Implant-Based Breast Reconstruction with Autologous Lower Dermal Sling and Radiation Therapy Outcomes

Koppiker, Chaitanyanand B.; Noor, Aijaz Ul; Dixit, Santosh; Mahajan, Ravindra H.; Sharan, Gautam; Dhar, Upendra; Busheri, Laleh; Nare, Smeeta

doi:10.1007/s12262-018-1856-7

Cited by 6 publications

(6 citation statements)

References 29 publications

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“… Albornoz et al (2014) 58 United States, Canada Prospective 633 Irradiated: 52.0(10.8); non-irradiated: 50.5(9.2) IBBRS with versus without irradiation 17. Koppiker et al (2018) 59 India Retrospective 78 NR Autologous: DIEP versus TRAM flaps 18. Ludolph et al (2015) 39 Germany Retrospective 179 Patients<60years: 48.2; patients>60years: 63.8 Autologous 19.…”

Section: Resultsmentioning

confidence: 99%

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Systematic Review of Breast-Q: A Tool to Evaluate Post-Mastectomy Breast Reconstruction

Seth¹,

Seth²,

Bulloch³

et al. 2021

BCTT

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Purpose The aim of this systematic review is to update and synthesize new evidence on BREAST-Q questionnaire’s ability to reflect patient-reported outcomes in women who have undergone breast reconstruction surgery (BRS) following mastectomy. Methods PubMed, Science Direct, Google Scholar, Cochrane CENTRAL, and Clincaltrial.gov were searched for relevant studies from January 2009 to September 2021. Any interventional or observational studies that used BREAST-Q to assess patient-reported outcomes in the assessment of BRS following mastectomy were included. Results A total of 42 studies were eligible for inclusion in the review. Three were randomized controlled trials and 39 were observational studies. Compared with pre-operative scores, there was an improvement in all BREAST-Q outcome domains following BRS including ‘satisfaction with breasts’, “satisfaction with outcome” “psychosocial”, “physical”, and “sexual wellbeing”. Sexual well-being had the lowest BREAST-Q score both pre-and post-operatively (37.8–80.0 and 39.0–78.0, respectively). Autologous BRS reports higher satisfaction and overall wellbeing compared to implant-based BRS. BREAST-Q has a higher and narrow internal consistency of 0.81 to 0.96 compared with other patient-reported outcome measures (PROMs; EORTC-QLQ, FACT-B, BR-23, BCTOS). The BREAST-Q questionnaire is the only PROM which allows patients to reflect on their care, surgical outcomes, and satisfaction collectively. Conclusion This review highlights the fact that BREAST-Q can effectively and reliably measure satisfaction and wellbeing of breast cancer patients after BRS. Comparatively, sexual wellbeing shows poorer outcomes following BRS and more longitudinal studies are necessary to understand the basis for these findings. Compared to other PROMs, BREAST-Q is reliable and specific to breast cancer surgery. Overall, BREAST-Q can help clinicians improve their quality of service, understand patient experiences, and may be used as an auditing tool for surgical outcomes.

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Section: Resultsmentioning

confidence: 99%

“… 41 , 50 , 56 , 57 Another factor that worsened BREAST-Q scores was radiotherapy, which is also associated with higher rates of complications in autologous and implant-based BRS. 33 , 58 , 59 Knowing the difference in complication rates in these BRS cohorts would better explain the low level of satisfaction observed.…”

Section: Discussionmentioning

confidence: 99%

Systematic Review of Breast-Q: A Tool to Evaluate Post-Mastectomy Breast Reconstruction

Seth¹,

Seth²,

Bulloch³

et al. 2021

BCTT

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“…In addition, this RT-related problem also necessitates innovations in OBS surgical technique. Indeed, in our study cohort, the ALDS procedure was found to offer a protective advantage against RT-associated complications which are common in implant-based breast reconstructions [30]:…”

Section: Breast Reconstructionmentioning

confidence: 72%

“…Therefore, concerted efforts need to be taken up to change this scenario such as: This challenge also provides an opportunity to OBS surgeons to innovate in the surgical techniques in the lowresource settings LMIC settings such as India. For example, we have successfully demonstrated that a one-stage breast reconstruction with breast implants is feasible if aided by such novel surgical modification that employs autologous lower dermal skin (ALDS) derived either from the breast pocket or lower abdominal/thoracic skin [30]. With this technique, we have observed that even surgically challenging non-ptotic/ small breasts can be successfully reconstructed using implants without the need of ADMs (unpublished data):…”

Section: Breast Reconstructionmentioning

confidence: 99%

“…Indeed, a higher rate of post-RT complications such as fibrosis and capsular contracture which may sometimes lead to implant failure has been reported in patients who have undergone implant-based reconstructions [38]. We have previously shown that the ALDS-based implant reconstructions followed by careful planning of RT protocol can reduce the rate of such complications [30]. In parallel, our RT team has innovated to incorporate a Simultaneous-Integrated Boost (SIB)-IMRT protocol for patients with multi-centric/multi-focal tumors who have undergone extreme oncoplasty [23].…”

Section: Breast Radiotherapymentioning

confidence: 99%

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Oncoplastic Breast Surgery in India: Thinking Globally, Acting Locally

Koppiker¹,

Chintamani

Dixit³

2019

Indian J Surg

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Trends and issues in clinical research on satisfaction and quality of life after mastectomy and breast reconstruction: a 5-year scoping review

et al. 2023

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Breast reconstruction (BR) aims to improve the satisfaction and quality of life (QOL) of breast cancer survivors. Clinical studies using patient-reported outcomes (PROs) can therefore provide relevant information to the patients and support decision-making. This scoping review was conducted to analyze recent trends in world regions, methods used, and factors investigated. The literature search was conducted in August 2022. Databases of PubMed, MEDLINE, and CINAHL were searched for relevant English-language studies published from 2017 to 2022. Studies involving women with breast cancer who underwent BR after mastectomy and investigated PROs after BR using BR-specific scales were included. Data on the country, publication year, study design, PRO measures (PROMs) used, time points of surveys, and research themes were collected. In total, 147 articles met the inclusion criteria. BREAST-Q was the most widely used, contributing to the increase in the number and diversification of studies in this area. Such research has been conducted mainly in North America and Europe and is still developing in Asia and other regions. The research themes involved a wide range of clinical and patient factors in addition to surgery, which could be influenced by research methods, time since surgery, and even cultural differences. Recent BR-specific PROMs have led to a worldwide development of research on factors that affect satisfaction and QOL after BR. PRO after BR may be influenced by local cultural and social features, and it would be necessary to accumulate data in each region to draw clinically useful conclusion.

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Implant-Based Breast Reconstruction with Autologous Lower Dermal Sling and Radiation Therapy Outcomes

Cited by 6 publications

References 29 publications

Systematic Review of Breast-Q: A Tool to Evaluate Post-Mastectomy Breast Reconstruction

Systematic Review of Breast-Q: A Tool to Evaluate Post-Mastectomy Breast Reconstruction

Oncoplastic Breast Surgery in India: Thinking Globally, Acting Locally

Trends and issues in clinical research on satisfaction and quality of life after mastectomy and breast reconstruction: a 5-year scoping review

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