Psychosocial factors related to postmastectomy pain syndrome among women with breast cancer: Cross-sectional study
- Author:
Aura Rhea D Lanaban
1
;
Rojim J Sorrosa
1
,
2
,
3
,
4
,
5
,
6
;
Alvin S Concha
1
,
7
Author Information
- Publication Type:Journal Article
- Keywords: Premastectomy breast pain; Family- illness trajectory; Family function
- MeSH: Family
- From: Southern Philippines Medical Center Journal of Health Care Services 2019;5(1):1-9
- CountryPhilippines
- Language:English
-
Abstract:
Background:An insight on the association of psychosocial factors with postmastectomy pain syndrome (PMPS) can help in the holistic management of patients with PMPS.
Objective:To determine the proportion of patients with PMPS among those who underwent mastectomy for breast cancer and identify factors associated with the syndrome.
Design:Cross-sectional study.
Setting:Outpatient Unit in Southern Philippines Medical Center.
Participants:45 women who had mastectomy for breast cancer.
Main outcome measures:Proportion of patients with PMPS; prevalence odds ratios (POR) of having PMPS for selected factors.
Main results:The patients had a mean age of 53.18 ± 8.09 years, mean BMI of 23.57 ± 2.65, and--on average--were 27.09 ± 35.76 months postmastectomy upon entry into the study. Of the 45 patients, 22 (48.89%) had PMPS. Univariate POR of having PMPS were significantly high for patients who: had distant metastasis (POR=5.56; 95% CI 1.27 to 24.29; p=0.0227), experienced premastectomy breast pain (POR=35.70; 95% CI 6.14 to 207.52; p<0.0001), were in late-stage family life cycle (POR=9.18; 95% CI 1.02 to 82.22; p=0.0476), and were in late-stage family illness trajectory (POR=4.96; 95% CI 1.39 to 17.70; p=0.0137).
Conclusion:In this study, 48.89% of patients had PMPS. Factors associated with PMPS include: having distant metastases, having premastectomy breast pain, being in late-stage family life cycle, and being in late-stage family illness trajectory. - Full text:LanabanV5N1.pdf
