Yaskevich V.V.1, Marochkov A.V.2, Nikitin S.G.1, Sharf I.А.1
The influence of anesthesia type on the life quality of women after radical mastectomy
1Inter-district Oncologic Dispensary1, Bobruisk, Republic of Belarus
2Mogilev Regional Hospital, Mogilev, Republic of Belarus
Vestnik VGMU. 2017;16(2):85-90.
Objectives. To evaluate the influence of anesthesia type on the quality of life (QOL) in female patients with breast cancer using the scales FACT-G and FACT-B.
Material and methods. The scales FACT-G and FACT-B were used as a tool for the evaluation of the QOL (© 2010 FACIT.org).
The study involved 75 women, whose age ranged from 34 to 76 years, Me=62 (57;67). 25 women were interviewed before the surgical intervention. From 8 to 16 months passed after the radical mastectomy in 50 interviewed women. We compared the QOL assessment of women before surgery and that of females after surgery. We also compared their QOL assessment depending on the kind of given anesthesia (multi-component balanced endotracheal anesthesia and multi-component balanced endotracheal anesthesia with thoracic paravertebral block).
Results. It has been registered that women after radical mastectomy had higher scores of the QOL according to scales FACT-G and FACT-B .The differences were statistically significant on the scale FACT-G (p<0,05). No differences in the QOL were found on the scales FACT-G and FACT-B in the groups with different anesthetic management.
Conclusions.Women with breast cancer after surgery had higher values of the QOL,than those with breast cancer before this surgery. The kind of anesthesia did not affect the QOL assessment on the scales FACT-G and FACT-B during the survey of patients in 8-16 months after radical mastectomy.
Key words: mastectomy, paravertebral block, breast cancer, quality of life, FACT-B, FACT-G.
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Information about authors:
Yaskevich V.V. – anesthesiologist-resuscitator, Bobruisk Inter-district Oncologic Dispensary;
Marochkov A.V. – Doctor of Medical Sciences, professor, anesthesiologist-resuscitator, Mogilev Regional Hospital;
Nikitin S.G. – mammologist, Bobruisk Inter-district Oncologic Dispensary;
Sharf I.А. – head doctor, Bobruisk Inter-district Oncologic Dispensary.