The influence of personality, anxiety and surgical treatment on quality of life in early stage breast cancer

ISRCTN ISRCTN01021331
DOI https://doi.org/10.1186/ISRCTN01021331
Secondary identifying numbers NTR464
Submission date
26/02/2007
Registration date
26/02/2007
Last edited
01/10/2008
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr A F W van der Steeg
Scientific

St. Elisabeth Hospital
Department of Surgery
P.O. Box 90151
Tilburg
5000 LC
Netherlands

Phone +31 (0)13 539 2922
Email afwsteeg@elisabeth.nl

Study information

Study designProspective, longitudinal preliminary study
Primary study designObservational
Secondary study designSingle-centre
Study setting(s)Not specified
Study typeQuality of life
Scientific title
Study objectivesThe aim of this trial is to examine the role of patient personality on the relation between type of surgery and quality of life. It is hypothesised that breast cancer patients high on trait anxiety who get a breast conserving operation will subsequently have a lower Quality of Life (QoL) compared with high trait anxiety patients who receive a modified radical mastectomy, because they will worry about recurrence of cancer in the treated breast. The underlying goal is to provide women who may choose between a modified radical mastectomy and a breast conserving therapy advice concerning their decision.

One in every nine women in the Netherlands will develop breast cancer during her life. For early stage breast cancer, ablative therapy (being either a Modified Radical Mastectomy [MRM] or an ablation of the breast with a sentinel node procedure) and Breast Conserving Therapy (BCT) (i.e., a lumpectomy with an axillary lymph node dissection or a sentinel node procedure followed by radiotherapy) are comparable concerning overall survival. Disease-free survival is significantly shorter in patients with BCT, but recurrent cancer does not influence the overall survival. Due to early detection through screening programs and possibly by improved adjuvant treatment, for most patients breast cancer has become a chronic disease rather than a life threatening disease. Therefore, QoL is becoming increasingly important.

Hypothesis:
Patients with high scores on anxiety and neuroticism will experience a lower Quality of Life after breast conserving therapy compared to modified radical mastectomy.
Ethics approval(s)Not provided at time of registration
Health condition(s) or problem(s) studiedBreast cancer, anxiety, neuroticism
InterventionThere will be no interventions in surgical treatment. Patients will choose surgical treatment together with their treating surgeon. This choice is based on international guidelines for early stage breast cancer and on personal preferences of the patient. Before diagnosis and one, three, six, 12 and 24 months after diagnosis, treatment patients will complete a set of questionnaires. These questionnaires will be the World Health Organisation Quality of Life questionnaire (WHOQOL-100), the State and Trait Anxiety Questionnaire (STAI), the Centre for Epidemiologic Studies Depression Scale (CES-D), the Fatigue Assessment Scale (FAS) and the Neuroticism Extraversion Openness Five-Factor Inventory (NEO-FFI) (only completed before diagnosis).
Intervention typeOther
Primary outcome measure1. Quality of life over time in breast cancer patients
2. The influence of surgical treatment and personality
Secondary outcome measures1. Quality of life over time in breast cancer patients compared to patients with a benign breast disease
2. The influence of personality
Overall study start date01/09/2002
Completion date01/01/2008

Eligibility

Participant type(s)Patient
Age groupNot Specified
SexFemale
Target number of participants500
Key inclusion criteriaAll women with a first event of a palpable lesion in the breast or an abnormal screening mammography.
Key exclusion criteria1. Breast cancer in the medical history
2. Dementia
3. T3 or T4 tumours
4. Unable to read or write Dutch
Date of first enrolment01/09/2002
Date of final enrolment01/01/2008

Locations

Countries of recruitment

  • Netherlands

Study participating centre

St. Elisabeth Hospital
Tilburg
5000 LC
Netherlands

Sponsor information

Tilburg University (The Netherlands)
University/education

Faculty of Social and Behavioural Sciences
Department of Psychology and Health
P.O. Box 90153
Tilburg
5000 LE
Netherlands

Website http://www.tilburguniversity.nl/
ROR logo "ROR" https://ror.org/04b8v1s79

Funders

Funder type

Hospital/treatment centre

St. Elisabeth Hospital (The Netherlands)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan