{"id":5450,"date":"2019-05-31T14:44:18","date_gmt":"2019-05-31T13:44:18","guid":{"rendered":"https:\/\/www.library.sath.nhs.uk\/research\/?p=5450"},"modified":"2021-03-22T09:58:37","modified_gmt":"2021-03-22T09:58:37","slug":"breast-reconstruction-affects-coping-mechanisms-in-breast-cancer-survivors-2019","status":"publish","type":"post","link":"https:\/\/www.library.sath.nhs.uk\/research\/2019\/05\/31\/breast-reconstruction-affects-coping-mechanisms-in-breast-cancer-survivors-2019\/","title":{"rendered":"Breast Reconstruction Affects Coping Mechanisms in Breast Cancer Survivors (2019)"},"content":{"rendered":"<p><strong>Type of publication:<\/strong><br \/>\nJournal article<\/p>\n<p><strong>Author(s):<\/strong><br \/>\n*Lake, Blossom; Fuller, Heidi R; *Rastall, Sarah; *Usman, Tamoor<\/p>\n<p><strong>Citation:<\/strong><br \/>\nIndian Journal of Surgery; Feb 2019; vol. 81 (no. 1); p. 43-50<\/p>\n<p><strong>Abstract:<\/strong><br \/>\nCoping strategies used by women with breast cancer are vital for adjustment to their disease. Whilst it is clear\u00a0that factors such as age at diagnosis, social support and ethnicity can influence coping mechanisms, there is\u00a0currently no information about whether breast reconstruction changes mechanisms of coping for such patients.\u00a0The aims of this study, therefore, were to determine how women who have had immediate breast\u00a0reconstruction and mastectomy cope, compared to those who have mastectomy alone, and whether there are\u00a0differences in coping mechanisms due to breast reconstruction surgery. This was a retrospective cohort study,\u00a0using a standardised questionnaire called the Brief Cope Scale. Inclusion criteria was the following: all women<br \/>\nwho had immediate breast reconstruction and mastectomy in Shropshire from 2003 to 2014 for ductal\u00a0carcinoma in situ or node-negative invasive breast cancer. Each patient was matched for year of diagnosis,\u00a0adjuvant therapy and age to one woman who had mastectomy alone. Two hundred thirty-four questionnaires\u00a0were sent with a 58% response rate. Significantly more patients from the reconstruction cohort coped by active\u00a0coping (T value 1.66, P value 0.04) compared to those in the mastectomy alone cohort. In contrast, significantly more patients in the mastectomy alone cohort coped by active venting compared to the reconstruction cohort (T value 1.71, P value 0.04). This study indicates for the first time that breast reconstruction may alter coping mechanisms in breast cancer survivors. Awareness of these coping mechanisms will enable clinicians to provide appropriate, individualised support.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Type of publication: Journal article Author(s): *Lake, Blossom; Fuller, Heidi R; *Rastall, Sarah; *Usman, Tamoor Citation: Indian Journal of Surgery; Feb 2019; vol. 81 (no. 1); p. 43-50 Abstract: Coping strategies used by women with breast cancer are vital for<span class=\"ellipsis\">&hellip;<\/span><\/p>\n<div class=\"read-more\"><a href=\"https:\/\/www.library.sath.nhs.uk\/research\/2019\/05\/31\/breast-reconstruction-affects-coping-mechanisms-in-breast-cancer-survivors-2019\/\">Read more <span class=\"screen-reader-text\">Breast Reconstruction Affects Coping Mechanisms in Breast Cancer Survivors (2019)<\/span><span class=\"meta-nav\"> &#8250;<\/span><\/a><\/div>\n<p><!-- end of .read-more --><\/p>\n","protected":false},"author":12,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"content-type":"","footnotes":""},"categories":[200],"tags":[832,245,570,353],"class_list":["post-5450","post","type-post","status-publish","format-standard","hentry","category-staff-publication","tag-832","tag-breast-cancer","tag-breast-reconstruction","tag-oncology"],"_links":{"self":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/5450","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/comments?post=5450"}],"version-history":[{"count":3,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/5450\/revisions"}],"predecessor-version":[{"id":5467,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/5450\/revisions\/5467"}],"wp:attachment":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/media?parent=5450"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/categories?post=5450"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/tags?post=5450"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}