Satisfaction and prosthesis related complaints in women with immediate breast reconstruction following prophylactic and oncological mastectomy

Contant, Caroline M. E.; Wersch, A. M. E. Van; Menke-Pluymers, Marian B. E.; Wai, R. Tjong Joe; Eggermont, Alexander M.M.; Geel, A.N. van

doi:10.1080/13548500310001637760

Cited by 13 publications

(21 citation statements)

References 37 publications

(38 reference statements)

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“…Three studies by Metcalfe et al [16,17,19], two studies by Brandberg et al [23,28], two studies by Gahm et al [21,25] and another three studies by Gahm et al [26,27,32] were each based on same patient populations. Eight studies were from Sweden [21,23-28,32], 5 from the US [12-14,20,22], 3 each from Canada [16,17,19] and the Netherlands [18,30,31], and 1 each from UK [15], Turkey [29] and Norway [33]. Four studies compared HRQOL in patients with and without breast reconstruction following BPM [12,14,16,30].…”

Section: Resultsmentioning

confidence: 99%

Quality of life among patients after bilateral prophylactic mastectomy: a systematic review of patient-reported outcomes

Razdan¹,

Patel

Jewell

et al. 2015

Qual Life Res

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Purpose Bilateral prophylactic mastectomy (BPM) is effective in reducing the risk of breast cancer in women with a well-defined family history of breast cancer or in women with BRCA 1 or 2 mutations. Evaluating patient-reported outcomes following BPM are thus essential for evaluating success of BPM from patient’s perspective. Our systematic review aimed to: (1) identify studies describing health-related quality of life (HRQOL) in patients following BPM with or without reconstruction; (2) assess the effect of BPM with or without reconstruction on HRQOL; and, (3) identify predictors of HRQOL post BPM. Methods We performed a systematic review of literature using the PRISMA guidelines. PubMed, Embase, PsycINFO, Web of Science, Scopus and Cochrane databases were searched. Results The initial search resulted in 1082 studies; 22 of these studies fulfilled our inclusion criteria. Post BPM, patients are satisfied with the outcomes and report high psychosocial well-being and positive body image. Sexual well-being and somatosensory function are most negatively affected. Vulnerability, psychological distress and preoperative cancer distress are significant negative predictors of quality of life and body image post BPM. Conclusion There is a paucity of high quality data on outcomes of different HRQOL domains post BPM. Future studies should strive to use validated and breast-specific PRO instruments for measuring HRQOL. This will facilitate shared decision-making by enabling surgeons to provide evidence-based answers to women contemplating BPM.

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Section: Resultsmentioning

confidence: 99%

Quality of life among patients after bilateral prophylactic mastectomy: a systematic review of patient-reported outcomes

Razdan¹,

Patel

Jewell

et al. 2015

Qual Life Res

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show abstract

“…These facts make nurses more concerned with women's issues, as shown in a Brazilian study about the woman's experiences of breast cancer and mastectomy 2 . Several other studies are focusing on breast cancer, mastectomy, gynaecological surgeries and the woman's reactions in this situation 3–7 . In these studies, the mutilation is noticed as one of the effects faced by women, but there is no attention to it.…”

Section: Introductionmentioning

confidence: 99%

“…In these studies, the mutilation is noticed as one of the effects faced by women, but there is no attention to it. Studies about breast cancer and breast conserving procedures show less disabling physically and psychologically than a mastectomy; the procedure is aiming to preserve the integrity of women's body image 5,7,8 . Mastectomy could be seen as mutilation and a reason why women seek reconstruction; aiming to ‘feel whole’ again and to strengthen self‐esteem 5,7,9 .…”

Section: Introductionmentioning

confidence: 99%

“…Studies about breast cancer and breast conserving procedures show less disabling physically and psychologically than a mastectomy; the procedure is aiming to preserve the integrity of women's body image 5,7,8 . Mastectomy could be seen as mutilation and a reason why women seek reconstruction; aiming to ‘feel whole’ again and to strengthen self‐esteem 5,7,9 . The breast is a symbol of the feminine form, and seen as an important factor in personal relationships, sexuality and social life 10–12 .…”

Section: Introductionmentioning

confidence: 99%

“…The breast is a symbol of the feminine form, and seen as an important factor in personal relationships, sexuality and social life 10–12 . Its removal could mean mutilation since removing this feminine symbol 5 …”

Section: Introductionmentioning

confidence: 99%

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Caring with difficulty: Brazilian nurses' experiences of gynaecological surgery care

Vargens

Berterö

2010

Int J of Nursing Practice

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This study was made by a qualitative approach based on Symbolic Interactionism and Grounded Theory. The subject was defined as what mutilation means for nurses who take care of women submitted to gynaecological surgery. The aim was to identify the interaction relationship of nurses as female with the phenomenon of mutilation in gynaecological surgeries and how it affects their relationship with female patients in this situation. Data were obtained by interviews with 16 nurses who work in gynaecology units. The findings present two core categories: speaking as a professional and speaking as female. When they spoke as professional nurses, they defined mutilation technically.As females, they verbalized their conflict and difficulty in working with mutilation and redefined it as being the loss of something very important for themselves. We conclude that female nurses when confronting female surgery distances themselves behind the professional nurse and performs nursing care as a daily routine. It means that these nurses live a personal conflict, which influences directly on how they supply care. They care for but do not care about, the ethos of biomedicine leads carers on to a technical path from which it is difficult to get off.

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Évaluation de l’impact de la reconstruction mammaire chez les femmes en couple grâce à un outil de recherche communautaire : les Seintinelles

et al. 2016

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This preliminary study explores the psychological and marital impact of breast reconstruction (or lack thereof) in women who had a mastectomy due to breast cancer. The study was carried out through an innovative and French community-based research tool on cancer: the Seintinelles. Sixty-nine partnered women treated for breast cancer participated, divided into 3 groups: 19 without breast reconstruction, 24 with immediate breast reconstruction and 26 with delayed breast reconstruction. They completed online questionnaires measuring both satisfaction and regret about the decision related to breast reconstruction, quality of life after breast surgery (EORTC-BRR), emotional state (POMS) and marital intimacy (PAIR). Recruitment through the Seintinelles had the advantage of being quick and national, but the profile of participants deviated from the mean population in the sense that our subjects were on average younger than women affected by breast cancer and had faced more breast cancer in their family. The results revealed that women are satisfied with their choice (little regret), have a similar emotional experience and good marital intimacy. However, women without breast reconstruction would less recommend their decision to others and were less satisfied with the aesthetic result, compared to women with breast reconstruction. These results highlight that psychological and marital impact seems comparable in women with and without reconstruction. Future studies are needed to better understand the role of the partner in the recourse of breast reconstruction.

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Satisfaction and prosthesis related complaints in women with immediate breast reconstruction following prophylactic and oncological mastectomy

Cited by 13 publications

References 37 publications

Quality of life among patients after bilateral prophylactic mastectomy: a systematic review of patient-reported outcomes

Quality of life among patients after bilateral prophylactic mastectomy: a systematic review of patient-reported outcomes

Caring with difficulty: Brazilian nurses' experiences of gynaecological surgery care

Évaluation de l’impact de la reconstruction mammaire chez les femmes en couple grâce à un outil de recherche communautaire : les Seintinelles

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