Breast cancer patient-reported outcomes on level 1 and level 2 oncoplastic procedures using BREAST-Q®

Pinto, Catarina; Peleteiro, Bárbara; Osório, Fernando Santos; Costa, Sara Simões; Magalhães, André; Mora, Henrique; Amaral, J; Gonçalves, Daniela; Fougo, José Luís

doi:10.1007/s00432-022-04228-2

Cited by 4 publications

(3 citation statements)

References 32 publications

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“…Different countries worldwide are using PROMs in breast cancer care for improving the quality of care to promote more patient-centered health systems [9], and in Portugal, this strategy seems to reveal that most women are satisfied with their surgical treatment considering that the total BREAST-Q score among our study population was 80.07 (Figure 1), higher than other participating programs of the OECD's PaRIS initiative with the highest score being 70 [9]. This data is corroborated by another study done in Portugal with 232 patients, that also revealed high satisfaction scores (median 72) with breasts after surgery [18]. This data is corroborated by another study done in Portugal with 232 patients, that also revealed high satisfaction scores (median 72) with breasts after surgery [18].…”

Section: Discussionsupporting

confidence: 82%

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Patient-Reported Outcomes and Experiences Assessment in Women with Breast Cancer: Portuguese Case Study

Coelho

Kendir

Barrenho

et al. 2023

IJERPH

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In 2020, female breast cancer was the most commonly diagnosed cancer worldwide, representing the type of cancer with the highest incidence among women and the second most common cause of cancer death among women in all OECD countries. The conventional measures addressing the burden of breast cancer by measuring mortality, incidence, and survival do not entirely reflect the quality of life and patients experience when receiving breast cancer care. The main objective of this study is to capture patient-reported outcomes and experiences in women with breast cancer in Portugal using methods developed for international benchmarking purposes, such as the OECD Patient-reported Indicators Surveys. The study included 378 women with breast cancer, with the age distribution being 19.8% aged 15 to 49 years and 80.2% aged 50 years and over. The data collection procedure and analysis followed the “OECD Breast Cancer Patient Reported Outcomes Working Group” protocol, allowing subsequent comparability with data from other OECD member countries. Most women were satisfied with the treatment outcome regarding the shape of their lumpectomy breast when wearing a bra (96.1%) and with the equal size of both breasts (78.3%). Findings on the WHO QOL-BREF showed that women manifest a lower score in well-being when compared with the general population or populations living with chronic diseases. This study shows the feasibility of implementing and using patient-reported metrics (PROM and PREM) in breast cancer services in Portugal. Measuring PROMs and PREMs from Portuguese women receiving breast cancer care provides insightful evidence into the quality and value of cancer care.

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Section: Discussionsupporting

confidence: 82%

“…This data is corroborated by another study done in Portugal with 232 patients, that also revealed high satisfaction scores (median 72) with breasts after surgery [18]. This data is corroborated by another study done in Portugal with 232 patients, that also revealed high satisfaction scores (median 72) with breasts after surgery [18].…”

Section: Discussionsupporting

confidence: 78%

Patient-Reported Outcomes and Experiences Assessment in Women with Breast Cancer: Portuguese Case Study

Coelho

Kendir

Barrenho

et al. 2023

IJERPH

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“…A recent cross-sectional study compared OPBS levels 1 and 2 using the Breast-Q and found no differences in Breast-Q postoperative scores 26 . However, that study invited 968 patients but only 232 questionnaires were returned.…”

Section: Discussionmentioning

confidence: 99%

Health-related quality of life by type of breast surgery in women with primary breast cancer: prospective longitudinal cohort study

Gulis,

Ellbrant,

Bendahl

et al. 2024

BJS Open

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Background Health-related quality of life and patient-related outcome measures for patients with cancer have gained increased interest over the last decade. However, few prospective studies with longitudinal data evaluated health-related quality of life in patients with breast cancer. This study aimed to investigate how health-related quality of life changed from the time of diagnosis to 1 year after breast cancer surgery for the main surgical techniques. Methods This prospective longitudinal single-centre study included patients with primary breast cancer diagnosed in 2019–2020 who underwent surgery. Patients completed a health-related quality of life questionnaire (Breast-Q) at baseline. One year after surgery, they completed the Breast-Q a second time, the EORTC (European Organization for Research and Treatment of Cancer) quality of life questionnaire-C30 and the quality of life questionnaire-BR23. Analysis of variance and Kruskal–Wallis tests were used to evaluate the differences in health-related quality of life between surgical groups. Analysis of covariance with robust standard errors was used to adjust for confounders. Results In total, 340 patients were included in the study; 160 patients received oncoplastic partial mastectomy, 112 received partial mastectomy, 42 received mastectomy and 26 had mastectomy with immediate reconstruction. Patients that had partial mastectomy or oncoplastic partial mastectomy were more satisfied with their breasts (P < 0.001), had a better body image (P = 0.006) and higher sexual functioning scores (P = 0.027) than patients who had a mastectomy with/without reconstruction. The oncoplastic and mastectomy with reconstruction groups had more breast symptoms than other groups (P < 0.001), and the mastectomy group had the least symptoms from the chest area. Conclusion Partial mastectomy and oncoplastic partial mastectomy have the best outcomes in terms of breast satisfaction, body image and sexual functioning. This highlights the importance of preserving the breast when feasible and underscores that breast reconstruction is not equal to breast conservation. Registration number: NCT04227613 (http://www.clinicaltrials.gov).

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Association of relative resection volume with patient-reported outcomes applying different levels of oncoplastic breast conserving surgery – A retrospective cohort study

Heidinger,

Loesch,

Levy

et al. 2024

European Journal of Surgical Oncology

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Breast cancer patient-reported outcomes on level 1 and level 2 oncoplastic procedures using BREAST-Q®

Cited by 4 publications

References 32 publications

Patient-Reported Outcomes and Experiences Assessment in Women with Breast Cancer: Portuguese Case Study

Patient-Reported Outcomes and Experiences Assessment in Women with Breast Cancer: Portuguese Case Study

Health-related quality of life by type of breast surgery in women with primary breast cancer: prospective longitudinal cohort study

Association of relative resection volume with patient-reported outcomes applying different levels of oncoplastic breast conserving surgery – A retrospective cohort study

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