Quality-of-Life and Self-Esteem Outcomes after Oncoplastic Breast-Conserving Surgery [Outcomes Article]

Veiga, Daniela Francescato; Veiga-Filho, Joel; Ribeiro, Leda Marques; Archangelo-Junior, Ivanildo; Balbino, Priscilla F. R.; Caetano, Leci V.; Novo, Neil Ferreira; Ferreira, Lydia Masako

doi:10.1097/prs.0b013e3181ccdac5

Cited by 123 publications

(94 citation statements)

References 36 publications

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“…Several studies assessing objective and subjective measures of breast aesthetics demonstrate its influence on different aspects of Quality of Life (QoL) [1][2]. Moreover, functional disabilities such as breast and/or shoulder-arm morbidity, determined both by breast tissue resection and by axillary dissection, also influence QoL [3][4].…”

Section: Introductionmentioning

confidence: 99%

Change of aesthetic and functional outcome over time and their relationship to quality of life after breast conserving therapy

Heil

Czink

Golatta

et al. 2011

European Journal of Surgical Oncology (EJSO)

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Section: Introductionmentioning

confidence: 99%

Change of aesthetic and functional outcome over time and their relationship to quality of life after breast conserving therapy

Heil

Czink

Golatta

et al. 2011

European Journal of Surgical Oncology (EJSO)

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“…This increase in the use of breast-conserving treatment led to a rising interest in long-term aesthetic results and patients' quality of life 7 .…”

Section: Discussionmentioning

confidence: 99%

“…National Health Care Public System (SUS). However, the effectiveness of the oncoplastic surgery, demonstrated by better aesthetic results, patients' satisfaction and quality of life gains should be considered 7,15 .…”

Section: Discussionmentioning

confidence: 99%

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Oncoplastic approach in the conservative treatment of breast cancer: analysis of costs

Lima¹,

Filho

Ribeiro

et al. 2012

Acta Cir. Bras.

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PURPOSE:To analyze the direct costs of conservative surgical treatment of breast cancer, performed in a university hospital, to the Brazilian National Health Care Public System (SUS), checking the impact of the oncoplastic approach on these costs. METHODS:One hundred thirty eight breast cancer patients who had undergone conservative treatment with oncoplastic approach (n=36) or not (control group, n=102), in the period from 2005 to 2010, were enrolled. Sociodemographic and clinical data were recorded.The direct costs of the surgical procedure were obtained and analyzed. RESULTS:Groups did not differ in regard to age (p=0.963), and patients in oncoplastic group had a longer time of hospital stay (p=0.000). The median direct cost for the oncoplastic group was R$461.00 and for the control group was R$229.00 (p=0.000). CONCLUSION:The oncoplastic approach has generated higher direct costs in conservative surgical treatment of breast cancer to SUS. RESULTADOS:Não houve diferença entre os grupos quanto à idade (p=0.963), e o tempo de internação hospitalar foi maior no grupo oncoplástica (p=0,000). A mediana dos custos diretos do grupo oncoplástica foi de R$461,00 e do grupo controle foi de R$229,00 (p=0,000). CONCLUSÃO:A abordagem oncoplástica gerou custos diretos maiores para o tratamento cirúrgico conservador do câncer mamário pelo SUS.Descritores: Neoplasias da Mama. Mastectomia Segmentar. Cirurgia Plástica. Retalhos Cirúrgicos. Custos de Cuidados de Saúde.Lima DE et al.

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“…Furthermore, the treatment involved a combination of radiotherapy, which results in considerable aesthetic and functional sequelae. With a better understanding of the biology of breast tumors, the treatment began to be less radical, and concern about the psychological aspect and quality of life of patients grew 4,5 . Skin-sparing mastectomy emerged as a procedure that results in an improved quality of the reconstructed breast, allowing the use of techniques that may not be less complex but are less debilitating than reconstruction with AM implants 4,[6][7][8][9][10] .…”

Section: Introductionmentioning

confidence: 99%

Complicações em reconstrução mamária total em pacientes mastectomizadas por câncer de mama: análise comparativa de longo prazo quanto a influência de técnica, tempo de cirurgia, momento da reconstrução e tratamento adjuvante

Claro¹,

Costa²,

Pinheiro³

et al. 2013

Rev. Bras. Cir. Plást.

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Introduction: Some techniques for total reconstruction of the breast, regardless of complexity, present specific complications, with varying degrees of morbidity. Therefore, the aim of this study was to identify the most frequent complications of the main techniques used for breast reconstruction, and to compare these complications to the relevant independent variables. Methods: This cross-sectional observational study was conducted by reviewing the medical records of patients who had their breasts completely rebuilt after a mastectomy due to breast cancer from January 2007 to December 2009, with a minimum postoperative follow-up of 3 years. The data collected, such as the timing of the intervention, reconstruction techniques, operative time, and adjuvant treatment, were statistically related to the presence of complications. Results: Of the 48 total breast reconstructions analyzed, the technique in which expanders were used followed by replacement with implants showed the lowest prevalence of complications (16.7%, P < 0.000). Some techniques showed specific complications. The operative time for transplantation of transverse rectus abdominis musculocutaneous flap (363.57 ± 59.91 min) was significantly higher than that required for techniques using alloplastic materials (155.71 ± 38.02 min, P = 0.01), but similar to that for the latissimus dorsi flap (309.69 ± 77.66 min). The operative time, timing of surgical intervention, and type of adjuvant treatment did not correlate with the incidence of complications. Conclusions: Each technique has its indications, contraindications, and complications. The application of each technique should be individualized on the basis of the individual characteristics of the patient to obtain better results, avoiding short-and long-term complications.

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Quality-of-Life and Self-Esteem Outcomes after Oncoplastic Breast-Conserving Surgery [Outcomes Article]

Abstract: Oncoplastic surgery had a positive impact on quality of life and self-esteem of patients undergoing breast-conserving treatment.

Cited by 123 publications

References 36 publications

Change of aesthetic and functional outcome over time and their relationship to quality of life after breast conserving therapy

Change of aesthetic and functional outcome over time and their relationship to quality of life after breast conserving therapy

Oncoplastic approach in the conservative treatment of breast cancer: analysis of costs

Complicações em reconstrução mamária total em pacientes mastectomizadas por câncer de mama: análise comparativa de longo prazo quanto a influência de técnica, tempo de cirurgia, momento da reconstrução e tratamento adjuvante

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