Colvin, Lesley

Fallon, Marie

Foo, Irwin

O'Shea, Halia

Sheridan, David

EJC Supplements

O’Shea, Halia

Elsevier - Publisher Connector 

Methods: Women with primary breast cancer (N = 100) com-
pleted self-report questionnaires either at the pre-operation clinic
or one-two days post-operatively. Questionnaires assessed cur-
rent emotional distress, adult attachment dimensions, childhood
sexual, physical and emotional abuse and parental care. Follow-
ing the histology consultation patients completed a measure of
professional support and clinicians completed a measure of
patient ‘difficulty’.
Results: Patients recalling abuse were 6.5 times less likely to
feel fully supported by the clinician than those not recalling
abuse, even when parental care, emotional distress, age and prog-
nosis were controlled for. Abuse and low parental care were asso-
ciated with higher clinician-rated ‘difficulty’. The relationship
was not accounted for by insecure attachment.
Conclusions: A history of childhood abuse has a detrimental
influence on clinical relationships in breast cancer. Patients with
a history of childhood abuse not only reported less support but
also are experienced as more ‘difficult’ by clinicians. The relation-
ship was not accounted for by insecure attachment. Future
research should seek to establish a pathway between childhood
abuse and ‘difficulty’, specifically testing whether low support
ratings by patients are associated with a ‘difficult’ experience by
clinicians.
doi:10.1016/j.ejcsup.2010.06.090
O-90 THE NHS BREAST SCREENING PROGRAMME – ARE WE
COMMUNICATING WELLWITH SOUTH ASIAN ORIGIN WOMEN?
A.K. Jain a, N. Acik-Toprak b, J. Serevitch a, J. Nazroo b. aThe
Nightingale Centre, University Hospital of South Manchester,
UK. bDepartment of Sociology, University of Manchester, UK
Introduction: Breast screening uptake rates remain low in South
Asian Origin Women (SAOW). The main reasons are consistently
reported as being lack of knowledge and poor communication.
Our aim has been to study how various Breast Screening Units
(BSU) actually communicate with these women and to identify
local initiatives.
Methods: A.J. sent structured questionnaires along with a letter
setting the study objectives to all the 95 UK BSUs last year, fol-
lowed by reminders via the Royal College of Radiologists Breast
Group.
Results: Sixty-nine responses have been received with 66 com-
pleted questionnaires. BSU size varies from under 10,000 to over
50,000 invited women. SAOW % varies from less than 5% to 25–
30%. Only one BSU sends the first invitation/reminder in South
Asian languages though 42 units state that a translated version
can be requested.
Eighteen units record patient’s language and 25 offer them
translated leaflets. Only 4 units send them normal recall, 3 send
them their assessment recall letter, 9 provide them biopsy leaflets
and 3 send them their normal assessment letter in their
languages.
Around 75% units have easy access to interpreters and arrange
them in advance of the assessment. Only 30% of the BSU have
Link/Promotion Officers, while only one unit has received sepa-
rate funding to target South Asian women. Only half the BSUs feel
they communicate well with SAOW.
Conclusions: Our results clearly indicate that we need to
improve communication with SAOW, which in turn would help
improve their overall experience as well as screening uptake
rates.
doi:10.1016/j.ejcsup.2010.06.091
O-91 CHARACTERISING POST-MASTECTOMY PAIN SYNDROME
IN 111 SCOTTISH WOMEN
David Sheridan a, Irwin Foo b, Halia O’Shea b, Marie Fallon c, Lesley
Colvin b. a School of Biomedical Sciences, University of Edinburgh,
Edinburgh, UK. bDept. of Anaesthesia Critical Care and Pain
Medicine, Western General Hospital, Edinburgh, UK. cEdinburgh
Cancer Centre, University of Edinburgh, Edinburgh, UK
Introduction: Post-mastectomy pain syndrome (PMPS) is a com-
mon but underreported side effect of breast cancer treatment. It
has been shown to have prevalence as high as 50%. PMPS is a
neuropathic condition and the NMDA receptor is implicated in
its development. The objective of this prospective cross-sectional,
questionnaire-based study is to examine risk the factors and
severity of PMPS in patients from south-east Scotland attending
the Edinburgh Cancer Centre.
Methods: Patients were asked to complete a questionnaire that
assessed their surgical and demographic data and ascertained
whether they still had pain from their treatment. If the patient
had pain they were asked to fill out a range of validated question-
naires as well as questions about the nature and location of their
pain and whether they would like to consult a clinician.
Results: The total sample was 111 patients. 29.7% (33) of
patients reported chronic pain at a mean time of 64 months
post-op. Of these patients 43.5% scored 12 or more on the LANSS,
indicating neuropathic pain. The average VAS was 3.23 but with a
variance of 6.825. Pre-operative pain was associated with a five-
fold increased risk of chronic pain (OR 5.169 95% CI 1.785,
14.965), chemotherapy was associated with a threefold increased
risk (OR = 3.004 95% CI 1.219, 7.403, p = 0.017).
Conclusion: This questionnaire has shown significant numbers
of patients suffer PMPS after breast cancer treatment and has
highlighted post-operative pain and chemotherapy as important
risk factors.
doi:10.1016/j.ejcsup.2010.06.092
O-92 A MULTI CENTRE PROSPECTIVE LONGITUDINAL STUDY
EVALUATING HEALTH RELATED QUALITY OF LIFE AFTER
IMMEDIATE LATISSIMUS DORSI (LD) BREAST RECONSTRUCTION
Z.E. Winters a, J. Mills b, J. Haviland b, A. Reece-Smith a, M.
Greenslade a, J. Benson c, M. Galea d, P. McManus e, S. Nicholson f,
E. Weiler-Mithoff g, Z. Rayter a, V. Balta a, H.J. Thomson a. aUniversity
Hospitals, Bristol, UK. bClinical Trials and Statistics Unit, The Institute of
34 EJC SUPPLEMENTS 8 (2010) 1–36


O-91 Characterising post-mastectomy pain syndrome in 111 Scottish women 

David Sheridan

Irwin Foo

Halia O’Shea

Marie Fallon

Lesley Colvin

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O-91 Characterising post-mastectomy pain syndrome in 111 Scottish women

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CHARACTERISING POST-MASTECTOMY PAIN SYNDROME IN 111 SCOTTISH WOMEN

CHARACTERISING POST-MASTECTOMY PAIN SYNDROME IN 111 SCOTTISH WOMEN

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