Breast reconstruction in the United Kingdom and Ireland

Callaghan, Chris; Couto, Elisabeth; Kerin, Michael J.; Rainsbury, Richard; George, W.D.; Purushotham, Arnie

doi:10.1046/j.0007-1323.2001.02027.x

Cited by 59 publications

(41 citation statements)

References 17 publications

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“…Although significant progress has been made in the multimodal management of breast cancer, complete surgical resection with disease‐free margins remains the cornerstone of effective therapy. To achieve adequate locoregional control, approximately 40 per cent of patients have a total mastectomy2 3. For these patients, breast reconstruction is proven to improve psychosocial and aesthetic outcomes4.…”

Section: Introductionmentioning

confidence: 99%

Trends in breast reconstruction practices in a specialized breast tertiary referral centre

et al. 2017

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BackgroundBreast reconstruction is an important component of multidisciplinary breast cancer management. The practice of breast reconstruction after mastectomy has evolved significantly in the past decade as a result of both increasing mastectomy rates and advances in reconstructive strategy. These changes have significantly influenced the contemporary surgical management of breast cancer. The aim of this study was to examine trends in breast reconstruction after mastectomy in an Irish population.MethodsData were reviewed from a database of all patients who had mastectomy with or without breast reconstruction at Galway University Hospital, a tertiary breast cancer referral centre, between 2004 and 2014. Trends in breast reconstruction after mastectomy were explored with respect to patient demographics, clinicopathological features, and neoadjuvant and adjuvant therapy.ResultsOf 1303 patients who underwent mastectomy during interval studied, 706 (54.2 per cent) had breast reconstruction after mastectomy. In 629 patients (89·1 per cent), breast reconstruction was performed in the immediate setting. Reconstruction rates increased over time from 20·5 per cent in 2004 to 44·7 per cent in 2014. Reconstruction was more commonly performed in younger patients and those with benign, in situ and early‐stage disease. A negative relationship between radiotherapy and reconstruction was observed. A pedicled flap with or without an implant was the most commonly used reconstructive approach in patients receiving radiotherapy.ConclusionBreast reconstruction after mastectomy has become the standard of care in the surgical treatment of breast cancer. Recent trends show a transition favouring implant‐based approaches.

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Section: Introductionmentioning

confidence: 99%

Trends in breast reconstruction practices in a specialized breast tertiary referral centre

et al. 2017

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“…In the United States, approximately 69,000 women undergo mastectomy annually 29 , and a similar rate has been reported in Great Britain 30 . Mastectomy affects patients psychosocially and has impacts on various aspects of their quality of life, including self-image, self-esteem, and sexual relationships 31 , in addition to being associated with high rates of depression 32 .…”

Section: Introductionmentioning

confidence: 86%

“…The incidence of breast reconstruction after mastectomy differs among countries and among hospitals within the same country. In the United States, the reconstruction rate was estimated at 8.3% from 1994 to 1995 29 , whereas in the United Kingdom and Ireland, it was estimated at 18% in 2000 30 . In other industrialized countries, some specialized hospitals reported rates of >50% 36 .…”

Section: Introductionmentioning

confidence: 99%

Nível de atividade física em mulheres mastectomizadas e submetidas a reconstrução mamária

Neto¹,

Moreira²,

Resende³

et al. 2012

Rev. Bras. Cir. Plást.

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Physical activity in women undergoing mastectomy and breast reconstructionNível de atividade física em mulheres mastectomizadas e submetidas a reconstrução mamária ABSTRACT Background: Regular physical activity has been recommended for the prevention and treat ment of coronary heart disease, diabetes mellitus, and hypertension. Besides being a pro tective factor against breast cancer, physical activity following the diagnosis of breast cancer has been associated with an improved quality of life and survival. The aim of this study was to assess levels of physical activity in women who had undergone mastectomy without breast reconstruction and in women who had undergone breast reconstruction after breast cancer treatment. Methods: Two groups, each with 18 patients, comprised the patient series. One group comprised women who had undergone mastectomy without breast reconstruction, and the other group comprised women who had undergone mastectomy and breast reconstruction. All patients were aged between 18 and 60 years. The exclusion criteria were physical disability; illiteracy; ongoing chemotherapy, radiation therapy, or psychiatric therapy; and surgery performed within the previous 12 months. Study participants completed the International Physical Activity Questionnaire. Statistical analysis was performed by applying the chi-square and Student's t tests, adopting a significance level of P < 0.05. Results: In the group of women who had undergone mastectomy without breast reconstruction, 16.7% were very active, 61.1% were active, and 22.2% were insufficiently active. In the group of women who had undergone mastectomy with breast reconstruction, 55.6% were very active, 33.3% were active, and 11.1% were insufficiently active. The difference between the groups was statistically significant (P < 0.0001). Conclusions: In this study, the level of physical activity among women who underwent breast reconstruction was higher than that among women who underwent mastectomy without breast reconstruction.Keywords: Mammaplasty. Breast neoplasms. Quality of life. Questionnaires. RESUMOIntrodução: A prática regular de atividade física tem sido recomendada para prevenção e tratamento de doenças coronárias, diabetes melito e hipertensão arterial. Além de fator protetor, a atividade física após o diagnóstico de câncer de mama tem sido correlacionada a aumento da qualidade de vida e da sobrevida. O objetivo deste estudo é avaliar o nível de atividade física de mulheres mastectomizadas sem reconstrução mamária e de mulheres submetidas a reconstrução mamária pós-tratamento de câncer de mama. Método: A casuística foi composta por 2 grupos, um de mulheres mastectomizadas sem reconstrução mamária e outro de mulheres mastectomizadas e submetidas a reconstrução mamária pós-mastectomia, ambos com 18 pacientes. Todas as pacientes tinham idade entre 18 anos e 60 anos. Os critérios de exclusão foram: deficiência física, analfabetismo, vigência de tratamento de quimioterapia, radioterapia ou psiquiátrico, e tratamento cirúrgico realizado em período...

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“…More than three-fourths answered. They reported ''older surgeons were significantly less likely to perform immediate reconstruction (…Odds ratio = 5.18), and were significantly more likely to believe that immediate breast reconstruction has disadvantages'' [5].…”

Section: Cognitive Declinementioning

confidence: 99%

“…Callaghan et al [5] surveyed 498 specialized breast surgeons in the United Kingdom. More than three-fourths answered.…”

Section: Cognitive Declinementioning

confidence: 99%

The Problem of the Aging Surgeon: When Surgeon Age Becomes a Surgical Risk Factor

Blasier¹

2009

Clinical Orthopaedics &Amp; Related Research

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The question of when a surgeon should retire has been the subject of debate for decades. Both anecdotal evidence and objective testing of surgeons suggest age causes deterioration in physical and cognitive performance. Medical education, residency and fellowship training, and technology evolve at a rapid pace, and the older a surgeon is, the more likely it is he or she is remote from his or her initial education in his or her specialty. Research also shows surgeons are reluctant to plan for retirement. Although there is no federally mandated retirement age for surgeons in the United States, surgeons must realize their skills will decline, a properly planned retirement can be satisfying, and the retired surgeon has much to offer the medical and teaching community.

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Breast reconstruction in the United Kingdom and Ireland

Abstract: : Significant variation exists in the delivery of breast reconstruction after mastectomy in the UK and Ireland. The age, workload and personal characteristics of the surgeon are important in determining reconstructive practice.

Cited by 59 publications

References 17 publications

Trends in breast reconstruction practices in a specialized breast tertiary referral centre

Trends in breast reconstruction practices in a specialized breast tertiary referral centre

Nível de atividade física em mulheres mastectomizadas e submetidas a reconstrução mamária

The Problem of the Aging Surgeon: When Surgeon Age Becomes a Surgical Risk Factor

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