Determinants of Patient Satisfaction in Postmastectomy Breast Reconstruction

Alderman, Amy K.; Wilkins, Edwin G.; Lowery, Julie C.; Kim, Myra; Davis, Jennifer

doi:10.1097/00006534-200009020-00003

Cited by 276 publications

(78 citation statements)

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“…Eighty‐eight per cent of patients also said they would have the same reconstruction again. These results match those of other studies that have found high rates of patient satisfaction in those who choose to have breast reconstruction 25,35−37 . Women who undergo breast reconstruction usually have extensive interviews and counselling so perhaps it is not surprising that the successful procedures are associated with a high degree of patient satisfaction.…”

Section: Discussionsupporting

confidence: 85%

Psychological impact and cosmetic outcome of surgical breast cancer strategies

Nano

Gill

Kollias

et al. 2005

ANZ Journal of Surgery

165

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Section: Discussionsupporting

confidence: 85%

Psychological impact and cosmetic outcome of surgical breast cancer strategies

Nano

Gill

Kollias

et al. 2005

ANZ Journal of Surgery

165

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“…The comparison of different reconstruction types with respect to quality of life scores showed all groups to be similar. Previous studies regard implant and LDF reconstructions as inferior to fully autologous reconstructions (i.e., TRAM and the deep inferior epigastric perforator flaps) 17,19 , 20,53 . Although the numbers for subgroup analysis in the current study were relatively small, they allowed for satisfactory statistical analysis and objective quality of life assessment to suggest that they are equally worthy forms of reconstruction.…”

Section: Discussionmentioning

confidence: 83%

Qualitative Assessment of Breast Reconstruction in a Specialist Breast Unit

Nano

Gill

Kollias

et al. 2005

ANZ Journal of Surgery

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“…AR uses the patient's own tissue (from the abdomen, thighs, buttocks, or back) to reconstruct the breast and is technically more demanding. After AR, patients report greater satisfaction, better esthetic outcomes with fewer long‐term complications . Prosthetic reconstruction (implant) uses a breast implant to reconstruct the breast in two stages.…”

mentioning

confidence: 99%

Breast Reconstruction National Trends and Healthcare Implications

et al. 2013

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Breast reconstruction improves quality-of-life of breast cancer patients. Different reconstructive options exist, yet commentary in the plastic surgery literature suggests that financial constraints are limiting access to autologous reconstruction (AR). This study follows national trends in breast reconstruction and identifies factors associated with reconstructive choices. Data were obtained from the Nationwide Inpatient Sample from 1998 to 2008. Patients were categorized as having either implant or ARs. Bivariate and multivariate regression analysis identified variables associated with receiving implants versus AR. Physician fee schedules were analyzed using national average Medicare physician reimbursement rates. From 1998 to 2008, 324,134 breast reconstructions were performed. Reconstructions increased 4% per year. The proportion of implant reconstructions increased 11% per year, whereasARs decreased 5% per year (p < 0.05). Our model showed that the odds of having implant-based versus AR were significantly associated with age, disease severity, payer type, hospital teaching status, and year of surgery. Year of surgery was the strongest predictor of implant reconstruction; patients receiving breast reconstructive surgery in 2009 were three times more likely to have implant breast reconstructive surgery compared with similar patients in 2002. Medicare reimbursement steadily declined for AR over a similar time frame. From 1998 to 2008, autologous breast reconstruction has significantly declined, parallel to a decrease in physician reimbursement. Our data found no significant change in patient characteristics supporting the lack of choice of AR. Further research is warranted to better understand this shift to implant reconstruction and to ensure future access of these complex reconstructive procedures.

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Determinants of Patient Satisfaction in Postmastectomy Breast Reconstruction

Cited by 276 publications

References 0 publications

Psychological impact and cosmetic outcome of surgical breast cancer strategies

Psychological impact and cosmetic outcome of surgical breast cancer strategies

Qualitative Assessment of Breast Reconstruction in a Specialist Breast Unit

Breast Reconstruction National Trends and Healthcare Implications

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