Chandigarh: A research study led by Prof Rakesh Kapoor from the department of radiotherapy and oncology at PGI revealed crucial insights into the factors that influence the quality of life (QOL) of breast cancer patients, offering valuable data for healthcare providers and policymakers. The study found that patients who underwent breast-conserving surgery (BCS) reported better overall quality of life scores compared to those who underwent a mastectomy—breast removal surgery. BCS patients showed improved functioning, greater confidence about the future, and a more positive outlook.
The study also highlighted significant age-related differences in QOL. Younger patients, specifically those under 45, exhibited similar QOL scores as older women, challenging the common belief that younger patients experience a lower quality of life after a breast cancer diagnosis. The research, which involved 160 patients, examined a wide range of variables including surgical outcomes, age, location, disease stage, and education levels. The study was published in the international journal ‘Innovative Practice in Breast Health’.
Geographical disparities also emerged from the study, with urban residents scoring higher in role function, social function, and overall health status compared to their rural counterparts. The stage of cancer played a major role in determining QOL outcomes. Stage III (advanced) patients experienced the lowest scores across all functional scales, as well as a much higher symptom burden, including fatigue, nausea, vomiting, pain, and difficulties with sleep and appetite. These patients also reported a higher financial strain, emphasizing the need for targeted support and financial assistance programmes for those battling advanced cancer.Education was another key factor in improving QOL. Patients with higher education levels reported better QOL scores, demonstrating a better understanding and management of their treatment, as well as stronger coping mechanisms. The study found that breast-conserving surgery, when combined with post-operative radiotherapy, tended to lead to better overall outcomes, including improved functioning and more confidence about the future, compared to mastectomy patients.
Breast cancer is the most common cancer in India, accounting for 28.2per cent of all female cancers. Compared with Western and other high-income countries, India has a low 5-year survival rate for breast cancer.
In India, the incidence of breast cancer is rising, which has surpassed cervical cancer as the most commonly diagnosed malignancy in females. Overall, 1 in 29 women is likely to develop breast cancer during her lifetime.