Patient satisfaction with postmastectomy breast reconstruction: A comparison of saline and silicone implants Journal Article


Authors: McCarthy, C. M.; Klassen, A. F.; Cano, S. J.; Scott, A.; Vanlaeken, N.; Lennox, P. A.; Alderman, A. K.; Mehrara, B. J.; Disa, J. J.; Cordeiro, P. G.; Pusic, A. L.
Article Title: Patient satisfaction with postmastectomy breast reconstruction: A comparison of saline and silicone implants
Abstract: Background. At a time when the safety and effectiveness of breast implants remains under close scrutiny, it is important to provide reliable and valid evidence regarding patient outcomes. In the setting of postmastectomy reconstruction, patient satisfaction and quality of life may be the most significant outcome variables when evaluating surgical success. The objective of the current study was to identify predictors of patient satisfaction with breast appearance, including implant type, in a large sample of women who underwent breast reconstruction surgery using implants. Methods. A multicenter, cross-sectional study design was used. A total of 672 women who had completed postmastectomy, implant-based reconstruction at 1 of 3 centers in North America were asked to complete the BREAST-Q (Reconstruction Module). Multivariate linear regression modeling was performed. Results. Completed questionnaire data were available for 482 of the 672 patients. In 176 women, silicone implants were placed and in 306, saline implants were used. The multivariate model confirmed that patients' satisfaction with their breasts was significantly higher in patients with silicone implants (P =.016). The receipt of postmastectomy radiotherapy was found to have a significant, negative effect on breast satisfaction (P<.000) in both silicone and saline implant recipients. In addition, for women who received either silicone or saline implants, satisfaction diminished over time (P =.017). Conclusions. In the setting of postmastectomy reconstruction, patients who received silicone breast implants reported significantly higher satisfaction with the results of reconstruction than those who received saline implants. This information can be used to optimize shared medical decision-making by providing patients with realistic postoperative expectations. Copyright © 2010 American Cancer Society.
Keywords: adult; controlled study; patient satisfaction; major clinical study; cancer radiotherapy; follow up; breast cancer; mastectomy; breast reconstruction; cross-sectional study; clinical effectiveness; breast endoprosthesis; breast implants; patient-reported outcomes; silicone prosthesis; breast surgery; north america; mammoplasty; saline; silicone
Journal Title: Cancer
Volume: 116
Issue: 24
ISSN: 0008-543X
Publisher: Wiley Blackwell  
Date Published: 2010-12-15
Start Page: 5584
End Page: 5591
Language: English
DOI: 10.1002/cncr.25552
PROVIDER: scopus
PUBMED: 21136577
DOI/URL:
Notes: --- - "Export Date: 20 April 2011" - "CODEN: CANCA" - "Source: Scopus"
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MSK Authors
  1. Joseph Disa
    198 Disa
  2. Andrea Pusic
    280 Pusic
  3. Babak Mehrara
    256 Mehrara
  4. Peter G Cordeiro
    239 Cordeiro
  5. Amie Marie Scott
    43 Scott