The Role of Predictability in the Choice of the Type of Breast Reconstruction

Barone, Mauro; Cogliandro, Annalisa; Savani, Luca; Ciarrocchi, Silvia; Mirra, Carlo; Persichetti, Paolo

doi:10.1097/prs.0000000000007443

Cited by 3 publications

(1 citation statement)

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“…1 Although some variability is to be expected, reconstructive efforts should be focused first and foremost at optimizing patient outcomes and satisfaction. 6,7 What is more, applying general guidelines can help guide reconstructive care and normalize clinical practice patterns nationally.…”

Section: Introductionmentioning

confidence: 99%

Guideline Awareness Disparities in Plastic Surgery: A Survey of American Society of Plastic Surgeons

Rames

Lane

Phillips

2022

Plastic and Reconstructive Surgery - Global Open

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Background:The American Society of Plastic Surgeons (ASPS) clinical practice guidelines were constructed to help direct evidence-based surgical management in plastic surgery. Societal member awareness of the recommendations for breast reconstruction has yet to be studied among ASPS members. Methods: Univariate and multivariate analyses were performed using electronic survey data from 243 ASPS members. Characteristics, including respondent demographics, practice distribution, and geographic locations, were correlated to the awareness of autologous and expander/implant-based reconstruction guidelines. Results: Of the respondents, 52% and 35.7% reported awareness for autologous breast reconstruction and expander/implant-based reconstruction guidelines, respectively. Surgeons who performed more general and autologous breast reconstruction were more likely to be aware of autologous breast reconstruction and expander/implant-based guidelines (P = 0.0034 and 0.032). Autologous breast reconstruction guideline awareness was geographically disparate (P = 0.031), with greater awareness in the Northeast (OR, 4.5; 95% CI, 1.63-12.53; P = 0.01) and Southwest (OR, 3.91; 95% CI, 1.18-13.83; P = 0.01). Respondents with larger practice percentages of breast reconstruction and those with higher annual academic meeting attendance reported greater awareness of expander/implant-based guidelines (P = 0.044 and 0.040). Meeting attendance (OR, 2.14; 95% CI, 1.15-8.91; P = 0.022) and practice-based (OR, 3.14; 95% CI, 1.52-8.91; P = 0.027) awareness disparities were also appreciated on multivariate analysis. Conclusions: Guideline awareness in plastic surgery varies by practice composition and geography. These findings can be used to help inform more targeted educational and implementation strategies in breast reconstruction.

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Section: Introductionmentioning

confidence: 99%

Guideline Awareness Disparities in Plastic Surgery: A Survey of American Society of Plastic Surgeons

Rames

Lane

Phillips

2022

Plastic and Reconstructive Surgery - Global Open

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

et al. 2021

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Impact on Patient’s Appearance Perception of Autologous and Implant Based Breast Reconstruction Following Mastectomy Using BREAST-Q

et al. 2022

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Introduction The purpose of this study is to determine if there is a better quality of life with one of the two techniques and if the results are in line with those already present in the literature. The hypothesis from which we started is to demonstrate that cancer patients who undergo a deep inferior epigastric perforator flap (DIEP) breast reconstruction surgery are more satisfied and have a higher level of quality of life compared to those subjected to an intervention of reconstruction with prosthesis. Materials and Methods All patients undergoing reconstruction from January 2010 to July 2018 were eligible for inclusion. This is a retrospective cohort study carried out using the patients of two plastic surgery departments who have undergone monolateral or bilateral implant-based or DIEP flap breast reconstruction. We administered BREAST-Q questionnaire electronically almost 2 year after surgery. Patients were divided into two groups: implant-based and autologous breast reconstruction with DIEP flaps. Baseline demographics and patient characteristics were analyzed using a Students t-test (continuous variables) or Chi-square/Fisher’s exact test (categorical variables). Mean standard deviation BREAST-Q scores were reported for the overall cohort and by modality for the postoperative period. The linear regression model was applied to all BREAST-Q score with all predictor factors. Results Of the 1125 patients involved, only 325 met the inclusion criteria and were enrolled in this study; specifically, 133 (41%) DIEP and 192 (59%) prosthetic reconstructions. We summarized the results of the principal scales of BREAST-Q module: satisfaction with breast, psychosocial well-being, satisfaction with outcome, and sexual well-being in which the autologous group was always more satisfied. We reported results of all linear regression models with higher values for the DIEP group independently from predictors. Conclusion This is the first study performed on the Italian population that compares autologous surgical techniques with the implantation of breast implants. In this population, DIEP is considered the technique that leads to the highest satisfaction in all BREAST-Q scores. Level of Evidence IV This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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The Role of Predictability in the Choice of the Type of Breast Reconstruction

Cited by 3 publications

References 5 publications

Guideline Awareness Disparities in Plastic Surgery: A Survey of American Society of Plastic Surgeons

Guideline Awareness Disparities in Plastic Surgery: A Survey of American Society of Plastic Surgeons

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

Impact on Patient’s Appearance Perception of Autologous and Implant Based Breast Reconstruction Following Mastectomy Using BREAST-Q

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