Patients’ experience of breast reconstruction after mastectomy and its influence on postoperative satisfaction

Schmidt, Jana L.; Wetzel, Cordula M.; Lange, Klaus W.; Heine, Norbert; Ortmann, O.

doi:10.1007/s00404-017-4495-5

Cited by 45 publications

(45 citation statements)

References 34 publications

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“…A small body of literature focused on sexual outcomes after breast reconstruction specifically. [4][5][6][7][8][9][10][11][12][13][14][15] Sexuality is considered a biopsychosocial concept, and therefore is thought to be associated with both biological and psychosocial factors. Some studies emphasized sexuality and body satisfaction following breast reconstruction, 5 as well as femininity and attractiveness.…”

Section: Introductionmentioning

confidence: 99%

“…Some studies emphasized sexuality and body satisfaction following breast reconstruction, 5 as well as femininity and attractiveness. 6 Other studies highlighted the positive role of nipple sparing 7 or nipple reconstructing surgery 8 on postoperative sexual outcomes. Immediate reconstruction was found preferable over delayed reconstruction regarding sexual outcomes.…”

Section: Introductionmentioning

confidence: 99%

“…Although most previous studies focused on sexual dysfunctions, studying the different measures provides a differentiated view on sexual outcomes. A small body of literature focused on sexual outcomes after breast reconstruction specifically 4‐15 . Sexuality is considered a biopsychosocial concept, and therefore is thought to be associated with both biological and psychosocial factors.…”

Section: Introductionmentioning

confidence: 99%

“…Sexuality is considered a biopsychosocial concept, and therefore is thought to be associated with both biological and psychosocial factors. Some studies emphasized sexuality and body satisfaction following breast reconstruction, 5 as well as femininity and attractiveness 6 . Other studies highlighted the positive role of nipple sparing 7 or nipple reconstructing surgery 8 on postoperative sexual outcomes.…”

Section: Introductionmentioning

confidence: 99%

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Predictors of women's sexual outcomes after implant‐based breast reconstruction

Grift¹,

Mureau

Negenborn³

et al. 2020

Psycho-Oncology

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Objective: Although breast reconstruction has become an important treatment modality following mastectomy, few studies assessed predictors of postoperative sexual outcomes after breast reconstruction. Therefore, we aimed to study three sexual outcomes following implant-based breast reconstruction (IBBR), and associate multiple biopsychosocial factors with these outcomes. Methods: Data collection was part of a multicenter prospective study on IBBR. A predictive model was tested including medical, background and psychological predictors, partner relationship factors and physical sexual function. Data collection included clinical and questionnaire data (preoperatively and 1 year following reconstruction) using the BREAST-Q Sexual well-being scale (BQ5), and questions regarding sexual dysfunction and sexual satisfaction questions (Female Sexual Function Index). Results: The study sample consisted of 88 women who underwent mastectomy and IBBR. Mean postoperative BQ5 scores were lower than before surgery (M = 58 [SD = 18] vs 65 [SD = 20]; P = .01, Wilks' Lamdba = .88). Sexual dysfunctions were related strongest to orgasm inability and vaginal lubrication issues. The tested models predicted 37%-46% of the sexual outcomes: sexual outcomes were mostly predicted by psychosocial well-being, physical sexual function and partner support. Preoperative sexual and psychosocial well-being were positively associated with postoperative sexual well-being (r = 0.45 and r = 0.47). Conclusions: Although moderately positive sexual outcomes were reported after IBBR, some women reported issues with vaginal lubrication, breast sensation and orgasm. Sexual dysfunctions were predicted by vaginal lubrication and medical treatments, while sexual well-being and satisfaction were more predicted by psychosocial well-being and partner support. We advocate supportive care that includes partners and psychosocial functioning to optimize sexual outcomes after IBBR.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Predictors of women's sexual outcomes after implant‐based breast reconstruction

Grift¹,

Mureau

Negenborn³

et al. 2020

Psycho-Oncology

View full text Add to dashboard Cite

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“…Informing patients of their breast cancer as early as possible assists them to have a precise knowledge of themselves. What's more, there are many strategies to help patients cope with their emotional distress such as psychological care and breast reconstruction, which have had some effectiveness already [28,29].…”

Section: Discussionmentioning

confidence: 99%

Knowing Cancer Diagnosis is a Protective Factor for the Survival of Patients With Breast Cancer : A Retrospective Cohort Study

Zhu

Tang

et al. 2020

Preprint

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Background: The health burden of breast cancer is rising in China. The effect of informed diagnosis on long-term survival has not been fully understood. This retrospective cohort study aims at exploring the association between early informed diagnosis and survival time in breast cancer patients.Methods: 12,327 breast cancer patients were enrolled between October 2002 and December 2016. Potential factors including knowing cancer diagnosis status, gender, age, clinical-stage, surgical history, the grade of reporting hospital and diagnostic year were registered. We followed up all participants every 6 months until June 2017.Results: By June 2017, 18.04% of the participants died of breast cancer. Both the 3-year and 5-year survival rate of whom knew cancer diagnosis were longer (P<0.001). By stratified analysis, except subgroups of male patients and patients in stage III, patients knowing diagnosis showed a better prognosis in all the other subgroups (P<0.05). By Cox regression analysis, it was showed that not knowing cancer diagnosis was an independent risk factor for survival in breast cancer patients (P<0.001).Conclusions: Being aware of their cancer diagnosis plays a protective role in extending the survival time in breast cancer patients, which suggests medical staff and patients’ families disclose cancer diagnosis to patients timely.

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The relationship between fears of cancer recurrence and patient age: A systematic review and meta‐analysis

Lim

Humphris

2020

Cancer Reports

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Background: Fears of cancer recurrence (FCR) is one of the most prevalent concerns and a common unmet need reported by cancer patients. Patient age is a demographic variable which has been linked to FCR, among others. Although it is recognised by researchers that age and FCR may be negatively correlated, the strength of this correlation has yet to be established. Aim:The aims of this study were to (i) conduct a meta-analysis to investigate the overall association of patient age in years with FCR across studies from 2009 to February 2019, and (ii) scrutinize for patterns of these effect sizes across studies.Methods and Results: Peer-reviewed papers were gathered from the literature via online databases (PubMed, EMBASE, MEDLINE, PsycINFO). Systematic review guidelines including a quality assessment were applied to the 31 selected studies (pooled participant N size = 19,777). The meta-analysis demonstrated a significant negative association between age and FCR (ES=-0.12; 95%CI=-0.17, -0.07).Meta-regression revealed the association of patient age and FCR significantly reduced over the last decade. A significant effect (β = -0.17, p = 0.005) of breast cancer versus other cancers on this age by FCR association was also identified. Conclusion:The reliable and readily accessible personal information of age of patient can be utilized as a weak indicator of FCR level especially in the breast cancer field where the majority of studies were drawn. The suggestion that age and FCR association may be attenuated in recent years requires confirmation.

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Patients’ experience of breast reconstruction after mastectomy and its influence on postoperative satisfaction

Cited by 45 publications

References 34 publications

Predictors of women's sexual outcomes after implant‐based breast reconstruction

Predictors of women's sexual outcomes after implant‐based breast reconstruction

Knowing Cancer Diagnosis is a Protective Factor for the Survival of Patients With Breast Cancer : A Retrospective Cohort Study

The relationship between fears of cancer recurrence and patient age: A systematic review and meta‐analysis

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