The impact of age on patient-reported outcomes after oncoplastic versus conventional breast cancer surgery Journal Article

Authors: Ritter, M.; Ling, B. M.; Oberhauser, I.; Montagna, G.; Zehnpfennig, L.; Lévy, J.; Soysal, S. D.; López Castrezana, L.; Müller, M.; Schwab, F. D.; Kurzeder, C.; Haug, M.; Weber, W. P.; Kappos, E. A.
Article Title: The impact of age on patient-reported outcomes after oncoplastic versus conventional breast cancer surgery
Abstract: Purpose: Some studies have indicated age-specific differences in quality of life (QoL) among breast cancer (BC) patients. The aim of this study was to compare patient-reported outcomes after conventional and oncoplastic breast surgery in two distinct age groups. Methods: Patients who underwent oncoplastic and conventional breast surgery for stage I-III BC, between 6/2011–3/2019, were identified from a prospectively maintained database. QoL was prospectively evaluated using the Breast-Q questionnaire. Comparisons were made between women < 60 and ≥ 60 years. Results: One hundred thirty-three patients were included. Seventy-three of them were ≥ 60 years old. 15 (20.5%) of them received a round-block technique (RB) / oncoplastic breast-conserving surgeries (OBCS), 10 (13.7%) underwent nipple-sparing mastectomies (NSM) with deep inferior epigastric perforator flap (DIEP) reconstruction, 23 (31.5%) underwent conventional breast-conserving surgeries (CBCS), and 25 (34.2%) received total mastectomy (TM). Sixty patients were younger than 60 years, 15 (25%) thereof received RB/OBCS, 22 (36.7%) NSM/DIEP, 17 (28.3%) CBCS, and 6 (10%) TM. Physical well-being chest and psychosocial well-being scores were significantly higher in older women compared to younger patients (88.05 vs 75.10; p < 0.001 and 90.46 vs 80.71; p = 0.002, respectively). In multivariate linear regression, longer time intervals had a significantly positive effect on the scales Physical Well-being Chest (p = 0.014) and Satisfaction with Breasts (p = 0.004). No significant results were found concerning different types of surgery. Conclusion: Our findings indicate that age does have a relevant impact on postoperative QoL. Patient counseling should include age-related considerations, however, age itself cannot be regarded as a contraindication for oncoplastic surgery. © 2021, The Author(s).
Keywords: aged; patient satisfaction; surgical technique; major clinical study; prospective study; quality of life; breast cancer; retrospective study; age; cross-sectional study; deep inferior epigastric perforator flap; elderly; nipple-sparing mastectomy; breast-conserving surgery; patient-reported outcome; breast cancer surgery; human; male; female; article; simple mastectomy; oncoplastic surgery; physical well-being; patient-related outcomes; oncoplastic breast cancer surgery; social well-being
Journal Title: Breast Cancer Research and Treatment
Volume: 187
Issue: 2
ISSN: 0167-6806
Publisher: Springer  
Date Published: 2021-06-01
Start Page: 437
End Page: 446
Language: English
DOI: 10.1007/s10549-021-06126-6
PUBMED: 33606158
PROVIDER: scopus
PMCID: PMC8189956
Notes: Article -- Export Date: 1 July 2021 -- Source: Scopus
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