Treatment Considerations in Postmastectomy Reconstruction: Their Relative Importance and Relationship to Patient Satisfaction

Anderson, Susan G.; Rodin, Judith; Ariyan, Stephan

doi:10.1097/00000637-199409000-00006

Cited by 58 publications

(31 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…These findings correlate with the studies of Anderson and others. [35][36][37] Our phase 2 analyses confirmed our overall findings of phase 1, showing no difference overall in the rate of local recurrence of breast cancer in women who have immediate breast reconstruction after mastectomy compared with those who do not. We did find one previously unrecognized result; in the subgroup of patients with stage III disease, there was an increased rate of local recurrence for those women who had immediate reconstruction compared with those who did not.…”

Section: Discussionsupporting

confidence: 79%

Impact of Immediate Reconstruction on the Local Recurrence of Breast Cancer After Mastectomy

Murphy

Wahhab²,

Rovito³

et al. 2003

Annals of Plastic Surgery

View full text Add to dashboard Cite

The incidence of local recurrence of breast cancer in women who underwent mastectomy with or without reconstruction was examined. All female mastectomy patients were followed-up in a 10-year retrospective review. Groups consisted of patients who had mastectomy, mastectomy with immediate reconstruction, or delayed reconstruction. Reconstruction was performed using prostheses, latissimus dorsi musculocutaneous flaps with or without implants, or transverse rectus abdominis musculocutaneous flaps. Charts were reviewed for local breast cancer recurrence. Statistical analysis was performed using Pearson's chi-square and analysis of variance. Of the 1,444 mastectomies performed from 1988 to 1997, 1,262 breasts (87%) were not reconstructed, 182 (13%) were reconstructed, 158 (87%) were immediately reconstructed, and 24 (13%) were reconstructed later. There were no recurrences in the delayed reconstruction group, two recurrences (1.3%) in the immediate reconstruction group, and nine recurrences (0.7%) in the mastectomy without reconstruction group (p=0.746). Analyses of an additional time period from 1992 to 2000 yielded similar results. There is little relationship between local recurrence of breast cancer after mastectomy and reconstruction.

show abstract

Section: Discussionsupporting

confidence: 79%

Impact of Immediate Reconstruction on the Local Recurrence of Breast Cancer After Mastectomy

Murphy

Wahhab²,

Rovito³

et al. 2003

Annals of Plastic Surgery

View full text Add to dashboard Cite

show abstract

“…In addition, because we designed this study to obtain measurements at specified time intervals after breast reconstruction (3 weeks and 3 months), this approach avoided the potential bias inherent in assessing Hr-QOL at various lengths of time after surgery. 13,[15][16][17][18][19][20][21][22][23] Although the observed improvements in Hr-QOL domains and satisfaction in breast were both statistically and clinically significant after breast reconstruction, we did not use a control group. Without comparison groups who underwent mastectomy alone or breast-conservation therapy, the gains in Hr-QOL and satisfaction attributed to breast reconstruction cannot be fully placed into context.…”

Section: Discussionmentioning

confidence: 99%

Patient satisfaction and health‐related quality of life after autologous tissue breast reconstruction

Zhong

McCarthy

Min

et al. 2011

Cancer

174

100

View full text Add to dashboard Cite

were asked to complete the BREAST-Q, Hospital Anxiety and Depression Scale (HADS), and Impact of Event Scale (IES) questionnaires before surgery and at 3 weeks and 3 months after surgery. A repeated-measures design was used to compare scores between baseline and postoperative time points. RESULTS: Fifty-one of 55 women completed the questionnaires (response rate, 93%). BREAST-Q subscale scores (breast, sexual well being, and psychosocial well being) improved significantly (P < .05) postoperatively. The other subscale scores related to physical well being of the chest and abdomen dropped significantly 3 weeks after reconstruction; and, by 3 months after reconstruction, both scores improved significantly (P < .05). Large effect sizes for improvements in satisfaction, psychosocial well being, and sexual well being were observed (1.88, 1.2, and 1.31, respectively); whereas deterioration in the effect size for abdominal donor site was reported (À1.56). After adjusting for postoperative complications, there were statistically significant changes in BREAST-Q subscale scores. Changes observed on the HADS and IES provided external validation of the findings obtained on the BREAST-Q. CONCLUSIONS: The current results suggested that the gains in breast satisfaction, psychosocial well being, and sexual well being after patients undergo either free muscle-sparing transverse rectus abdominis myocutaneous flap reconstruction or deep inferior epigastric artery flap reconstruction are statistically significant and clinically meaningful to the patient as early as 3 weeks after surgery. However, these gains are accompanied by significant deterioration in physical well being of the abdominal donor site. Cancer 2012;118:1701-

show abstract

“…12 Satisfaction with cosmetic results of breast reconstruction in women with breast cancer has been described previously. [13][14][15][16] However, we know of no previous research that has reported on satisfaction with reconstruction in patients who have electively sought mastectomy for the prevention of breast cancer. This is the first study to report on satisfaction with cosmetic results of bilateral prophylactic mastectomy plus breast reconstruction in a population-based sample.…”

mentioning

confidence: 99%

Satisfaction with Breast Reconstruction in Women with Bilateral Prophylactic Mastectomy: A Descriptive Study

Metcalfe

Semple

Narod

2004

Plastic and Reconstructive Surgery

View full text Add to dashboard Cite

Prophylactic bilateral mastectomy is an option for women who are at an increased risk of developing breast cancer. Prophylactic mastectomy is often performed with immediate reconstruction (i.e., at the same time and under the same anesthetic as the mastectomy). Satisfaction with reconstruction has been described previously for women with mastectomy for breast cancer. However, the authors know of no previous research that has reported on satisfaction with reconstruction in patients who have electively sought mastectomy for the prevention of breast cancer. Women in the province of Ontario who had undergone prophylactic bilateral mastectomy plus breast reconstruction between 1991 and 2000 were asked to rate their level of satisfaction with the cosmetic results of their mastectomy and reconstruction and their overall satisfaction with their decision to have prophylactic mastectomy. Women were also asked whether they experienced complications associated with their surgery and what types of complications they experienced. Thirty-seven women completed questionnaires for this study, and all of them had immediate breast reconstruction after prophylactic mastectomy. The majority of women (70.3 percent) reported being satisfied or extremely satisfied with the cosmetic results of their breast reconstruction. Women with self-reported postsurgical complications (16.2 percent) were significantly less satisfied with reconstruction than those who did not report complications (p = 0.009). Personal subjective risk of breast cancer before prophylactic mastectomy was negatively correlated with satisfaction with reconstruction (r = -0.38, p = 0.024) and with subjective risk estimation after prophylactic surgery (r = -0.54, p = 0.001). Women who did not worry about developing breast cancer after prophylactic mastectomy had significantly higher levels of satisfaction with breast reconstruction than those who continued to worry (p < 0.001). Women who reported an improved body image after reconstruction were significantly more likely to report higher levels of satisfaction than those who reported a diminished body image (p = 0.007). The majority of women were satisfied with the cosmetic results of breast reconstruction after prophylactic mastectomy. Women who overestimated their breast cancer risk had lower satisfaction levels. Correcting overestimation of breast cancer risk in women who have prophylactic mastectomy may improve satisfaction with reconstruction following prophylactic mastectomy.

show abstract

Treatment Considerations in Postmastectomy Reconstruction: Their Relative Importance and Relationship to Patient Satisfaction

Cited by 58 publications

References 0 publications

Impact of Immediate Reconstruction on the Local Recurrence of Breast Cancer After Mastectomy

Impact of Immediate Reconstruction on the Local Recurrence of Breast Cancer After Mastectomy

Patient satisfaction and health‐related quality of life after autologous tissue breast reconstruction

Satisfaction with Breast Reconstruction in Women with Bilateral Prophylactic Mastectomy: A Descriptive Study

Contact Info

Product

Resources

About