Social Participation of Women with Breast Cancer Compared to the General Population 5 years After Primary Surgery-what Role Do Medical Data and Cancer-related Complaints Play?

Overview

Journal Support Care Cancer

Specialties Critical Care
Oncology

Date 2024 Aug 2

PMID 39093481

Authors

Stefanie Sperlich

Dorothee Noeres

Sophia Holthausen-Markou

Tjoung-Won Park-Simon

Eranda Sahiti

Siegfried Geyer

Affiliations

Soon will be listed here.

Abstract

Purpose: This study analyzes levels of social participation in patients with breast cancer on average 5 years following primary surgery as compared to women in the general population. In addition, the role of breast cancer-related complaints and medical data as possible influencing factors on levels of patients' social participation is investigated.

Methods: A total of n = 454 patients after primary surgery (t0) were recruited for a third follow-up study, and n = 372 completed this survey (t3), corresponding to a response rate of 82.2%. For measuring breast cancer-related complaints, participants completed a written questionnaire. Social participation was measured by a questionnaire on different leisure activities that was taken from the Socio-Economic Panel Study. Medical information was extracted from medical reports at t0. A principal component analysis was carried out to identify different dimensions of social participation. Chi-tests and logistic regression analyses were applied to analyze social participation as compared to the general population and the role of possible medical and diagnosis-related influencing factors thereby.

Results: Compared to the general population, patients show lower levels of social participation in the domains "socio-cultural participation" and "participation in institutions," while no significant differences for "social participation in the private sphere" and "social participation via social media" were found. Psychological symptoms, pain, and a history of mastectomy were most strongly associated with restrictions in social participation.

Conclusions: Our study suggests that social withdrawal may happen due to disease-related symptoms, preventing some breast cancer patients from participating fully in society. Cancer-related follow-ups should address this issue and support patients' reintegration into society through appropriate therapeutic interventions.

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