Table 3.
Patient-reported surgical and psychosocial outcomes by type of surgery
| BCS (N=451) | UM (N=134) | CPM (N=165) | p-value a | p-value b | |
|---|---|---|---|---|---|
| N (%) | N (%) | N (%) | |||
| Additional surgery, planned | 0.029 | 0.507 | |||
| No | 450 (99.8) | 130 (97.0) | 162 (98.2) | ||
| Yes | 1 (0.2) | 4 (3.0) | 3 (1.8) | ||
| Additional surgery, unplanned (any) | 0.445 | 0.594 | |||
| No | 378 (83.8) | 112 (83.6) | 134 (81.2) | ||
| Yes | 73 (16.2) | 22 (16.4) | 31 (18.8) | ||
| Additional surgery, unplanned oncologic | <0.001 | 0.081 | |||
| No | 380 (84.3) | 124 (92.5) | 160 (97.0) | ||
| Yes | 71 (15.7) | 10 (7.5) | 5 (3.0) | ||
| Additional surgery, unplanned complication | <0.001 | 0.121 | |||
| No | 450 (99.8) | 128 (95.5) | 150 (90.9) | ||
| Yes | 1 (0.2) | 6 (4.5) | 15 (9.1) | ||
| Additional surgery, unplanned cosmetic | <0.001 | 0.231 | |||
| No | 450 (99.8) | 128 (95.5) | 152 (92.1) | ||
| Yes | 1 (0.2) | 6 (4.5) | 13 (7.9) | ||
| Outcome: I worry about recurrence, same side | <0.001 | 0.288 | |||
| Not at all | 72 (16.0) | 77 (57.9) | 97 (59.9) | ||
| A little bit | 186 (41.4) | 31 (23.3) | 35 (21.6) | ||
| Somewhat | 120 (26.7) | 18 (13.5) | 13 (8.0) | ||
| Quite a bit | 40 (8.9) | 5 (3.8) | 10 (6.2) | ||
| Very much | 31 (6.9) | 2 (1.5) | 7 (4.3) | ||
| Outcome: I worry about recurrence, other side | <0.001 | <0.001 | |||
| Not at all | 64 (14.3) | 21 (15.7) | 108 (67.1) | ||
| A little bit | 180 (40.1) | 45 (33.6) | 29 (18.0) | ||
| Somewhat | 138 (30.7) | 35 (26.1) | 12 (7.5) | ||
| Quite a bit | 34 (7.6) | 19 (14.2) | 8 (5.0) | ||
| Very much | 33 (7.3) | 14 (10.4) | 4 (2.5) | ||
| Outcome: I worry that the breast cancer will spread | <0.001 | 0.355 | |||
| Not at all | 78 (17.4) | 20 (14.9) | 17 (10.3) | ||
| A little bit | 168 (37.4) | 44 (32.8) | 48 (29.1) | ||
| Somewhat | 123 (27.4) | 35 (26.1) | 41 (24.8) | ||
| Quite a bit | 34 (7.6) | 21 (15.7) | 40 (24.2) | ||
| Very much | 46 (10.2) | 14 (10.4) | 19 (11.5) | ||
| Outcome: I worry about dying | 0.019 | 0.161 | |||
| Not at all | 261 (58.3) | 81 (60.4) | 80 (48.5) | ||
| A little bit | 139 (31.0) | 40 (29.9) | 54 (32.7) | ||
| Somewhat | 29 (6.5) | 9 (6.7) | 23 (13.9) | ||
| Quite a bit | 7 (1.6) | 2 (1.5) | 5 (3.0) | ||
| Very much | 12 (2.7) | 2 (1.5) | 3 (1.8) | ||
| Outcome: I feel nervous | 0.017 | 0.721 | |||
| Not at all | 265 (59.2) | 74 (55.2) | 84 (51.2) | ||
| A little bit | 133 (29.7) | 33 (24.6) | 45 (27.4) | ||
| Somewhat | 33 (7.4) | 19 (14.2) | 23 (14.0) | ||
| Quite a bit | 11 (2.5) | 8 (6.0) | 10 (6.1) | ||
| Very much | 6 (1.3) | 0 (0) | 2 (1.2) | ||
| Outcome: I am self-conscious about the way I dress | <0.001 | 0.166 | |||
| Not at all | 307 (68.4) | 68 (50.7) | 70 (42.4) | ||
| A little bit | 71 (15.8) | 33 (24.6) | 37 (22.4) | ||
| Somewhat | 43 (9.6) | 13 (9.7) | 33 (20.0) | ||
| Quite a bit | 18 (4.0) | 11 (8.2) | 15 (9.1) | ||
| Very much | 10 (2.2) | 9 (6.7) | 10 (6.1) | ||
| Outcome: I am satisfied with my sex life | 0.460 | 0.522 | |||
| Not at all | 42 (13.2) | 15 (15.8) | 25 (18.5) | ||
| A little bit | 35 (11.0) | 8 (8.4) | 18 (13.3) | ||
| Somewhat | 78 (24.5) | 20 (21.1) | 33 (24.4) | ||
| Quite a bit | 86 (27.0) | 24 (25.3) | 29 (21.5) | ||
| Very much | 78 (24.5) | 28 (29.5) | 30 (22.2) | ||
| Outcome: I feel sexually attractive | 0.023 | 0.399 | |||
| Not at all | 46 (10.5) | 20 (15.4) | 32 (19.6) | ||
| A little bit | 83 (18.9) | 27 (20.8) | 36 (22.1) | ||
| Somewhat | 174 (39.7) | 50 (38.5) | 53 (32.5) | ||
| Quite a bit | 85 (19.4) | 28 (21.5) | 29 (17.8) | ||
| Very much | 50 (11.4) | 5 (3.8) | 13 (8.0) | ||
| Outcome: I am able to feel like a woman | <0.001 | 0.648 | |||
| Not at all | 14 (3.1) | 2 (1.5) | 7 (4.2) | ||
| A little bit | 13 (2.9) | 12 (9.0) | 14 (8.5) | ||
| Somewhat | 53 (11.8) | 27 (20.1) | 38 (23.0) | ||
| Quite a bit | 167 (37.3) | 52 (38.8) | 58 (35.2) | ||
| Very much | 201 (44.9) | 41 (30.6) | 48 (29.1) |
Abbreviations: breast-conserving surgery, BCS; unilateral mastectomy, UM; contralateral prophylactic mastectomy, CPM.
a
Chi-squared test for categorical variables and Wilcoxon rank-sum test for continuous variables, BCS vs CPM.
b
Chi-squared test for categorical variables and Wilcoxon rank-sum test for continuous variables, UM vs CPM.