is significantly compromised; however, targeted psychosocial and rehabilitation interventions show promise in improving survivorship outcomes. Future research should emphasise culturally sensitive, multidisciplinary programs and adopt longitudinal designs to assess sustained effects on QoL. IMPLICATIONS FOR CANCER SURVIVORS: This scoping review emphasises the need for comprehensive post-mastectomy care that includes physical, psychological, sexual, social and financial aspects. Culturally sensitive and accessible interventions are essential for improving the quality of life and long-term outcomes for women in Africa.

Indexed as

Breast NeoplasmsMastectomyQuality of LifeAdultAfricaFemaleHumansMiddle AgedSurveys and QuestionnairesAfricaBreast cancerBreast surgeryMastectomyPost-mastectomyQuality of lifeStandardised toolsWomen

Identifiers

PMID40804623
PMCPMC12345023

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.