Immediate versus delayed breast reconstruction: Long-term follow-up on health-related quality of life and satisfaction with breasts

被引:5
作者
Kuhlefelt, Charlotta [1 ,2 ,5 ,6 ]
Repo, Jussi P. [3 ,4 ]
Jahkola, Tiina [1 ,2 ]
Kauhanen, Susanna [1 ,2 ]
Homsy, Pauliina [1 ,2 ]
机构
[1] Univ Helsinki, Dept Plast Surg, Div Musculoskeletal & Plast Surg, Helsinki, Finland
[2] Helsinki Univ Hosp, PB 281,Pk Hosp, Helsinki 00029, Finland
[3] Tampere Univ Hosp, Dept Orthoped & Traumatol, Unit Musculoskeletal Dis, Tampere, Finland
[4] Univ Tampere, PB 2000, FI-33521 Tampere, Finland
[5] Univ Helsinki, Stenbackinkatu 11,PB 281, Helsinki 00029, Finland
[6] Helsinki Univ Hosp, Dept Plast Surg, Div Musculoskeletal & Plast Surg, Stenbackinkatu 11,PB 281,Pk Hosp, Helsinki 00029, Finland
关键词
Breast reconstruction; Patient-reported outcomes; Breast cancer; Health-related quality of life; BREAST-Q; PSYCHOLOGICAL IMPACT; NORMATIVE DATA; CANCER; OUTCOMES; SURGERY; MASTECTOMY; COMPLICATIONS; WOMEN; SF-36;
D O I
10.1016/j.bjps.2023.11.028
中图分类号
R61 [外科手术学];
学科分类号
摘要
Health-related quality of life (HRQL) can be improved by breast reconstruction following mastectomy. The optimal timing of the reconstruction remains unclear.Methods: A cross-sectional study on 338 women who had undergone immediate or delayed breast reconstruction between 08/2017 and 07/2019 was performed. The postoperative HRQL was assessed using the BREAST-Q Reconstruction Module and the 36-Item Short Form Survey (SF36). Regression analysis was performed for group-wise comparison.Results: A total of 146 (43%) patients participated. Seventy-seven patients (53%) had undergone immediate, and 69 patients (47%) had delayed reconstruction. The median age was 55 years (interquartile ratio [IQR] 50-62) for the Immeda group te, and 60 years (IQR 54-65) for the delayed reconstruction group. The median follow-up time was 2.3 years (IQR 1.8-2.9). No difference between the groups was detected in satisfaction with breasts (median 61, IQR 53-71 vs. 62, IQR 46-71, p = 0.62), physical well-being of the chest (median 100, IQR 80-100 vs. 100, IQR 80-100, p = 0.95) or psychosocial well-being (median 69, IQR 54-83 vs. 62, IQR 54-74, p = 0.19). No difference was detected in the SF-36 domains either.Conclusions: The timing of the breast reconstruction does not affect the postoperative HRQL. Patients with both immediate and delayed breast reconstruction reported high satisfaction with the breast and psychosocial well-being.
引用
收藏
页码:478 / 486
页数:9
相关论文
共 37 条
[1]   The psychological impact of immediate rather than delayed breast reconstruction [J].
Al-Ghazal, SK ;
Sully, L ;
Fallowfield, L ;
Blamey, RW .
EUROPEAN JOURNAL OF SURGICAL ONCOLOGY, 2000, 26 (01) :17-19
[2]  
[Anonymous], RAND 36-Item Health Survey 1.0
[3]  
Breast Q, Breast cancer - Q-portfolio. Adaptable to your needs
[4]  
Breast-Q, Breast cancer: A user's guide for researchers and clinicians
[5]   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
[6]  
Cano SJ., 2011, JOINT INT IMEKO TC1
[7]   Timing of breast reconstruction: Immediate versus delayed [J].
Chevray, Pierre M. .
CANCER JOURNAL, 2008, 14 (04) :223-229
[8]   The BREAST-Q in surgical research: A review of the literature 2009-2015 [J].
Cohen, Wess A. ;
Mundy, Lily R. ;
Ballard, Tiffany N. S. ;
Klassen, Anne ;
Cano, Stefan J. ;
Browne, John ;
Pusic, Andrea L. .
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, 2016, 69 (02) :149-162
[9]   Quality of life and patient satisfaction in breast cancer patients after immediate breast reconstruction:: a prospective study [J].
Elder, EE ;
Brandberg, Y ;
Björklund, T ;
Rylander, R ;
Lagergren, J ;
Jurell, G ;
Wickman, M ;
Sandelin, K .
BREAST, 2005, 14 (03) :201-208
[10]   Quality-of-Life Outcomes between Mastectomy Alone and Breast Reconstruction: Comparison of Patient-Reported BREAST-Q and Other Health-Related Quality-of-Life Measures [J].
Eltahir, Yassir ;
Werners, Lisanne L. C. H. ;
Dreise, Marieke M. ;
van Emmichoven, Ingeborg A. Zeijlmans ;
Jansen, Liesbeth ;
Werker, Paul M. N. ;
de Bock, Geertruida H. .
PLASTIC AND RECONSTRUCTIVE SURGERY, 2013, 132 (02) :201E-209E