Beyond Surgery: Psychological Well-Being's Role in Breast Reconstruction Outcomes

被引:0
作者
Foppiani, Jose [1 ]
Lee, Theodore C. [2 ]
Alvarez, Angelica Hernandez [1 ]
Escobar-Domingo, Maria J. [1 ]
Taritsa, Iulianna C. [1 ]
Lee, Daniela [1 ]
Schuster, Kirsten [1 ]
Wood, Sasha [3 ]
Utz, Begum [4 ]
Bai, Christopher [5 ]
Maranhao-Wong, Lauren [6 ]
Lee, Bernard T. [1 ]
机构
[1] Harvard Med Sch, Beth Israel Deaconess Med Ctr, Div Plast & Reconstruct Surg, Boston, MA USA
[2] Georgetown Univ, Washington, DC USA
[3] Yale Univ, New Haven, CT USA
[4] Izmir Biomed & Genome Ctr, Izmir, Turkiye
[5] Lawrenceville Sch, Lawrenceville, NJ USA
[6] Los Altos High Sch, Los Altos, CA USA
关键词
Breast reconstruction; Psychological/psychiatric; comorbidities; Patient-reported outcomes; BREAST-Q scores; Well-being screening and; optimization; QUALITY-OF-LIFE; BODY-IMAGE; MASTECTOMY; SATISFACTION; IMPLANT; ANXIETY; IMPACT;
D O I
10.1016/j.jss.2024.10.040
中图分类号
R61 [外科手术学];
学科分类号
摘要
Introduction: Breast cancer is one of the most prevalent cancers worldwide, and following its treatment, many women turn to plastic surgery for reconstruction. A diagnosis of cancer is a heavy burden on patients. Yet, the effect of psychological/psychiatric comorbidities on patient satisfaction following their reconstruction remains unexplored. Thus, this paper aims to investigate how pre-existing psychological and psychiatric conditions impact patientreported outcomes postreconstruction, compared to women without such conditions. Methods: A systematic review of PubMed, Web of Science, and Cochrane was completed. A qualitative synthesis of all included studies was then performed, and a subgroup analysis was then performed using a random effect model. Results: A total of 24 papers were included, encompassing a total population of 220,565 patients undergoing breast reconstruction between the ages of 18 and 84. The follow-up time ranged between 1.5 mo and 61 mo. In our study of breast reconstruction outcomes, the cohort with psychological/psychiatric comorbidities exhibited significant decreases in postoperative BREAST-Q scores compared to the control group: a 24-point [95% confidence interval (CI; -40, -8)] difference in satisfaction, a 20-point [95% CI (-57, -17)] difference in psychosocial well-being, an 18-point [95% CI (-28, 9)] difference in physical well-being, and a 33-point [95% CI (-51, -15)] difference in sexual well-being. Conclusions: Ultimately, our analysis suggests that presurgical psychology status is a critical determinant of postsurgical patient-reported outcomes. These results encourage the development and inclusion of well-being screening and optimization prior to surgery as a mean to improve surgical outcomes. <feminine ordinal indicator> 2024 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.
引用
收藏
页码:26 / 35
页数:10
相关论文
共 42 条
[1]   A Paradigm Shift in US Breast Reconstruction: Increasing Implant Rates [J].
Albornoz, Claudia R. ;
Bach, Peter B. ;
Mehrara, Babak J. ;
Disa, Joseph J. ;
Pusic, Andrea L. ;
McCarthy, Colleen M. ;
Cordeiro, Peter G. ;
Matros, Evan .
PLASTIC AND RECONSTRUCTIVE SURGERY, 2013, 131 (01) :15-23
[2]   Current and future burden of breast cancer: Global statistics for 2020 and 2040 [J].
Arnold, Melina ;
Morgan, Eileen ;
Rumgay, Harriet ;
Mafra, Allini ;
Singh, Deependra ;
Laversanne, Mathieu ;
Vignat, Jerome ;
Gralow, Julie R. ;
Cardoso, Fatima ;
Siesling, Sabine ;
Soerjomataram, Isabelle .
BREAST, 2022, 66 :15-23
[3]   A basic introduction to fixed-effect and random-effects models for meta-analysis [J].
Borenstein, Michael ;
Hedges, Larry V. ;
Higgins, Julian P. T. ;
Rothstein, Hannah R. .
RESEARCH SYNTHESIS METHODS, 2010, 1 (02) :97-111
[4]   Patient Reported Outcome and Quality of Life After Delayed Breast Reconstruction - An RCT Comparing Different Reconstructive Methods in Radiated and Non-radiated Patients [J].
Brorson, Fredrik ;
Elander, Anna ;
Thorarinsson, Andri ;
Hansson, Emma .
CLINICAL BREAST CANCER, 2022, 22 (08) :753-761
[5]   A comprehensive literature review of patient-reported outcome measures (PROMs) among common breast reconstruction options: What types of breast reconstruction score well? [J].
Char, Sydney ;
Bloom, Joshua A. ;
Erlichman, Zachary ;
Jonczyk, Michael M. ;
Chatterjee, Abhishek .
BREAST JOURNAL, 2021, 27 (04) :322-329
[6]   Meta-analysis for psychological impact of breast reconstruction in patients with breast cancer [J].
Chen, Wanjing ;
Lv, Xiaoai ;
Xu, Xiaohong ;
Gao, Xiufei ;
Wang, Bei .
BREAST CANCER, 2018, 25 (04) :464-469
[7]   Trends in emotional functioning and psychosocial wellbeing in breast cancer survivors: a prospective cohort study using patient-reported outcome measures [J].
Devarakonda, Sri K. ;
Timman, Reinier ;
Bouvy, Paul F. ;
Oemrawsingh, Arvind ;
Apon, Inge ;
Mureau, Marc A. M. ;
Koppert, Linetta B. ;
Kranenburg, Leonieke W. .
BMC WOMENS HEALTH, 2023, 23 (01)
[8]   Depression is associated with worse outcomes among women undergoing breast reconstruction following mastectomy [J].
Drinane, James J. ;
Thuy-Huong Pham ;
Schalet, Grant ;
Rezak, Kristen .
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, 2019, 72 (08) :1292-1298
[9]   The Relationship Between Patients' Personality Traits and Breast Reconstruction Process [J].
Farago-Magrini, Sandra ;
Auba, Cristina ;
Camargo, Cristina ;
Laspra, Carmen ;
Hontanilla, Bernardo .
AESTHETIC PLASTIC SURGERY, 2018, 42 (03) :702-707
[10]   Patient reported outcome measures in a cohort of patients at high risk of breast cancer treated by bilateral risk reducing mastectomy and breast reconstruction [J].
Gandhi, A. ;
Duxbury, P. ;
Murphy, J. ;
Foden, P. ;
Lalloo, F. ;
Clancy, T. ;
Wisely, J. ;
Kirwan, C. C. ;
Howell, A. ;
Evans, D. G. .
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, 2022, 75 (01) :69-76