Perfil da qualidade de vida de mulheres submetidas à mastectomia radical modificada ou cirurgia conservadora da mama mediante complicações dos membros superiores

Abstract

The aim of this study was to evaluate the quality of life of women who underwent modified radical mastectomy or breast conserving surgery by complications such as upper limb lymphedema, abnormal range of motion (ROM) of shoulder correlate them with changes in body mass index index (BMI). We evaluated 64 women, divided into 2 groups: Group A: Breast-conserving surgery (n = 37) Group B: modified radical mastectomy (n = 27) is a cross-sectional study and the patients were assessed on average 5 years after surgery. Cirtometry and was used for assessment of lymphedema volume, weight and height of the interview was made to calculate BMI for assessing the magnitude of ADM was performed goniometry and quality of life questionnaire used was the SF-36. Statistical analysis was adopted significance level was 5%. Among the results was observed a significant association between type of surgery and increase in BMI between 0.011 and p = lymphedema assessed by the circumference and volume. There was no significant association between type of surgery and the prevalence of lymphedema, including the type of surgery and change of ROM, nor between the type of surgery and the scores of the SF-36. There was a positive linear correlation between lymphedema assessed by the circumference and volume; between variables change in the abduction and flexion and between change in functional capacity and role limitations due to physical SF-36. Therefore, patients evaluated after 5 years of surgery on average, have no significant differences in the prevalence of lymphedema in the range of motion of the shoulder, and in scores on the questionnaire, the SF-36 regarding the type of surgery performed.