Transforming Breast Cancer Care: Empowering Patient’s Quality of Life through Resilience
Main Article Content
Abstract
Introduction: Although breast cancer remains one of the biggest health challenges all over the world, yet, comprehensive management is equally important in considering the overall needs of the breast cancer patients for the enhancement of quality of life. It is through some review innovations, issues, and opportunities in breast cancer care with special emphasis on empowering strategies based on resilience building that this review was triggered.
Methods: Through this, an extensive literature review was conducted on the innovations in the treatment and care of patients with breast cancer, especially in areas of primary focus such as psychosocial support, integrative therapies, digital health tools, and survivorship programs. Community resources and support services have also been analyzed, including emerging areas of empowerment for patients.
Results: Innovative approaches to breast cancer care have evolved beyond the medical dimension, adding aspects of integration in the practice of oncology & resilience training addressing emotional well-being. With telehealth and other digital solutions, patients will have access to support services. Opportunities include extending the reach of peer support networks, virtual care, and patient education etc., while barriers to social and emotional care include financial, emotional fatigue, and access to care.
Conclusion: The changing landscape of breast cancer care is evenmore concerned with not only the treatment of the disease but with the treatment of the patient. Medical care integrated with non-medical needs can help the healthcare provider ensure patients survive but live through as well as beyond breast cancer.
Keywords:
Breast cancer, innovations, resilience, quality of life, integrative oncology, psychosocial support, digital health, patient empowerment
Article Details
How to Cite
SONALIKA, Soumya et al.
Transforming Breast Cancer Care: Empowering Patient’s Quality of Life through Resilience.
Medical Research Archives, [S.l.], v. 12, n. 11, nov. 2024.
ISSN 2375-1924.
Available at: <https://esmed.org/MRA/mra/article/view/5879>. Date accessed: 12 dec. 2024.
doi: https://doi.org/10.18103/mra.v12i11.5879.
Section
Research Articles
The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.
References
1. Singletary SE. Rating the Risk Factors for Breast Cancer. Ann Surg. 2003;237(4):474-482. doi:10.1097/01.SLA.0000059969.64262.87.
2. Sun YS, Zhao Z, Yang ZN, et al. Risk factors and preventions of breast cancer. Int J Biol Sci. 2017;13(11):1387-1397. doi:10.7150/ijbs.21635.
3. Engin A. Obesity-associated Breast Cancer: Analysis of risk factors. In: Engin AB, Engin A, eds. Obesity and Lipotoxicity. Springer; 2017:571-606. doi:10.1007/978-3-319-48382-5_23.
4. Tung N, Lin NU, Kidd J, et al. Frequency of germline mutations in 25 cancer susceptibility genes in a sequential series of patients with breast cancer. J Clin Oncol. 2016;34(13):1460-1468. doi:10.1200/JCO.2015.65.0747.
5. Cobain EF, Milliron KJ, Merajver SD. Updates on breast cancer genetics: Clinical implications of detecting syndromes of inherited increased susceptibility to breast cancer. Semin Oncol. 2016;43(5):528-535. doi:10.1053/j.seminoncol.2016.09.006.
6. Nazari SS, Mukherjee P. An overview of mammographic density and its association with breast cancer. Breast Cancer. 2018;25(3):259-267. doi:10.1007/s12282-018-0857-5.
7. Ruan X, Mueck AO. The choice of progestogen for HRT in menopausal women: breast cancer risk is a major issue. Horm Mol Biol Clin Investig. 2019;37(1). doi:10.1515/hmbci-2018-0019.
8. Ugras SK, Rahman RL. Hormone replacement therapy after breast cancer: yes, no or maybe?. Mol Cell Endocrinol. 2021;525:111180. doi:10.1016/j.mce.2021.111180.
9. Lay AA, do Nascimento CF, Horta BL, Chiavegatto Filho AD. Reproductive factors and age at natural menopause: a systematic review and meta-analysis. Maturitas. 2020;131:57-64. doi:10.1016/j.maturitas.2019.11.009.
10. Scoccianti C, Lauby-Secretan B, Bello PY, Chajes V, Romieu I. Female breast cancer and alcohol consumption: a review of the literature. Am J Prev Med. 2014;46(3 Suppl 1) doi:10.1016/j.amepre.2013.10.031.
11. Mohanty SS, Mohanty PK. Obesity as potential breast cancer risk factor for postmenopausal women. Genes Dis. 2021;8(2):117-123. doi:10.1016/j.gendis.2020.04.002.
12. de Boer MC, Wörner EA, Verlaan D, van Leeuwen PA. The mechanisms and effects of physical activity on breast cancer. Clin Breast Cancer. 2017;17(4):272-278. doi:10.1016/j.clbc.2017.03.011.
13. Qian F, Riddle MC, Wylie-Rosett J, Hu FB. Red and processed meats and health risks: how strong is the evidence?. Diabetes Care. 2020;43(2):265-271. doi:10.2337/dc19-1878.
14. Pashayan N, Antoniou AC, Ivanus U, et al. Personalized early detection and prevention of breast cancer: ENVISION consensus statement. Nat Rev Clin Oncol. 2020;17(11):687-705. doi:10.1038/s41571-020-0407-9.
15. Cena H, Calder PC. Defining a healthy diet: evidence for the role of contemporary dietary patterns in health and disease. Nutrients. 2020;12(2):334. doi:10.3390/nu12020334.
16. Lisevick A, Cartmel B, Harrigan M, et al. Effect of the lifestyle, exercise, and nutrition (Lean) study on long-term weight loss maintenance in women with breast cancer. Nutrients. 2021;13(9):3265. doi:10.3390/nu13093265.
17. Pierce JP, Patterson RE, Senger CM, et al. Lifetime cigarette smoking and breast cancer prognosis in the After Breast Cancer Pooling Project. J Natl Cancer Inst. 2014;106(1) doi:10.1093/jnci/djt359.
18. Chao CA, Huang L, Visvanathan K, et al. Understanding women’s perspectives on breast cancer is essential for cancer control: knowledge, risk awareness, and care-seeking in Mwanza, Tanzania. BMC Public Health. 2020;20(1):1-13. doi:10.1186/s12889-020-09496-1.
19. Ford A, Sweeney E. Missing in actions: the critical role of environmental and occupational exposures in the development of breast cancer in women. In: Women’s Health: Intersections of Policy, Research and Practice. 2015:289-309.
20. Ng ZX, Ong MS, Jegadeesan T, Deng S, Yap CT. Breast cancer: exploring the facts and holistic needs during and beyond treatment. Healthcare (Basel). 2017;5(2):26. doi:10.3390/healthcare5020026.
21. Levesque JV, Gerges M, Girgis A. Psychosocial experiences, challenges, and coping strategies of Chinese-Australian women with breast cancer. Asia Pac J Oncol Nurs. 2020;7(2):141-150. doi:10.4103/apjon.apjon_67_19.
22. Gharzai LA, Ryan KA, Szczygiel L, et al. Financial toxicity during breast cancer treatment: a qualitative analysis to inform strategies for mitigation. JCO Oncol Pract. 2021;17(10)doi:10.1200/OP.21.00216.
23. Boatemaa Benson R, Cobbold B, Opoku Boamah E, Akuoko CP, Boateng D. Challenges, coping strategies, and social support among breast cancer patients in Ghana. Adv Public Health. 2020;2020:1-1. doi:10.1155/2020/7942056.
24. Triberti S, Savioni L, Sebri V, Pravettoni G. eHealth for improving quality of life in breast cancer patients: a systematic review. Cancer Treat Rev. 2019;74:1-4. doi:10.1016/j.ctrv.2019.01.005.
25. World Health Organization. Integrating palliative care and symptom relief into primary health care: a WHO guide for planners, implementers and managers. World Health Organization; 2018.
26. Hui D, Hannon BL, Zimmermann C, Bruera E. Improving patient and caregiver outcomes in oncology: team-based, timely, and targeted palliative care. CA Cancer J Clin. 2018;68(5):356-376. doi:10.3322/caac.21499.
27. Jelvehzadeh F, Dogaheh ER, Bernstein C, Shakiba S, Ranjbar H. The effect of group cognitive behavioral therapy on the quality of life and emotional disturbance of women with breast cancer. Support Care Cancer. 2022;30(1):305-312. doi:10.1007/s00520-021-06446-6.
28. Ozkan M. Psychosocial adaptation during and after breast cancer. In: Breast Disease: Management and Therapies, Vol 2. Springer; 2019:705-727.
29. Zhong F, Pengpeng L, Qianru Z. Grouping together to fight cancer: the role of WeChat groups on the social support and self-efficacy. Front Public Health. 2022;10:792699. doi:10.3389/fpubh.2022.792699.
30. Peate I, Wild K, eds. Nursing Practice: Knowledge and Care. John Wiley & Sons; 2018.
31. Bender JL, Babinski S, Wong G, et al. Establishing best practices in cancer online support groups: protocol for a realist review. BMJ Open. 2021;11(11) doi:10.1136/bmjopen-2021-053916.
32. Ohayon JL, Nost E, Silk K, Rakoff M, Brody JG. Barriers and opportunities for breast cancer organizations to focus on environmental health and disease prevention: a mixed-methods approach using website analyses, interviews, and focus groups. Environ Health. 2020;19(1):1-5. doi:10.1186/s12940-020-00639-1.
33. Shimkhada R, Attai D, Scheitler AJ, et al. Using a Twitter chat to rapidly identify barriers and policy solutions for metastatic breast cancer care: qualitative study. JMIR Public Health Surveill. 2021;7(1) doi:10.2196/23178.
34. Gupta T, Schapira L. Online communities as sources of peer support for people living with cancer: a commentary. J Oncol Pract. 2018;14(12):725-730. doi:10.1200/JOP.18.00460.
35. Kennedy AE, Vanderpool RC, Croyle RT, Srinivasan S. An overview of the National Cancer Institute's initiatives to accelerate rural cancer control research. Cancer Epidemiol Biomarkers Prev. 2018;27(11):1240-1244. doi:10.1158/1055-9965.EPI-18-0659.
36. Ryerson AB, Massetti GM. Peer reviewed: CDC’s public health surveillance of cancer. Prev Chronic Dis. 2017;14 doi:10.5888/pcd14.170209.
37. Kline RM, Arora NK, Bradley CJ, et al. Long-term survivorship care after cancer treatment: summary of a 2017 National Cancer Policy Forum Workshop. J Natl Cancer Inst. 2018;110(12):1300-1310. doi:10.1093/jnci/djy161.
38. Sleiman MM Jr, Yockel MR, Fleischmann A, et al. The role of peer support and patient navigation for empowerment in breast cancer survivors: implications for community cancer control. J Psychosoc Oncol Res Pract. 2024;6(2):128. doi:10.1097/OR9.0000000000000128.
39. Jørgensen CR, Thomsen TG, Ross L, et al. What facilitates “patient empowerment” in cancer patients during follow-up: a qualitative systematic review of the literature. Qual Health Res. 2018;28(2):292-304. doi:10.1177/1049732317721477.
40. Thomas TH, Donovan HS, Rosenzweig MQ, Bender CM, Schenker Y. A conceptual framework of self-advocacy in women with cancer. Adv Nurs Sci. 2021;44(1)doi:10.1097/ANS.0000000000000345.
41. Boatemaa Benson R, Cobbold B, Opoku Boamah E, Akuoko CP, Boateng D. Challenges, coping strategies, and social support among breast cancer patients in Ghana. Adv Public Health. 2020;2020:7942056. doi:10.1155/2020/7942056.
42. Green EK, Wodajo A, Yang Y, et al. Perceptions of support groups among older breast cancer survivors: "I've heard of them, but I've never felt the need to go." Cancer Nurs. 2018;41(6) doi:10.1097/NCC.0000000000000621.
43. Marin DB, Costello Z, Sharma V, Knott CL, Lam D, Jandorf L. Adapting health through early awareness and learning program into a new faith-based organization context. Prog Community Health Partnersh. 2019;13(3):321-329. doi:10.1353/cpr.2019.0055.
44. Hale WD, Bennett RG, Galiatsatos P. Building Healthy Communities Through Medical-Religious Partnerships. Johns Hopkins University Press; 2018.
45. McDonnell J, Idler E. Promoting advance care planning in African American faith communities: literature review and assessment of church-based programs. Palliat Care Soc Pract. 2020;14:2632352420975780. doi:10.1177/2632352420975780.
46. Carlson LE, Ismaila N, Addington EL, et al. Integrative oncology care of symptoms of anxiety and depression in adults with cancer: Society for Integrative Oncology–ASCO Guideline. J Clin Oncol. 2023;41(28):4562-4591. doi:10.1200/JCO.23.01041.
47. Meyer MA, Ring M. Complementary and integrative therapies in palliative care. In: Oxford Textbook of Palliative Nursing. Oxford University Press; 2019:361-370.
48. Kang KA. Models for spiritual care in hospice and palliative care. Korean J Hosp Palliat Care. 2018;21(2):41-50. doi:10.14475/kjhpc.2018.21.2.41.
49. Leão DC, Pereira ER, Silva RM, et al. Spiritual and emotional experience with a diagnosis of breast cancer: a scoping review. Cancer Nurs. 2022;45(3):224-235. doi:10.1097/NCC.0000000000000993.
50. Sonalika S, Mishra SS, et al. Advancements and challenges in breast cancer: a comprehensive review. Med Res Arch. 2023;11(6). doi:10.18103/mra.v11i6.3944.
2. Sun YS, Zhao Z, Yang ZN, et al. Risk factors and preventions of breast cancer. Int J Biol Sci. 2017;13(11):1387-1397. doi:10.7150/ijbs.21635.
3. Engin A. Obesity-associated Breast Cancer: Analysis of risk factors. In: Engin AB, Engin A, eds. Obesity and Lipotoxicity. Springer; 2017:571-606. doi:10.1007/978-3-319-48382-5_23.
4. Tung N, Lin NU, Kidd J, et al. Frequency of germline mutations in 25 cancer susceptibility genes in a sequential series of patients with breast cancer. J Clin Oncol. 2016;34(13):1460-1468. doi:10.1200/JCO.2015.65.0747.
5. Cobain EF, Milliron KJ, Merajver SD. Updates on breast cancer genetics: Clinical implications of detecting syndromes of inherited increased susceptibility to breast cancer. Semin Oncol. 2016;43(5):528-535. doi:10.1053/j.seminoncol.2016.09.006.
6. Nazari SS, Mukherjee P. An overview of mammographic density and its association with breast cancer. Breast Cancer. 2018;25(3):259-267. doi:10.1007/s12282-018-0857-5.
7. Ruan X, Mueck AO. The choice of progestogen for HRT in menopausal women: breast cancer risk is a major issue. Horm Mol Biol Clin Investig. 2019;37(1). doi:10.1515/hmbci-2018-0019.
8. Ugras SK, Rahman RL. Hormone replacement therapy after breast cancer: yes, no or maybe?. Mol Cell Endocrinol. 2021;525:111180. doi:10.1016/j.mce.2021.111180.
9. Lay AA, do Nascimento CF, Horta BL, Chiavegatto Filho AD. Reproductive factors and age at natural menopause: a systematic review and meta-analysis. Maturitas. 2020;131:57-64. doi:10.1016/j.maturitas.2019.11.009.
10. Scoccianti C, Lauby-Secretan B, Bello PY, Chajes V, Romieu I. Female breast cancer and alcohol consumption: a review of the literature. Am J Prev Med. 2014;46(3 Suppl 1) doi:10.1016/j.amepre.2013.10.031.
11. Mohanty SS, Mohanty PK. Obesity as potential breast cancer risk factor for postmenopausal women. Genes Dis. 2021;8(2):117-123. doi:10.1016/j.gendis.2020.04.002.
12. de Boer MC, Wörner EA, Verlaan D, van Leeuwen PA. The mechanisms and effects of physical activity on breast cancer. Clin Breast Cancer. 2017;17(4):272-278. doi:10.1016/j.clbc.2017.03.011.
13. Qian F, Riddle MC, Wylie-Rosett J, Hu FB. Red and processed meats and health risks: how strong is the evidence?. Diabetes Care. 2020;43(2):265-271. doi:10.2337/dc19-1878.
14. Pashayan N, Antoniou AC, Ivanus U, et al. Personalized early detection and prevention of breast cancer: ENVISION consensus statement. Nat Rev Clin Oncol. 2020;17(11):687-705. doi:10.1038/s41571-020-0407-9.
15. Cena H, Calder PC. Defining a healthy diet: evidence for the role of contemporary dietary patterns in health and disease. Nutrients. 2020;12(2):334. doi:10.3390/nu12020334.
16. Lisevick A, Cartmel B, Harrigan M, et al. Effect of the lifestyle, exercise, and nutrition (Lean) study on long-term weight loss maintenance in women with breast cancer. Nutrients. 2021;13(9):3265. doi:10.3390/nu13093265.
17. Pierce JP, Patterson RE, Senger CM, et al. Lifetime cigarette smoking and breast cancer prognosis in the After Breast Cancer Pooling Project. J Natl Cancer Inst. 2014;106(1) doi:10.1093/jnci/djt359.
18. Chao CA, Huang L, Visvanathan K, et al. Understanding women’s perspectives on breast cancer is essential for cancer control: knowledge, risk awareness, and care-seeking in Mwanza, Tanzania. BMC Public Health. 2020;20(1):1-13. doi:10.1186/s12889-020-09496-1.
19. Ford A, Sweeney E. Missing in actions: the critical role of environmental and occupational exposures in the development of breast cancer in women. In: Women’s Health: Intersections of Policy, Research and Practice. 2015:289-309.
20. Ng ZX, Ong MS, Jegadeesan T, Deng S, Yap CT. Breast cancer: exploring the facts and holistic needs during and beyond treatment. Healthcare (Basel). 2017;5(2):26. doi:10.3390/healthcare5020026.
21. Levesque JV, Gerges M, Girgis A. Psychosocial experiences, challenges, and coping strategies of Chinese-Australian women with breast cancer. Asia Pac J Oncol Nurs. 2020;7(2):141-150. doi:10.4103/apjon.apjon_67_19.
22. Gharzai LA, Ryan KA, Szczygiel L, et al. Financial toxicity during breast cancer treatment: a qualitative analysis to inform strategies for mitigation. JCO Oncol Pract. 2021;17(10)doi:10.1200/OP.21.00216.
23. Boatemaa Benson R, Cobbold B, Opoku Boamah E, Akuoko CP, Boateng D. Challenges, coping strategies, and social support among breast cancer patients in Ghana. Adv Public Health. 2020;2020:1-1. doi:10.1155/2020/7942056.
24. Triberti S, Savioni L, Sebri V, Pravettoni G. eHealth for improving quality of life in breast cancer patients: a systematic review. Cancer Treat Rev. 2019;74:1-4. doi:10.1016/j.ctrv.2019.01.005.
25. World Health Organization. Integrating palliative care and symptom relief into primary health care: a WHO guide for planners, implementers and managers. World Health Organization; 2018.
26. Hui D, Hannon BL, Zimmermann C, Bruera E. Improving patient and caregiver outcomes in oncology: team-based, timely, and targeted palliative care. CA Cancer J Clin. 2018;68(5):356-376. doi:10.3322/caac.21499.
27. Jelvehzadeh F, Dogaheh ER, Bernstein C, Shakiba S, Ranjbar H. The effect of group cognitive behavioral therapy on the quality of life and emotional disturbance of women with breast cancer. Support Care Cancer. 2022;30(1):305-312. doi:10.1007/s00520-021-06446-6.
28. Ozkan M. Psychosocial adaptation during and after breast cancer. In: Breast Disease: Management and Therapies, Vol 2. Springer; 2019:705-727.
29. Zhong F, Pengpeng L, Qianru Z. Grouping together to fight cancer: the role of WeChat groups on the social support and self-efficacy. Front Public Health. 2022;10:792699. doi:10.3389/fpubh.2022.792699.
30. Peate I, Wild K, eds. Nursing Practice: Knowledge and Care. John Wiley & Sons; 2018.
31. Bender JL, Babinski S, Wong G, et al. Establishing best practices in cancer online support groups: protocol for a realist review. BMJ Open. 2021;11(11) doi:10.1136/bmjopen-2021-053916.
32. Ohayon JL, Nost E, Silk K, Rakoff M, Brody JG. Barriers and opportunities for breast cancer organizations to focus on environmental health and disease prevention: a mixed-methods approach using website analyses, interviews, and focus groups. Environ Health. 2020;19(1):1-5. doi:10.1186/s12940-020-00639-1.
33. Shimkhada R, Attai D, Scheitler AJ, et al. Using a Twitter chat to rapidly identify barriers and policy solutions for metastatic breast cancer care: qualitative study. JMIR Public Health Surveill. 2021;7(1) doi:10.2196/23178.
34. Gupta T, Schapira L. Online communities as sources of peer support for people living with cancer: a commentary. J Oncol Pract. 2018;14(12):725-730. doi:10.1200/JOP.18.00460.
35. Kennedy AE, Vanderpool RC, Croyle RT, Srinivasan S. An overview of the National Cancer Institute's initiatives to accelerate rural cancer control research. Cancer Epidemiol Biomarkers Prev. 2018;27(11):1240-1244. doi:10.1158/1055-9965.EPI-18-0659.
36. Ryerson AB, Massetti GM. Peer reviewed: CDC’s public health surveillance of cancer. Prev Chronic Dis. 2017;14 doi:10.5888/pcd14.170209.
37. Kline RM, Arora NK, Bradley CJ, et al. Long-term survivorship care after cancer treatment: summary of a 2017 National Cancer Policy Forum Workshop. J Natl Cancer Inst. 2018;110(12):1300-1310. doi:10.1093/jnci/djy161.
38. Sleiman MM Jr, Yockel MR, Fleischmann A, et al. The role of peer support and patient navigation for empowerment in breast cancer survivors: implications for community cancer control. J Psychosoc Oncol Res Pract. 2024;6(2):128. doi:10.1097/OR9.0000000000000128.
39. Jørgensen CR, Thomsen TG, Ross L, et al. What facilitates “patient empowerment” in cancer patients during follow-up: a qualitative systematic review of the literature. Qual Health Res. 2018;28(2):292-304. doi:10.1177/1049732317721477.
40. Thomas TH, Donovan HS, Rosenzweig MQ, Bender CM, Schenker Y. A conceptual framework of self-advocacy in women with cancer. Adv Nurs Sci. 2021;44(1)doi:10.1097/ANS.0000000000000345.
41. Boatemaa Benson R, Cobbold B, Opoku Boamah E, Akuoko CP, Boateng D. Challenges, coping strategies, and social support among breast cancer patients in Ghana. Adv Public Health. 2020;2020:7942056. doi:10.1155/2020/7942056.
42. Green EK, Wodajo A, Yang Y, et al. Perceptions of support groups among older breast cancer survivors: "I've heard of them, but I've never felt the need to go." Cancer Nurs. 2018;41(6) doi:10.1097/NCC.0000000000000621.
43. Marin DB, Costello Z, Sharma V, Knott CL, Lam D, Jandorf L. Adapting health through early awareness and learning program into a new faith-based organization context. Prog Community Health Partnersh. 2019;13(3):321-329. doi:10.1353/cpr.2019.0055.
44. Hale WD, Bennett RG, Galiatsatos P. Building Healthy Communities Through Medical-Religious Partnerships. Johns Hopkins University Press; 2018.
45. McDonnell J, Idler E. Promoting advance care planning in African American faith communities: literature review and assessment of church-based programs. Palliat Care Soc Pract. 2020;14:2632352420975780. doi:10.1177/2632352420975780.
46. Carlson LE, Ismaila N, Addington EL, et al. Integrative oncology care of symptoms of anxiety and depression in adults with cancer: Society for Integrative Oncology–ASCO Guideline. J Clin Oncol. 2023;41(28):4562-4591. doi:10.1200/JCO.23.01041.
47. Meyer MA, Ring M. Complementary and integrative therapies in palliative care. In: Oxford Textbook of Palliative Nursing. Oxford University Press; 2019:361-370.
48. Kang KA. Models for spiritual care in hospice and palliative care. Korean J Hosp Palliat Care. 2018;21(2):41-50. doi:10.14475/kjhpc.2018.21.2.41.
49. Leão DC, Pereira ER, Silva RM, et al. Spiritual and emotional experience with a diagnosis of breast cancer: a scoping review. Cancer Nurs. 2022;45(3):224-235. doi:10.1097/NCC.0000000000000993.
50. Sonalika S, Mishra SS, et al. Advancements and challenges in breast cancer: a comprehensive review. Med Res Arch. 2023;11(6). doi:10.18103/mra.v11i6.3944.