Long-Term Comparison of Aesthetical Outcomes After Oncoplastic Surgery and Lumpectomy in Breast Cancer Patients

Santos, Gabriela dos; Úrban, Cícero; Edelweiss, Maria Isabel Albano; Zucca-Matthes, Gustavo; Oliveira, Vilmar Marques de; Arana, Gabriel; Iera, Marco; Rietjens, Mario; Lima, Rubens Silveira de; Spautz, Cléverton; Kuroda, Fusakuni; Anselmi, Karina Furlan; Capp, Edison

doi:10.1245/s10434-014-4301-6

Cited by 109 publications

(94 citation statements)

References 38 publications

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“…Contrary to previous studies, 3,4,19 the tumour location did not affect the aesthetic outcome even in the conventional resection group. Successful patient selection may partly explain our better results as well as the surgical technique used; our conventional resection includes adequate mobilization and closure of breast tissue and represents 19 However, we have no data on the tumour/breast volume ratio, which might better represent the extent of resection than resection specimen weight alone.…”

Section: Predictors Of Poor Aesthetic Outcomecontrasting

confidence: 99%

“…Accordingly, oncoplastic resection group patients had more often larger or multifocal tumours and accordingly they received more extensive axillary surgery with earlier studies reporting similar finding. 3 Larger tumour diameter and tumour multifocality had negative effect on aesthetic outcome as expected and previously reported, 6 although statistically significant difference was not found when analysing oncoplastic resection group alone. Oncoplastic resection was performed more often in lower pole tumours.…”

Section: Discussionsupporting

confidence: 77%

“…Wide variation exists in methodology of previous studies evaluating aesthetic outcome after BCT making comparison of results difficult. 1,3,4 A systematic review by Chen et al underlines the need for better evaluation tools. 15 When evaluating treatment outcome, patient selfevaluation is a valuable method since the subjective experience is central to assessment of QoL.…”

Section: Predictors Of Poor Aesthetic Outcomementioning

confidence: 99%

“…Previous studies also show that patient-reported aesthetic outcome questionnaires provide more favourable aesthetic outcomes than objective aesthetic outcome measurements. 1,3 For these reasons, this study aims to compare patientreported aesthetic and functional outcome after conventional resection and oncoplastic resection and to evaluate possible prognostic factors for poor aesthetic outcome in a population-based setting.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Aesthetic and functional outcome after breast conserving surgery – Comparison between conventional and oncoplastic resection

Ojala

Meretoja

Leidenius

2017

European Journal of Surgical Oncology (EJSO)

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Section: Predictors Of Poor Aesthetic Outcomecontrasting

confidence: 99%

Section: Discussionsupporting

confidence: 77%

Section: Predictors Of Poor Aesthetic Outcomementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Aesthetic and functional outcome after breast conserving surgery – Comparison between conventional and oncoplastic resection

Ojala

Meretoja

Leidenius

2017

European Journal of Surgical Oncology (EJSO)

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“…Some specific software programs have been developed for objective aesthetic analysis, such as BCCT.core, which was used in this series. [18][19][20][21] Patient self-evaluation is certainly the easiest method to perform. However, reproducibility is limited, as it usually reflects the individual psychosocial adaptation and it is directly related to factors such as age, socioeconomic level, and expectations.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Aesthetic and Quality-of-Life Results after Immediate Breast Reconstruction with Definitive Form-Stable Anatomical Implants

Kuroda

Urban

Zucca-Matthes

et al. 2016

Plastic and Reconstructive Surgery

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Outcomes of Different Quality of Life Assessment Modalities After Breast Cancer Therapy

et al. 2023

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ImportanceImprovement in clinical understanding of the priorities of patients with breast cancer (BC) regarding postoperative aesthetic outcomes (AOs) is needed.ObjectiveTo assess expert panel and computerized evaluation modalities against patient-reported outcome measures (PROMs), the gold standard of AO assessment, in patients after surgical management of BC.Data SourcesEmbase, MEDLINE, PsycINFO, PubMed, the Cochrane Central Register of Controlled Trials, the World Health Organization International Clinical Trials Registry Platform, and ClinicalTrials.gov were interrogated from inception through August 5, 2022. Search terms included breast conserving AND aesthetic outcome AND breast cancer. Ten observational studies were eligible for inclusion, with the earliest date of database collection on December 15, 2022.Study SelectionStudies with at least 1 pairwise comparison (PROM vs expert panel or PROM vs computerized evaluation with Breast Cancer Conservation Treatment cosmetic results [BCCT.core] software) were considered eligible if they included patients who received BC treatment with curative intent. Studies reporting solely on risk reduction or benign surgical procedures were excluded to ensure transitivity.Data Extraction and SynthesisTwo independent reviewers extracted study data with an independent cross-check from a third reviewer. The quality of included observational studies was assessed using the Newcastle-Ottawa Scale, and the level of evidence quality was assessed using the Grading of Recommendations Assessment, Development and Evaluation tool. Confidence in network meta-analysis results was analyzed with the Confidence in Network Meta-analysis semiautomated tool. Effect size was reported using random-effects odds ratios (ORs) and cumulative ratios of ORs with 95% credibility intervals (CrIs).Main Outcomes and MeasuresThe primary outcome of this network meta-analysis was modality (expert panel or computer software) discordance from PROMs. Four-point Likert responses across PROMs, expert panel assessment, and BCCT.core evaluation of AOs were assessed.ResultsA total of 10 observational studies including 3083 patients (median [IQR] age, 59 [50-60] years; median [range] follow-up, 39.0 [22.5-80.5] months) with reported AOs were assessed and homogenized in 4 distinct Likert response groups (excellent, very good, satisfactory, and bad). Overall network incoherence was low (χ22 = 0.35; P = .83). Overall, panel and software modalities graded AO outcomes worse than PROMs. Specifically, for excellent vs all other responses, the panel to PROM ratio of ORs was 0.30 (95% CrI, 0.17-0.53; I2 = 86%) and the BCCT.core to PROM ratio of ORs was 0.28 (95% CrI, 0.13-0.59; I2 = 95%), while the BCCT.core to panel ratio of ORs was 0.93 (95% CrI, 0.46-1.88; I2 = 88%).Conclusions and RelevanceIn this study, patients scored AOs higher than both expert panels and computer software. Standardization and supplementation of expert panel and software AO tools with racially, ethnically, and culturally inclusive PROMs is needed to improve clinical evaluation of the journey of patients with BC and to prioritize components of therapeutic outcomes.

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Long-Term Comparison of Aesthetical Outcomes After Oncoplastic Surgery and Lumpectomy in Breast Cancer Patients

Abstract: Excellent aesthetic results were more frequent in the OP group according to BCCT.core software analysis and specialists. In addition, some clinical conditions and tumor locations in the breast can be considered risky factors for poor aesthetic outcomes in lumpectomy.

Cited by 109 publications

References 38 publications

Aesthetic and functional outcome after breast conserving surgery – Comparison between conventional and oncoplastic resection

Aesthetic and functional outcome after breast conserving surgery – Comparison between conventional and oncoplastic resection

Evaluation of Aesthetic and Quality-of-Life Results after Immediate Breast Reconstruction with Definitive Form-Stable Anatomical Implants

Outcomes of Different Quality of Life Assessment Modalities After Breast Cancer Therapy

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