Local breast cancer recurrence after mastectomy and immediate breast reconstruction for invasive cancer: A meta-analysis

Gieni, M; Avram, Ronen; Dickson, Lisa; Farrokhyar, Forough; Lovrics, Peter; Faidi, Samir; Sne, Niv

doi:10.1016/j.breast.2011.12.013

Cited by 116 publications

(61 citation statements)

References 33 publications

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“…In contrast to mastectomy, IBR has been shown to provide better cosmetic outcome and superior quality of life, without compromising oncological safety (2)(3)(4)(5)(6)(7)(9)(10)(11)(12)(13)(40)(41)(42)(43)(44).…”

Section: Discussionmentioning

confidence: 99%

“…A study conducted by Al-Ghazal et al showed that patients who underwent IBR showed less psychological distress than patients who underwent delayed breast reconstruction (8). Furthermore, studies have shown that IBR is oncologically safe as local recurrence incidence following IBR is comparable to that after mastectomy (5,(9)(10)(11)(12)(13)(14). This led to increasing IBR in the United (16).…”

Section: Introductionmentioning

confidence: 99%

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Factors influencing the decision to pursue immediate breast reconstruction after mastectomy for breast cancer

et al. 2017

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Background: Immediate breast reconstruction (IBR) after mastectomy has shown to be oncologically safe and to improve quality of life in breast cancer patients. However, most women undergoing mastectomy do not undergo IBR. In this study, we aim to identify breast surgeon-related factors in considering IBR and factors affecting patients' decision to choose for IBR.Methods: Retrospective analysis of the records of breast cancer patients who underwent mastectomy with or without IBR between 2010 and 2013. We documented all information whether or not a patient underwent IBR after mastectomy.Results: Of 437 patients, 97 (22.2%) underwent IBR, 89.8% of which received tissue expanders. Patient who did not undergo IBR had a higher age (62.2 versus 51.9 years, P<0.001) and higher body mass index (BMI) (27.0 versus 24.3, P<0.001). Hundred three patients declined IBR, mainly because considering reconstruction as too much trouble. In 128 cases the breast surgeon did not offer IBR, mostly because of the predicted need for post mastectomy radiation. Approximately 11% of the patients were not informed about IBR.Conclusions: Anticipated radiation therapy, higher age and higher BMI were important breast surgeonrelated factors in refraining from IBR. Almost one third of all patients declined IBR. In almost 10% of all patients, IBR was not discussed.Keywords: Breast neoplasms; breast reconstruction; decision making; mammaplasty; mastectomy Submitted Aug 11, 2016. Accepted for publication Oct 27, 2016Oct 27, . doi: 10.21037/gs.2016 View this article at: http://dx.doi.org/10.21037/gs.2016.11.11 44 Weenk et al. Decision-making process in IBR © Gland Surgery. All rights reserved.Gland Surg 2017;6(1):43-48 gs.amegroups.com States. In 2000, 12.9% of all mastectomies performed in the United States were combined IBR, increasing to 36.3% in 2009 (15). The United Kingdom Association of Breast Surgery recommends that any patient in which IBR is oncologically safe should have the possibility to choose for IBR (16). Dutch guidelines state IBR has a slight preference instead of delayed reconstruction and that every patient considered for mastectomy has to be informed about reconstructive options (17). However, despite the evidence and recommendations, almost two thirds of the mastectomies are still performed without IBR. We asked ourselves if there are elements in the pre-operative process that could facilitate or impede the choice for IBR. The major objective of this study was to investigate the decision-making process on whether or not a patient undergoes immediate reconstruction after mastectomy. In this study we focused on the role of patient as well as the role of the breast surgeon. MethodsWe investigated all electronic patient files of women diagnosed with DCIS or invasive carcinoma between 2010 and 2013, and underwent a mastectomy at the Canisius Wilhelmina Breast Center in Nijmegen, the Netherlands. Patients who underwent prophylactic mastectomy were excluded. IBR is defined as mastectomy and reconstruction performed on the same day. ...

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Factors influencing the decision to pursue immediate breast reconstruction after mastectomy for breast cancer

et al. 2017

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“…Radiotherapy was not given to any patients (57). Furthermore, a meta-analysis by Gieni et al (34) found no differences in terms of the risk of recurrence between patients who underwent immediate reconstruction and those who underwent mastectomy alone. Guidelines regarding this issue generally indicate that immediate reconstruction is as safe oncologically as delayed reconstruction and offers patients an improved psychological profile (23)(24)(25)(26)(27).…”

Section: What Is the Appropriate Timing Of Breast Reconstruction?mentioning

confidence: 99%

“…Nevertheless, the rate of breast reconstruction has remained relatively low (<30%) in North America (33,34) compared with countries such as France (>80%) (35). Factors that are significantly associated with a lower rate of reconstruction among breast cancer patients include African American race or other minority races (versus Caucasian), nonmetropolitan (versus metropolitan) dwelling, receipt of radiation therapy, older age, married (versus never married or widowed) and unilateral mastectomy (versus prophylactic mastectomy of contralateral breast) (36)(37)(38).…”

Section: Who Is a Candidate For Postmastectomy Breast Reconstruction?mentioning

confidence: 99%

Breast reconstruction following prophylactic or therapeutic mastectomy for breast cancer: Recommendations from an evidence-based provincial guideline

Budgell¹,

Quan²,

Mehling³

et al. 2014

CAN J PLAST SURG

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“…Le taux de reconstruction mammaire immédiate (RMI) est en augmentation régulière dans la plupart des pays développés [1][2][3][4], en raison de la preuve de son bénéfice sur le bien-être des patientes opérées par mastectomie pour cancer du sein et de son innocuité carcinologique [5,6]. Parmi les techniques de reconstruction, le lambeau de grand dorsal sans prothèse (LGDSP) est une technique fiable qui donne d'excellents résultats en reconstruction mammaire.…”

Section: Introductionunclassified

Tolérance du lambeau de grand dorsal sans prothèse à la radiothérapie en reconstruction mammaire immédiate

Carrabin¹,

Vermersh²,

Faure³

et al. 2015

Annales de Chirurgie Plastique Esthétique

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Local breast cancer recurrence after mastectomy and immediate breast reconstruction for invasive cancer: A meta-analysis

Abstract: This meta-analysis demonstrated no evidence for increased frequency of local breast cancer recurrence with IBR compared with mastectomy alone.

Cited by 116 publications

References 33 publications

Factors influencing the decision to pursue immediate breast reconstruction after mastectomy for breast cancer

Factors influencing the decision to pursue immediate breast reconstruction after mastectomy for breast cancer

Breast reconstruction following prophylactic or therapeutic mastectomy for breast cancer: Recommendations from an evidence-based provincial guideline

Tolérance du lambeau de grand dorsal sans prothèse à la radiothérapie en reconstruction mammaire immédiate

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