A comparison of patient-reported outcomes after breast-conserving surgery and mastectomy with implant breast reconstruction Journal Article
| Authors: | Flanagan, M. R.; Zabor, E. C.; Romanoff, A.; Fuzesi, S.; Stempel, M.; Mehrara, B. J.; Morrow, M.; Pusic, A. L.; Gemignani, M. L. |
| Article Title: | A comparison of patient-reported outcomes after breast-conserving surgery and mastectomy with implant breast reconstruction |
| Abstract: | Background: Many factors influence decisions regarding choice of breast-conserving surgery (BCS) versus mastectomy with reconstruction for early invasive breast cancer. The purpose of this study was to compare patient satisfaction following BCS and mastectomy with implant reconstruction (M-iR) utilizing the BREAST-Q patient-reported outcome measure. Methods: Women with stage I or II breast cancer undergoing BCS or M-iR who completed a BREAST-Q from 2010 to 2016 were identified by retrospective review of a prospective database. Baseline characteristics were compared, and linear mixed models were used to analyze associations with BREAST-Q scores over time. Results: Our study group was composed of 3233 women; 2026 (63%) had BCS, 123 (3.8%) had nipple-sparing mastectomy, and 1084 (34%) had skin-sparing or total mastectomy. Median time from surgery to BREAST-Q was 205 days for BCS and 639 days for M-iR (p ' 0.001). Regardless of type of surgery, breast satisfaction scores decreased significantly over time (p ' 0.001), whereas psychosocial (p = 0.001) and sexual (p = 0.004) well-being scores increased significantly over time. BCS was associated with significantly higher scores over time compared with M-iR across all subscales (all p ' 0.001). Radiation was significantly associated with decreased scores over time across all subscales (all p ' 0.05). Conclusions: Breast satisfaction and quality-of-life scores were higher for BCS compared with M-iR in early-stage invasive breast cancer. These findings may help in counseling women who have a choice for surgical treatment. Breast satisfaction scores decreased over time in all women, highlighting the need for further evaluation with longer follow-up. © 2019, Society of Surgical Oncology. |
| Keywords: | adult; controlled study; aged; patient satisfaction; major clinical study; comparative study; cancer staging; quality of life; breast cancer; mastectomy; breast reconstruction; retrospective study; questionnaire; partial mastectomy; wellbeing; patient-reported outcome; breast q; human; female; article |
| Journal Title: | Annals of Surgical Oncology |
| Volume: | 26 |
| Issue: | 10 |
| ISSN: | 1068-9265 |
| Publisher: | Springer |
| Date Published: | 2019-10-01 |
| Start Page: | 3133 |
| End Page: | 3140 |
| Language: | English |
| DOI: | 10.1245/s10434-019-07548-9 |
| PUBMED: | 31342397 |
| PROVIDER: | scopus |
| PMCID: | PMC6752888 |
| DOI/URL: | |
| Notes: | Article -- Export Date: 1 November 2019 -- Source: Scopus |
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