| Summary: | 碩士 === 義守大學 === 管理學院管理碩士在職專班 === 100 === In Taiwan, the incidence of breast cancer is increasing in recent years. Breast cancer became the leading cancer in female. In addition to operation, current major treatements of breast include chemotherapy, radiotheray, hormonal therapy and target therapy. Although these treatments can improve breast cacner survival, they make the cost of breast cancer treatments larger than other cancers. In Taiwan, all these treatments are reimbursed by our National Health Insurance programs. But the reconstruction of breast after total mastectomy is not reimbursed. There are three major operation methods for breast cancer, including breast conserving surgery(BCS), mordified radical mastectomy (MRM) and Mordified radical mastectomy with breast reconstruion(MRM+TRAM). We will compare these three methods in breast cancer satification.
One thousand and fifty nine patients treated in Kaohsiugn medical university between 2005/1/1 and 2010/12/31 were enrolled in this study.From the cancer registry data, the recurrence, medical expense and patients' satification was analysed. The statisitcal methods including ANOVA, t test, F test and CCR model for patients' satification scale.
Our study showed as beloes :1. there is no statistical significant in three groups in time to recurrence. 2. The medical expense was significantly higher in MRM+TRAM group without recurrence, but there is no difference in those with disease recurrence. 3.There is no difference in patients' satification in three groups. We conclude that for those patient who doesn't accept MRM without reconstruction for her breast, MRM with TRAM is a good alternative to BCS in consideration of disease control, cost effectiveness and patients' satification.
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