Volume : 7, Issue : 8, August - 2018

A study on patients of carcinoma breast and its pitfalls in Indian society

Dr. Arun Kumar Pargi, Dr. Ranjeet Badole

Abstract :

<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:&#10;justify;line-height:150%;mso-pagination:none;mso-layout-grid-align:none;&#10;punctuation-wrap:simple;text-autospace:none"><i><span style="font-size:12.0pt;&#10;line-height:150%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;color:#141314">Background </span></i><span style="font-size:12.0pt;line-height:150%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;color:#141314">Traditionally outcomes of treatment havebeen limited to survival. However, the disease and its treatment may have an impact on Quality-of- Life (QoL). The major concerns for patients of carcinoma east involved are survival, appearance and a fear of recurrence. In Indian society we may need a separate and modified approach to assess QoL.<o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:&#10;justify;line-height:150%;mso-pagination:none;mso-layout-grid-align:none;&#10;punctuation-wrap:simple;text-autospace:none"><span style="font-size:12.0pt;&#10;line-height:150%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"><o:p>&nbsp;</o:p></span></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:&#10;justify;line-height:150%;mso-pagination:none;mso-layout-grid-align:none;&#10;punctuation-wrap:simple;text-autospace:none"><i><span style="font-size:12.0pt;&#10;line-height:150%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;color:#141314">Aims &amp; objective </span></i><span style="font-size:12.0pt;line-height:150%;&#10;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;color:#141314">The aim of this study was to assess theQoL of patients of carcinoma east and to ascertaining pitfalls for suitable correction in future studies on Indian patients.<o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:&#10;justify;line-height:150%;mso-pagination:none;mso-layout-grid-align:none;&#10;punctuation-wrap:simple;text-autospace:none"><i><span style="font-size:12.0pt;&#10;line-height:150%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;color:#141314">Materials &amp; methods </span></i><span style="font-size:12.0pt;line-height:150%;&#10;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;color:#141314">250 diagnosed patients of carcinomaeast were studied by a questionnaire on physical and psychological parameters. The results were assessed for applicability to our clientele.<o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:&#10;justify;line-height:150%;mso-pagination:none;mso-layout-grid-align:none;&#10;punctuation-wrap:simple;text-autospace:none"><span style="font-size:12.0pt;&#10;line-height:150%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"><o:p>&nbsp;</o:p></span></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:&#10;justify;line-height:150%;mso-pagination:none;mso-layout-grid-align:none;&#10;punctuation-wrap:simple;text-autospace:none"><i><span style="font-size:12.0pt;&#10;line-height:150%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;color:#141314">Results </span></i><span style="font-size:12.0pt;line-height:150%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;color:#141314">We found that majority of patients enjoy a goodand non-capacitating QoL. Factors that may contribute to poorer health perceptions and QoL include experiencing a menopausal transition as part of therapy, and feeling morevulnerable after cancer. Overall QoL was better in the older and illiterate patients. Patients with no co morbidity and early stage disease fared better against patients with co morbidities and advanced stage of malignancy.</span><span style="font-size:12.0pt;line-height:150%;font-family:&#10;&quot;Times New Roman&quot;,&quot;serif&quot;"><o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:&#10;justify;text-indent:.5in;line-height:150%;mso-pagination:none;mso-layout-grid-align:&#10;none;punctuation-wrap:simple;text-autospace:none"><span style="font-size:12.0pt;&#10;line-height:150%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;color:#141314">The parameters used in QoL studies in west may not be directly applicable to Indian patients but it does give us a start. We need to adapt to these parameters and draw our conclusion. But there are many methodological challenges inherent in working with our population. Researchers interested in studying our clientele&rsquo;s QoL need to be cognizant of certain issues to ensure high quality results.</span><span style="font-size:12.0pt;line-height:150%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"><o:p></o:p></span></p>