112P - Impact of surgery on psychological distress in women with breast cancer

Date 18 December 2016
Event ESMO Asia 2016 Congress
Session Poster lunch
Topics Breast Cancer, Locally Advanced
Psychosocial Aspects of Cancer
Surgical Oncology
Presenter Nauman Arif Jadoon
Citation Annals of Oncology (2016) 27 (suppl_9): ix30-ix34. 10.1093/annonc/mdw576
Authors N.A. Jadoon1, F.U. Sulehri2, M. Hussain2, A. Ijaz3
  • 1Medicine, Ittefaq Hospital, 60000 - Lahore/PK
  • 2Medicine, Nishtar Medical College and Hospital (NMC) Clinical Oncology, 60000 - Multan/PK
  • 3Gastroenterology, Hull ROyal Infirmary, HU3 2JZ - Kingston upon Hull/GB



The various surgical procedures for early-stage breast cancer are equivalent in terms of survival. In this context other factors, such as the effect of intervention on psychological health, psychosocial adjustment and quality of life assume great importance. The objective of this study was to estimate the prevalence of psychological distress in breast cancer patients who had undergone surgery and compare them with those who had not received surgical intervention.


The study was carried out in outpatient department of Multan Institute of Medicine and Radiotherapy, Multan. The study group comprised of 90 breast cancer patients who were divided into 2 groups on basis surgery for breast cancer. Aga Khan University Anxiety & Depression Scale (AKUADS) was used to assess the prevalence of psychological distress.


Out of 90 patients who were interviewed, 55 were found to have clinically significant levels of anxiety and depression symptoms as measured by AKUADS. Women who had undergone surgery were found to be significantly less depressed than those who had not received such intervention (51.11% vs. 71.11% OR = 2.35, 95% CI = 1.31-4.22, p  0.05). Similarly there was no difference between patients who were recently treated and those who received treatment long ago in terms of psychological distress (OR = 1.23, 95% CI = 0.70-2.15, p > 0.05). An intriguing finding was lesser prevalence of depression in women whose surgeons allowed them chose the type of surgery (OR = 0.39, 95% CI = 0.22-0.69, p 


Findings from this study show that breast cancer patients have less psychological distress following surgery. The results show the need of psychosocial interventions and patient centered solution for evidence based selection of optimal treatment.

Clinical trial indentification

Legal entity responsible for the study

Nishtar Medical College Hospital Multan


Nishtar Medical College Hospital Multan


All authors have declared no conflicts of interest.