<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1405-0099</journal-id>
<journal-title><![CDATA[Cirujano general]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. gen]]></abbrev-journal-title>
<issn>1405-0099</issn>
<publisher>
<publisher-name><![CDATA[Asociación Mexicana de Cirugía General A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1405-00992015000100015</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Calidad de vida de las pacientes con cáncer de mama: cirugía radical versus cirugía conservadora]]></article-title>
<article-title xml:lang="en"><![CDATA[Quality of life in patients with breast cancer: radical versus conservative surgery in a highly specialized medical unit]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Medina Valencia]]></surname>
<given-names><![CDATA[J Jesús]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ángeles Bueno]]></surname>
<given-names><![CDATA[Wenceslao Guillermo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Delgado Vázquez]]></surname>
<given-names><![CDATA[Juan Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lomelí Muñoz]]></surname>
<given-names><![CDATA[Jorge Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ojeda Babilonia]]></surname>
<given-names><![CDATA[Joan Arlene]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Montes Velázquez]]></surname>
<given-names><![CDATA[Leonora]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Médico Nacional de Occidente Unidad Médica de Alta Especialidad (UMAE-HE) Departamento de Cirugía Oncológica]]></institution>
<addr-line><![CDATA[Guadalajara Jalisco]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro Médico Nacional de Occidente Hospital de Ginecología Departamento de Cirugía-Ginecología]]></institution>
<addr-line><![CDATA[Guadalajara Jalisco]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2015</year>
</pub-date>
<volume>37</volume>
<numero>1-2</numero>
<fpage>15</fpage>
<lpage>24</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992015000100015&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992015000100015&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992015000100015&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  El cáncer de mama es la principal neoplasia maligna en mujeres y la primera causa de muerte por neoplasia en el género femenino en el ámbito mundial, con cerca de 500 mil decesos cada año. Sin embargo, durante su evolución, el enfoque se ha basado sólo en el tratamiento, olvidando el aspecto psicológico de la enfermedad, motivo por el cual se ha tratado de integrar éste en el estudio de la calidad de vida relacionada con la salud, donde se analiza tanto el enfoque clínico postratamiento como las repercusiones físicas y los cambios relacionados con el comportamiento y estado de ánimo, lo que permite destacar el estado funcional de la paciente que refleje su salud física, mental y social.  Material y métodos:  Estudio trasversal descriptivo de pacientes con cáncer de mama con tratamiento quirúrgico, incluyendo mastectomía o cirugía conservadora, en vigilancia por la consulta externa, atendidas en la UMAE-HE, CMNO durante el periodo comprendido entre el 1 de enero de 2000 y el 31 de diciembre de 2013 en etapas clínicas I a III. Las pacientes fueron evaluadas a partir de la aplicación de un cuestionario del grupo EORTC QLQ-C30 y QLQ-BR23.  Resultados:  La calidad de vida global de las pacientes fue de 45.5 para mastectomía y 42.7 para cirugía conservadora, con un estado global de salud de 44.1. De todos los parámetros, solo fueron significativos para el apartado de síntomas -específicamente para el estreñimiento- y el impacto económico, los cuales fueron peores para las pacientes con mastectomía. De la misma forma, en el cuestionario específico para cáncer de mama, ninguno de los apartados mostró una diferencia estadísticamente significativa, por lo que se puede asumir una calidad de vida igual entre los diferentes tipos de tratamiento.  Conclusión:  Las pacientes con cáncer de mama de nuestra institución presentan una menor calidad de vida con respecto a lo descrito en la literatura mundial, lo que requiere de la implementación de programas enfocados en la valoración de estos aspectos durante el abordaje y seguimiento de las pacientes, y no sólo en el tratamiento oncológico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction: Cancer is the leading malignancy in women, and breast cancer is the leading cause of death from malignancy in females worldwide, with around 500 thousand deaths each year. However, during its evolution the focus has only been on the treatment, forgetting the psychological aspects of the disease. For this reason, this study includes the health-related quality of life, which analyses the postreatment clinical approach, the physical repercussions and the changes associated with behavior and mood, which will enable to highlight a functional status of the patients that reflects their physical, mental and social health.  Methods:  A descriptive, cross-sectional study conducted on breast cancer patients in clinical stages I to III managed with surgical treatment, including mastectomy or conservative surgery, on follow-up in the Outpatient Clinic of the UMAE-HE, CMNO, during the period between January 1st, 2000 and December 31st, 2013. The evaluations were based on the questionnaires of the EORTC group QLQ-C30 and QLQ-BR23.  Results: The overall quality of life score of the patients was 45.5 for mastectomy and 42.7 for conservative surgery, with an overall health status of 44.1. Of all the parameters, there were only differences in the symptoms section, specifically for constipation, and financial impact, which were worse for patients with mastectomy. Likewise, in the questionnaire specific for breast cancer, no statistically significant differences were observed in any of the sections, from which it can be assumed that the quality of life is similar between the two types of treatment.  Conclusion: Patients with breast cancer in this institution have a lower quality of life than that reported in the world literature. This suggests the need to implement programs that focus on these aspects, and not only on the oncological management, during the treatment and follow-up of patients.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Cáncer de mama]]></kwd>
<kwd lng="es"><![CDATA[calidad de vida]]></kwd>
<kwd lng="es"><![CDATA[cirugía radical]]></kwd>
<kwd lng="es"><![CDATA[cirugía conservadora]]></kwd>
<kwd lng="en"><![CDATA[Breast cancer]]></kwd>
<kwd lng="en"><![CDATA[quality of life]]></kwd>
<kwd lng="en"><![CDATA[radical surgery]]></kwd>
<kwd lng="en"><![CDATA[conservative surgery]]></kwd>
</kwd-group>
</article-meta>
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