Pattern of External Breast Prosthesis Use by Post Mastectomy Breast Cancer Patients in India: Descriptive Study from Tertiary Care Centre

Abstract

In India, Breast cancer is now the most common cancer in urban and 2nd most common in rural areas [1]. The incidence is rising, more younger women are getting affected and due to increase in survival rates there is an increase in the total number of women suffering from breast Cancer. So far there are no studies evaluating the pattern of breast prosthesis use in Indian scenario. The aim of this study is to address the patterns of external breast prosthesis used in India and view of Indian women on such prosthesis after mastectomy for breast cancer. This was a descriptive longitudinal study. In this study we interviewed (telephonic) 63 people, after three years of completing treatment under The Department of Surgical Oncology, St. Johns medical college, Bangalore. Among the study group, 27 members (40 %) were using various prosthesis, rest 36 women were not using any type of prosthesis. Among the users of prosthesis, silicon prosthesis was used by 6 women, padded cups by 8 women, cloth or cotton by 12 women and 1 woman used other type of prosthesis. Most women use simple items like cloth and cotton (44 %). Next most commonly used prosthesis are padded cups(). Only 22 % of women were found using silicon prosthesis in this study. Most of the well educated patients used external prosthesis either in the form of silicon prosthesis or padded cups. Most of women below age of 50 used external breast prosthesis. Use of prosthesis was more in urban compared to rural population (48 % vs 25 %). Prosthesis users worried more about the body image than women not using prosthesis. 25 % of women using prosthesis had body image issues where as only 5 % of non prosthesis users had such problems. Prosthesis users need improvement in terms of comfort, size, shape and affordability. Most common reasons for not using prosthesis are age, lack of motivation and awareness. Less than half of the women included in this study used external prosthesis after mastectomy for breast cancer. Most of the women are used home made prosthesis like cloth and cotton (44.4 %). Education, age and urban status are the strong factors which influences use of prosthesis. Prosthesis users are those who are more concerned about their body image. There is a palpable need to develop better prosthesis at affordable price.

Women experiences of using external breast prosthesis after mastectomy

“…In their study of investigating pattern of using EBP in India, Ramu et al . [ 26 ] found that high education level, young age, and living in city contribute to higher utilization of EBP. The researchers also reported that most of the EBP users wanted to improve the quality of EBP, including comfort, size, and shape as well as reduce the cost of EBP.…”

Patient Satisfaction and Quality of Life After Mastectomy at King Abdulaziz Medical City, Jeddah

“…Additionally, the costs of cosmetic breast reconstruction surgery were prohibitively unaffordable to them. Therefore, a more affordable alternative is an external breast prosthesis, an artificial breast-shape material that is inserted into the bra to replace the lost breast [ 32 ]. External breast prostheses can be a viable option for some patients, but they do have some limitations; for instance, they may not provide the same level of comfort or natural appearance when compared to cosmetic breast reconstruction [ 32 ].…”

“…Therefore, a more affordable alternative is an external breast prosthesis, an artificial breast-shape material that is inserted into the bra to replace the lost breast [ 32 ]. External breast prostheses can be a viable option for some patients, but they do have some limitations; for instance, they may not provide the same level of comfort or natural appearance when compared to cosmetic breast reconstruction [ 32 ]. They may require regular adjustments or replacements over time or cause discomfort or skin irritation from wearing them [ 32 ].…”

“…External breast prostheses can be a viable option for some patients, but they do have some limitations; for instance, they may not provide the same level of comfort or natural appearance when compared to cosmetic breast reconstruction [ 32 ]. They may require regular adjustments or replacements over time or cause discomfort or skin irritation from wearing them [ 32 ]. It was noticed that there were barriers to obtaining these breast prostheses even if patients could afford them, such as product availability and limited providers, as shown in Table 4 .…”

Medical professionals’ knowledge of the use of external breast prostheses among breast cancer patients in China—a cross-sectional study

“…The higher the education level an individual has, the wider the scope of their knowledge and the more multiple access they have to relevant knowledge. Studies on external breast prostheses in other countries have been more in-depth and detailed than those previously conducted in China (23)(24)(25)(26)(27). Thijs-Boer et al (28) examined patients undergoing radical mastectomies in the Netherlands and found that modern women were concerned with the convenience of wearing breast prostheses, local skin stimulation, the protection of the wound surface and the degree to which the breast prostheses fit to their bodies.…”