Predictive Factors of Satisfaction Following Breast Reconstruction: Do they Influence Patients?

Pompeo, Fabio Santanelli di; Barone, Mauro; Salzillo, Rosa; Cogliandro, Annalisa; Brunetti, Beniamino; Ciarrocchi, Silvia; Alessandri‐Bonetti, Mario; Tenna, Stefania; Sorotos, Michail; Persichetti, Paolo

doi:10.1007/s00266-021-02584-x

Cited by 10 publications

(4 citation statements)

References 28 publications

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“…Satisfaction with nipples had the lowest scored scale in our study. A study analysing predictive factors of satisfaction showed that patients with nipple-sparing mastectomy who have undergone DIEP flap reconstruction achieved the highest BREAST-Q scores [ 37 ]. However, all our patients received non nipple-sparing mastectomy, a prior decision made by the breast surgeon due to oncological reasons.…”

Section: Discussionmentioning

confidence: 99%

Patient satisfaction of breast reconstructive surgery following mastectomy in Brunei

Nor,

Chan,

Rahman

et al. 2023

PLoS ONE

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Objective To evaluate the impact of Breast Reconstructive Surgery (BRS) on patients’ satisfaction and quality of life following mastectomy for breast cancer. Methods A multi-method design study comprising quantitative and qualitative research was conducted between October to December 2019. The quantitative component consisted of a cross-sectional study using the Breast-Q questionnaire and the qualitative component involved in-depth interviews with eligible patients (N = 16) who underwent BRS following mastectomy for breast cancer. Quantitative analysis was performed including Fisher’s exact test and One-way Analysis of Variance where a p-value of <0.05 was regarded as statistically significant. Qualitative data was thematically analysed using Braun and Clarke’s thematic analysis. Results 14 out of 16 eligible patients participated in the study. We observed the lowest-scale score was for ‘satisfaction with nipples’ (mean score 32.7), followed by ‘physical well-being: abdomen’ (mean score 69.5). Despite a median score of 70 for ‘satisfaction with breasts’, patients were satisfied with the overall outcome of BRS (median score 80.5). Thematic analysis yielded three themes i.e. “I feel beautiful again” that described patients’ satisfaction with aesthetic outcome with autologous reconstruction; “Striving for normality” that indicated BRS established back a sense of normality and improve their self-confidence and lastly, “I was well taken care of” highlighted the importance of providing ‘well-informed’ care to ensure overall satisfaction of their BRS journey. Conclusion The uptake of BRS remains low since its availability in 2012, despite an overall increase in breast cancer cases in Brunei annually. Patients who underwent BRS have shown an increase BREAST-Q scores in breast satisfaction, psychosocial and sexual well-being after breast cancer treatment. Delivering high-quality patient-centred services and providing adequate information can influence the level of satisfaction for overall outcome. BRS should be considered as an important healthcare priority in Brunei and routinely be offered in the management of breast cancer.

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Section: Discussionmentioning

confidence: 99%

Patient satisfaction of breast reconstructive surgery following mastectomy in Brunei

Nor,

Chan,

Rahman

et al. 2023

PLoS ONE

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“…Breast reconstruction (BR) is a unique surgical procedure that provides patients undergoing mastectomy with significant psychosocial and aesthetic benefits and has also become a crucial part of the treatment pathway for women with breast cancer. [1][2][3] Over the past two decades, the number of BR surgeries has climbed steadily. In 2016, the American Society of Plastic Surgeons reported that more than 109,256 BR procedures were performed in the United States alone.…”

Section: Introductionmentioning

confidence: 99%

Predictors of Complications after Breast Reconstruction Surgery: A Systematic Review and Meta-analysis

Mrad

Qurashi

Mardan³

et al. 2022

Plastic and Reconstructive Surgery - Global Open

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Background: Breast reconstruction (BR) is a unique surgical procedure that provides patients undergoing mastectomy with significant psychosocial and aesthetic benefits and has also become a crucial part of the treatment pathway for women with breast cancer. Due to methodological inadequacies and the absence of substantial risk factor analysis, no conclusion can be drawn about the correlation between risk variables and post-surgical complications in BR surgery. We aim to identify the potential risk factors associated with postoperative complications. Methods: We queried MEDLINE and Cochrane CENTRAL from their inception to March 2022, for published randomized controlled trials and observational studies that assessed complications post-reconstruction procedure in breast cancer patients following mastectomy or evaluated at least one of the following outcomes of major or reoperative complications. The results from the studies were presented as odds ratios with 95% confidence intervals and were pooled using a randomeffects model. Results: Our pooled analysis demonstrated a significant correlation with BR postoperative complications and risk factors such as diabetes, hypertension, and obesity. Diabetes and the development of seroma were found to have a significant relationship. Risk variables such as age, radiotherapy, COPD, and smoking had no significant connection with 0-to-30-day readmission and 30-to-90-day readmission. Conclusion:This meta-analysis shows that risk factors like age, smoking history, high blood pressure, and body mass index (BMI) have a big effect on complications after BR, and patients with risk factors have a high rate of developing infection.

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“…6 Breast reconstruction is broken down into two broad categories: implant-based reconstruction and flap reconstruction. 7 Currently, implant-based reconstruction techniques are popular, primarily due to affordability and an immediate breast-mound formation. 8,9 However, patients are more willing to undergo flap reconstruction due to concerns of breast implant illness (BII), a poorly defined group of symptoms including joint pain, changes in hair and skin quality, and fatigue.…”

Section: Introductionmentioning

confidence: 99%

Simultaneous Contralateral Autologous Breast Augmentation during Unilateral Breast Reconstruction Utilizing Deep Inferior Epigastric Flaps

Gupta

John

Gupta

et al. 2022

Plastic and Reconstructive Surgery - Global Open

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Background: It is predicted that 281,550 new cases of invasive breast cancer and 49,290 new cases of ductal carcinoma in situ will be diagnosed this year. In this study, we will detail our experience with simultaneous contralateral autologous breast augmentation during unilateral breast reconstruction utilizing bilateral deep inferior epigastric perforator (DIEP) flaps. Methods: A retrospective analysis of patients who underwent simultaneous contralateral autologous breast augmentation during unilateral breast reconstruction utilizing bilateral DIEP flaps by the senior surgeons at Beaumont Health Systems, Royal Oak, was conducted. Demographic data, operative details, complications, medical comorbidities, and patient outcomes were retrospectively analyzed. Results: Seven patients who met the inclusion criteria were identified. One patient underwent immediate reconstruction with DIEP flaps, one patient had a history of lumpectomy and underwent delayed partial breast reconstruction, three patients had delayed unilateral DIEP breast reconstruction with contralateral breast augmentation, and two patients had previous augmentations that were revised. All patients examined in this review tolerated the procedures well and had clinically viable flaps along with superior aesthetic outcomes. Conclusions: This technique can be applied to various clinical conditions, including immediate breast reconstruction, delayed breast reconstruction, and salvage for failed implant-based reconstruction, leading to optimal patient outcomes and satisfaction. Unilateral breast reconstruction with simultaneous contralateral autologous breast augmentation utilizing bilateral DIEP flaps is a surgical technique that more plastic surgeons should utilize.

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Predictive Factors of Satisfaction Following Breast Reconstruction: Do they Influence Patients?

Cited by 10 publications

References 28 publications

Patient satisfaction of breast reconstructive surgery following mastectomy in Brunei

Patient satisfaction of breast reconstructive surgery following mastectomy in Brunei

Predictors of Complications after Breast Reconstruction Surgery: A Systematic Review and Meta-analysis

Simultaneous Contralateral Autologous Breast Augmentation during Unilateral Breast Reconstruction Utilizing Deep Inferior Epigastric Flaps

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