A Comparison of Patient-Reported Outcomes After Breast-Conserving Surgery and Mastectomy with Implant Breast Reconstruction

Flanagan, Meghan R.; Zabor, Emily C.; Romanoff, Anya; Fuzesi, Sarah; Stempel, Michelle; Mehrara, Babak J.; Morrow, Monica; Pusic, Andrea L.; Gemignani, Mary L.

doi:10.1245/s10434-019-07548-9

Cited by 76 publications

(51 citation statements)

References 37 publications

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“…The study by Flanagan et al on a group of women who had undergone BCT and mastectomy with subsequent implant reconstruction proves that time after surgery is an important factor in breast satisfaction and QoL. Satisfaction with the aesthetic outcome after surgery decreases with time, regardless of the type of surgery, while psychosocial well-being improves [21]. Similar results have also been obtained by other authors [22].…”

Section: Discussionsupporting

confidence: 58%

Satisfaction with the Aesthetic Effect and Quality of Life for Women after Breast Conserving Therapy (BCT)—Preliminary Research

Krzos

Stanisławek

Jędrych

et al. 2019

IJERPH

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All methods of breast cancer treatment may potentially lead to breast deformities, which are often associated with the reduced mental well-being of patients. Breast conserving therapy (BCT) is commonly used, and its core element is breast conserving surgery (BCS).The aim of this study was to determine the level of satisfaction with the aesthetic outcome of surgery and quality of life (QoL) of breast cancer patients undergoing BCT in a longitudinal study performed three months, six months and 12 months after surgery. This longitudinal observational study was carried out on a group of 91 women. The Breast-QTM BCT 1.0 questionnaire was used in this study. Before surgery, patients assessed their satisfaction with the appearance of their breasts (SwB) at an average level of M = 56.0. Satisfaction with the aesthetic outcome (SwO) of BCS was highest among all patients three months after surgery (M = 63.0). The mean score in the sub-scale of psychosocial well-being (Psycho-soc W-B) before surgery was M = 62.0, while in the subsequent periods of the study, it was higher. The mean score for physical well-being (Physical W-B) before surgery was M = 69.92; and in the subsequent study periods, it was lower. The level of patient satisfaction with the outcome of the surgery and the QoL related to health do not differ significantly in post-operative observation. QoL in terms of psychosocial functioning in patients undergoing BCT is significantly higher 12 months after surgery compared to the pre-operative period. Patient satisfaction with the BCS aesthetic outcome is positively related to the evaluation of QoL in terms of psychosocial functioning.

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Section: Discussionsupporting

confidence: 58%

Satisfaction with the Aesthetic Effect and Quality of Life for Women after Breast Conserving Therapy (BCT)—Preliminary Research

Krzos

Stanisławek

Jędrych

et al. 2019

IJERPH

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“…Our findings are similar to those recently published by Flanagan and colleagues, 39 who retrospectively administered the BREAST-Q questionnaire to 3,233 women who had undergone operation for stage I or II breast cancer. 39 They compared breast-conserving operation to NSM, skin-sparing mastectomy, or total mastectomy with immediate implant-based reconstruction and found that both breast satisfaction and quality-of-life scores were highest for the cohort who underwent breast conservation.…”

Section: Discussionsupporting

confidence: 91%

Breast-Specific Sensuality and Appearance Satisfaction: Comparison of Breast-Conserving Surgery and Nipple-Sparing Mastectomy

Casaubon

Kuehn

Pesek

et al. 2020

Journal of the American College of Surgeons

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“…Since the 1990s, the concept of oncoplastic surgery has been introduced precisely to improve the aesthetic and functional results of the breast [8][9][10]. This type of surgery is a multidisciplinary collaboration that combines oncological surgery with plastic surgery techniques, thus offering women diagnosed with breast cancer a better quality of life in the long run [11][12][13].…”

Section: Introductionmentioning

confidence: 99%

Well-Being, Depression, and Anxiety following Oncoplastic Breast Conserving Surgery versus Modified Radical Mastectomy Followed by Late Breast Reconstruction

Grujic

Giurgi-Oncu

Oprean

et al. 2021

IJERPH

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Breast cancer requires complex clinical care. Well-being is an intricate concept, encompassing physical, functional, emotional, and social aspects. Background: This study aims to evaluate the relationship between the type of surgery our patients underwent and the timing of the reconstructive surgery with physical, emotional, social, and functional well-being. Furthermore, through our research we tried to identify potential mental health comorbidities in patients with breast cancer, clinical symptoms, and well-being in women with breast cancer, depending on the type of required surgery. Methods: The study included 69 women diagnosed with breast cancer, in stages I to III, divided in two groups: I—patients with oncoplastic breast-conserving surgery and contralateral correction surgery, for symmetry reasons; II—patients who underwent modified radical mastectomy and late breast reconstruction with contralateral symmetrisation. We evaluated socio-demographic aspects, alongside depression, anxiety, stress (DASS 21), and well-being (FACT-B). Data were statistically processed; statistical significance was set at p < 0.05. Results: Clinical elements of depression, anxiety, and stress were noted in both groups, without statistical significance (p > 0.05). Significant differences were found regarding psycho-emotional (p = 0.035) and functional well-being (p = 0.001), with higher scores for group I. The chi-square test indicated statistically significant differences (at p < 0.01) between the groups, regarding the frequency of scores on items B4 and B9 (FACT-B items, related to feminine aesthetics and desirability), with evidently higher scores in group I than in group II. Conclusions: The state of well-being, as well as the items related to femininity and sexuality had higher values in the group of women treated by oncoplastic conservative surgery compared to late reconstruction after modified radical mastectomy.

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A Comparison of Patient-Reported Outcomes After Breast-Conserving Surgery and Mastectomy with Implant Breast Reconstruction

Cited by 76 publications

References 37 publications

Satisfaction with the Aesthetic Effect and Quality of Life for Women after Breast Conserving Therapy (BCT)—Preliminary Research

Satisfaction with the Aesthetic Effect and Quality of Life for Women after Breast Conserving Therapy (BCT)—Preliminary Research

Breast-Specific Sensuality and Appearance Satisfaction: Comparison of Breast-Conserving Surgery and Nipple-Sparing Mastectomy

Well-Being, Depression, and Anxiety following Oncoplastic Breast Conserving Surgery versus Modified Radical Mastectomy Followed by Late Breast Reconstruction

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