Patient-Reported Satisfaction and Quality of Life following Breast Reconstruction in Thin Patients

Weichman, Katie E.; Broer, P. Niclas; Thanik, Vishal; Wilson, Stelios C.; Tanna, Neil; Levine, Jamie P.; Choi, Mihye; Karp, Nolan S.; Hazen, Alexes

doi:10.1097/prs.0000000000001418

Cited by 55 publications

(56 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Satisfaction with outcome and long‐term results is an ongoing issue of debate. Many state that an autologous reconstruction should be considered the gold standard (Jagsi et al, ; Weichman et al, ). Autologous reconstructions have been found to render high level of patient satisfaction and long lasting results (Alderman et al, ; Cohen et al, ; Mehrara et al, ; Yueh et al, ).…”

Section: Discussionmentioning

confidence: 99%

“…In a study by Weichman et al, only patients with BMI <22 were included and autologous microsurgical reconstructions were compared to expander/implant based reconstructions. Their analysis of unilateral results in a slim population found that patient‐reported satisfaction and quality of life was higher for autologous breast reconstruction as measured by BREAST‐Q (Weichman et al, ). This study unfortunately reported low response rate (49.2%), and further studies on patients' satisfaction and quality of life are needed in this specific patient group.…”

Section: Discussionmentioning

confidence: 99%

“…For the slim patients, specific challenges may appear (Weichman et al, ). Local tissue may not be robust enough to withstand an implant‐based reconstruction in the slim patients with little subcutaneous fat, especially, as a consequence of extensive surgery or radiation therapy.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Bilateral breast reconstruction with deep inferior epigastric perforator flaps in slim patients

et al. 2017

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Bilateral breast reconstruction with deep inferior epigastric perforator flaps in slim patients

et al. 2017

View full text Add to dashboard Cite

show abstract

“…BREAST-Q is a self-administered questionnaire, and thus, the recall bias had to be reduced by excluding patients who were illiterate, and if the surgery exceeded 48 months, the patients were not eligible to partake in the study, as enough time is need for healing and recovery from surgery and reporting on one's satisfaction. Moreover, this time should not be too long to prevent recall bias [ 8 ]. Questionnaire were given to patients in different interval starting from 6 months to 3 years postoperative.…”

Section: Methodsmentioning

confidence: 99%

Patient-reported outcomes after breast reconstructive surgery: A prospective cross-sectional study

Alshammari

Aldossary

Almutairi

et al. 2019

Annals of Medicine and Surgery

View full text Add to dashboard Cite

Background With advancements in and the evolution of the medical field, several methods and surgical techniques have been developed for breast reconstruction after mastectomy. Generally, we can categorize these strategies into two broad groups: autologous reconstruction and implant-based reconstruction. This study aimed to analyze the satisfaction rate between these groups, considering age, timing of breast reconstruction, body mass index (BMI), major complications, and the need for radiotherapy or chemotherapy. Materials and methods All the patients who underwent a mastectomy and subsequent breast reconstruction surgery at our institution between August 1, 2013, and August 31, 2017, were invited to complete a BREAST-Q questionnaire. To compare the quality of life and complication rate between the autologous and implant-based reconstruction groups, data were collected from specific patients. All participants completed the Arabic version of the postoperative reconstruction module. Results Among 61 patients, 43 (70.5%) completed the two domains of the BREAST-Q questionnaire, about the satisfaction with the implanted breast and satisfaction with the surgical outcome. These patients were divided into two groups: autologous (n = 21) and implant-based (n = 22) groups. The mean score of satisfaction with the implanted breast was 43.5 for the autologous group and 39.6 for the implant-based group. For the surgical outcome, the scores for the autologous and implant-based groups were 45.4 and 56.0, respectively. However, there was neither a statistical significance in the satisfaction with the implanted breast nor the surgical outcome between the two groups. Conclusion Although there are many different surgical techniques to reconstruct a breast after mastectomy, there is still no specific surgical method that is perfect or well-suited for all patients undergoing breast reconstruction surgery. In our study, we found that there was no significant difference in satisfaction between the ABR and IBR group.

show abstract

“…Weichman and colleagues reported that patients with a body mass index less than 22 kg/m 2 have higher satisfaction with their breasts, when compared with those who have prosthetic reconstruction with tissue expander or implant [ 18 ]. Wong and colleagues reviewed 62 patients, none of the 38 non-implant patients underwent major corrective surgery within 6 months, compared to three of the 13 (23%) implant patients (p = 0.01) [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

Comparison of Long-Term Outcomes of Postmastectomy Radiotherapy between Breast Cancer Patients with and without Immediate Flap Reconstruction

et al. 2016

View full text Add to dashboard Cite

PurposeTo compare the long-term clinical outcomes of postmastectomy radiotherapy (PMRT) between breast cancer patients with and without immediate transverse rectus abdominis myocutaneous (TRAM) flap reconstruction.MethodsThe study included 492 patients with stage II or III breast cancer who underwent modified radical mastectomy (MRM) and chemotherapy followed by PMRT between 1997 and 2011. Cox regression model and Kaplan-Meier curves were calculated, and the log-rank test was used to evaluate the differences between overall and disease-free survival rates in the 2 groups.ResultsAmong 492 patients, 213 patients had immediate TRAM flap reconstruction. The mean follow-up was 7.2 years (range, 11–191 months). The 5-year and 10-year disease free survival rates were 81% and 76% for the TRAM flap group and 78% and 73% for the non-flap group. The 5-year and 10-year overall survival rates were 89% and 73% for the TRAM flap group and 83% and 74% for the non-flap group.ConclusionsThere exists no statistically significant difference in the rates of local recurrence, distant metastasis, disease-free and overall survival when comparing immediate TRAM flap reconstruction with no reconstruction. Our results suggest that immediate TRAM flap reconstruction does not compromise long term clinical outcomes in breast cancer patients requiring PMRT.

show abstract

Patient-Reported Satisfaction and Quality of Life following Breast Reconstruction in Thin Patients

Abstract: Therapeutic, III.

Cited by 55 publications

References 11 publications

Bilateral breast reconstruction with deep inferior epigastric perforator flaps in slim patients

Bilateral breast reconstruction with deep inferior epigastric perforator flaps in slim patients

Patient-reported outcomes after breast reconstructive surgery: A prospective cross-sectional study

Comparison of Long-Term Outcomes of Postmastectomy Radiotherapy between Breast Cancer Patients with and without Immediate Flap Reconstruction

Contact Info

Product

Resources

About