共 42 条
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