{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T08:07:24Z","timestamp":1791360444886,"version":"4.3.1"},"reference-count":60,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:00:00Z","timestamp":1747180800000},"content-version":"vor","delay-in-days":14,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004622","name":"Dutch Cancer Society","doi-asserted-by":"crossref","award":["UM 2014-6679"],"award-info":[{"award-number":["UM 2014-6679"]}],"id":[{"id":"10.13039\/501100004622","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100001826","name":"ZonMw","doi-asserted-by":"publisher","award":["843002624"],"award-info":[{"award-number":["843002624"]}],"id":[{"id":"10.13039\/501100001826","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,4,30]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The non-inferiority randomized controlled trial BOOG 2013-08 investigates the oncological safety and impact on health-related quality of life (HRQoL) of sentinel lymph node biopsy (SNLB) omission in cT1\u20132 N0 breast cancer. The primary aim of the present study was to compare patient-reported arm function and HRQoL up to 3 years after study inclusion in cT1\u20132 N0 patients with breast cancer undergoing breast-conserving surgery (BCS) with or without SLNB. The secondary aim was to explore the association between personality traits \u2018trait anxiety\u2019 and \u2018neuroticism\u2019, and perceived arm function and HRQoL.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 1733 women with unilateral cT1\u20132 N0 invasive breast cancer treated with BCS with or without SLNB were included. The primary outcomes of arm function (assessed using the Lymphoedema Functioning, Disability, and Health Questionnaire) and HRQoL (assessed using the European Organisation for Research and Treatment of Cancer QLQ-C30 and QLQ-BR-23 questionnaires) were analysed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Analyses included 821 patients (383 with SLNB and 438 without SLNB). Those in the SLNB group experienced a slight, temporary decline in arm function (P &amp;lt; 0.025) and reported more HRQoL arm and breast symptoms (P &amp;lt; 0.049). High trait anxiety or neuroticism was associated with significant poorer arm function and lower HRQoL.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>SLNB slightly reduced arm function, temporarily affecting HRQoL arm and breast symptoms. Neuroticism significantly negatively impacted arm function and HRQoL. Measuring and stratifying for personality traits is crucial for interpreting patient-reported outcomes and to identify patients needing additional support after surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Registration number<\/jats:title>\n                    <jats:p>NCT02271828 (http:\/\/www.clinicaltrials.gov).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/bjs\/znaf031","type":"journal-article","created":{"date-parts":[[2025,1,27]],"date-time":"2025-01-27T07:14:51Z","timestamp":1737962091000},"source":"Crossref","is-referenced-by-count":9,"title":["Three-year patient-reported outcomes of the BOOG 2013-08 RCT evaluating omission of sentinel lymph node biopsy in early-stage breast cancer patients treated with breast conserving surgery: Impact of personality traits on health-related quality of life"],"prefix":"10.1093","volume":"112","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2642-8385","authenticated-orcid":false,"given":"Veerle M","family":"Wintraecken","sequence":"first","affiliation":[{"name":"GROW\u2014Research Institute for Oncology and Reproduction, Maastricht University , Maastricht ,","place":["The Netherlands"]},{"name":"Department of Surgery, Maastricht University Medical Centre+ , Maastricht ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lori M","family":"van Roozendaal","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology, Zuyderland Medical Centre , Sittard-Geleen ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janine M","family":"Simons","sequence":"additional","affiliation":[{"name":"GROW\u2014Research Institute for Oncology and Reproduction, Maastricht University , Maastricht ,","place":["The Netherlands"]},{"name":"Department of Radiotherapy, Erasmus MC Cancer Institute, University Medical Center Rotterdam , Rotterdam ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jolanda","family":"de Vries","sequence":"additional","affiliation":[{"name":"Department of Medical and Clinical Psychology, Tilburg University , Tilburg ,","place":["The Netherlands"]},{"name":"Board member Admiraal de Ruyter Ziekenhuis , Goes ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sander M J","family":"van Kuijk","sequence":"additional","affiliation":[{"name":"Department of Clinical Epidemiology and Medical Technology Assessment, Maastricht University Medical Centre+ , Maastricht ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marissa L G","family":"Vane","sequence":"additional","affiliation":[{"name":"GROW\u2014Research Institute for Oncology and Reproduction, Maastricht University , Maastricht ,","place":["The Netherlands"]},{"name":"Department of Surgery, Maastricht University Medical Centre+ , Maastricht ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0882-9086","authenticated-orcid":false,"given":"Thijs","family":"van Dalen","sequence":"additional","affiliation":[{"name":"Division of Surgical Oncology, Diakonessenhuis Hospital , Utrecht ,","place":["The Netherlands"]},{"name":"Department of Surgery, Erasmus Medical Centre , Rotterdam ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helena","family":"Sackey","sequence":"additional","affiliation":[{"name":"Department of Molecular Medicine and Surgery, Karolinska Institutet , Stockholm ,","place":["Sweden"]},{"name":"Department of Breast- Endocrine Tumors and Sarcoma, Karolinska University Hospital , Stockholm ,","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos A","family":"van der Hage","sequence":"additional","affiliation":[{"name":"Division of Surgical Oncology, Leids University Medical Centre , Leiden ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3840-3003","authenticated-orcid":false,"given":"Luc J A","family":"Strobbe","sequence":"additional","affiliation":[{"name":"Division of Surgical Oncology, Canisius-Wilhelmina Hospital , Nijmegen ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabine C","family":"Linn","sequence":"additional","affiliation":[{"name":"Division of Medical Oncology, Netherlands Cancer Institute\u2014Antoni van Leeuwenhoek Hospital , Amsterdam ,","place":["the Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc B I","family":"Lobbes","sequence":"additional","affiliation":[{"name":"Department of Medical Imaging, Zuyderland Medical Centre , Sittard-Geleen ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip M P","family":"Poortmans","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology, Iridium Network , Antwerp ,","place":["Belgium"]},{"name":"Faculty of Medicine and Health Sciences, University of Antwerp , Antwerp ,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vivianne C G","family":"Tjan-Heijnen","sequence":"additional","affiliation":[{"name":"GROW\u2014Research Institute for Oncology and Reproduction, Maastricht University , Maastricht ,","place":["The Netherlands"]},{"name":"Division of Medical Oncology, Maastricht University Medical Centre+ , Maastricht ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koen K B T","family":"van de Vijver","sequence":"additional","affiliation":[{"name":"Department of Pathology, Ghent University Hospital , Ghent ,","place":["Belgium"]},{"name":"Department of Diagnostic Sciences, Cancer Research Institute Ghent (CRIG), Ghent University , Ghent ,","place":["Belgium"]},{"name":"Centre for Gynaecological Oncology Amsterdam (CGOA), Department of Gynaecology, Netherlands Cancer Institute\u2014Antoni van Leeuwenhoek Hospital , Amsterdam ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen H","family":"Westenberg","sequence":"additional","affiliation":[{"name":"Radiation Oncology, Radiotherapiegroep location Arnhem , Arnhem ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmen D","family":"Dirksen","sequence":"additional","affiliation":[{"name":"Department of Clinical Epidemiology and Medical Technology Assessment, Maastricht University Medical Centre+ , Maastricht ,","place":["The Netherlands"]},{"name":"Care and Public Health Research Institute (CAPHRI), Maastricht University , Maastricht ,","place":["The 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