Pattern of External Breast Prosthesis Use by Post Mastectomy Breast Cancer Patients in India: Descriptive Study from Tertiary Care Centre

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• 作者：D. Ramu ; Rakesh S. Ramesh ; Suraj Manjunath…
• 关键词：Breast cancer ; Prosthesis ; India
• 刊名：Indian Journal of Surgical Oncology
• 出版年：2015
• 出版时间：December 2015
• 年：2015
• 卷：6
• 期：4
• 页码：374-377
• 全文大小：397 KB
• 参考文献：1. National Cancer Registry Programme: Three Year Report of the Population Based Cancer Registries 2009–2011 http://​www.​ncrpindia.​org/​
  2.Breast prostheses, bras and clothes after surgery, Braille, DAISY, www.​breastcancercare​.​org.​uk/​publications
  3.Ulrika Fallbjörk, Birgit H. Rasmussen, Stig Karlsson, Pär Salander; Aspects of body image after mastectomy due to breast cancer -A two-year follow-up study. Eur J Oncol Nurs
  4.Stavrou D, Weissman O, Polyniki A, Papageorgiou N, Joseph Haik c (2009) Quality of life after breast cancer surgery with or without reconstruction. open access. J Plast Surg 9:161
  5.José Manuel García Arroyo and María Luisa Domínguez López, Psychological problems derived from mastectomy: a qualitative study. Int J of Surg Oncol 2011, 2011 132461 8
  6.Gallagher p., Buckmaster a., O’carroll s., Kiernan g. & Geraghty J, External breast prostheses in post-mastectomy care: women’s qualitative accounts. Eur J Cancer Care 19, 61–71
  
• 作者单位：D. Ramu (1)
  Rakesh S. Ramesh (1)
  Suraj Manjunath (1)
  Shivakumar (1)
  Vipin Goel (1)
  G. N. Hemnath (1)
  Annie Alexander (1)
  
  1. St Johns Hospital, Room no 204, Annex 1, Sarjapur Road, Bangalore, Karnataka, 560034, India
  
• 刊物主题：Surgical Oncology; Oncology; Surgery;
• 出版者：Springer India
• ISSN：0976-6952

文摘

In India, Breast cancer is now the most common cancer in urban and 2nd most common in rural areas [1]. The incidence is rising, more younger women are getting affected and due to increase in survival rates there is an increase in the total number of women suffering from breast Cancer. So far there are no studies evaluating the pattern of breast prosthesis use in Indian scenario. The aim of this study is to address the patterns of external breast prosthesis used in India and view of Indian women on such prosthesis after mastectomy for breast cancer. This was a descriptive longitudinal study. In this study we interviewed (telephonic) 63 people, after three years of completing treatment under The Department of Surgical Oncology, St. Johns medical college, Bangalore. Among the study group, 27 members (40 %) were using various prosthesis, rest 36 women were not using any type of prosthesis. Among the users of prosthesis, silicon prosthesis was used by 6 women, padded cups by 8 women, cloth or cotton by 12 women and 1 woman used other type of prosthesis. Most women use simple items like cloth and cotton (44 %). Next most commonly used prosthesis are padded cups(). Only 22 % of women were found using silicon prosthesis in this study. Most of the well educated patients used external prosthesis either in the form of silicon prosthesis or padded cups. Most of women below age of 50 used external breast prosthesis. Use of prosthesis was more in urban compared to rural population (48 % vs 25 %). Prosthesis users worried more about the body image than women not using prosthesis. 25 % of women using prosthesis had body image issues where as only 5 % of non prosthesis users had such problems. Prosthesis users need improvement in terms of comfort, size, shape and affordability. Most common reasons for not using prosthesis are age, lack of motivation and awareness. Less than half of the women included in this study used external prosthesis after mastectomy for breast cancer. Most of the women are used home made prosthesis like cloth and cotton (44.4 %). Education, age and urban status are the strong factors which influences use of prosthesis. Prosthesis users are those who are more concerned about their body image. There is a palpable need to develop better prosthesis at affordable price.