Meta-analysis for psychological impact of breast reconstruction in patients with breast cancer

Chen, Wanjing; Lv, Xiao-Ai; Xu, Xiaohong; Gao, Xiufei; Wang, Bei

doi:10.1007/s12282-018-0846-8

Cited by 80 publications

(55 citation statements)

References 16 publications

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“…Breast reconstruction is an integral part of holistic breast cancer treatment. It lessens the profound impact that breast cancer diagnosis and therapy have on patients psyche [1] and thus constitutes to an increase of quality of life, social participation and improved self-esteem [2][3][4][5].…”

Section: Introductionmentioning

confidence: 99%

Immediate versus secondary DIEP flap breast reconstruction: a multicenter outcome study

Prantl

Moellhoff

Fritschen

et al. 2020

Arch Gynecol Obstet

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Purpose Immediate breast reconstruction (IBR) at the time of mastectomy is gaining popularity, as studies show no negative impact on recurrence or patient survival, but better aesthetic outcome, less psychological distress and lower treatment costs. Using the largest database available in Europe, the presented study compared outcomes and complications of IBR vs. delayed breast reconstruction (DBR). Methods 3926 female patients underwent 4577 free DIEP-flap breast reconstructions after malignancies in 22 different German breast cancer centers. The cases were divided into two groups according to the time of reconstruction: an IBR and a DBR group. Surgical complications were accounted for and the groups were then compared. Results Overall, the rate of partial-(1.0 versus 1.2 percent of cases; p = 0.706) and total flap loss (2.3 versus 1.9 percent of cases; p = 0.516) showed no significant difference between the groups. The rate of revision surgery was slightly, but significantly lower in the IBR group (7.7 versus 9.8 percent; p = 0.039). Postoperative mobilization was commenced significantly earlier in the IBR group (mobilization on postoperative day 1: 82.1 versus 68.7 percent; p < 0.001), and concordantly the mean length of hospital stay was significantly shorter (7.3 (SD3.7) versus 8.9 (SD13.0) days; p < 0.001). Conclusion IBR is feasible and cannot be considered a risk factor for complications or flap outcome. Our results support the current trend towards an increasing number of IBR. Especially in times of economic pressure in health care, the importance of a decrease of hospitalization cannot be overemphasized.

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Section: Introductionmentioning

confidence: 99%

Immediate versus secondary DIEP flap breast reconstruction: a multicenter outcome study

Prantl

Moellhoff

Fritschen

et al. 2020

Arch Gynecol Obstet

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“…As not all women will choose or be medically suitable for immediate breast reconstruction, it is estimated that around 50% will take up the option when it is available and the rate in Australian‐born women approaches this estimate. Given the proven quality of life benefits to reconstruction for women who choose it, it is essential that women have the opportunity for a balanced discussion about breast reconstruction when mastectomy is needed or chosen. This study demonstrates that informed discussion, appropriate counselling and access to reconstruction can occur in an ethnically diverse population where many consultations are conducted via health interpreters.…”

Section: Discussionmentioning

confidence: 99%

Presentation, tumour and treatment features in immigrant women from Arabic‐speaking countries treated for breast cancer in Australia

Heilat

Brennan

Kanesalingam

et al. 2019

ANZ Journal of Surgery

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Background Australia has a large population of immigrant women from Arabic‐speaking countries. The aim of this study was to examine breast cancer tumour and surgical treatment features for women born in Arabic‐speaking countries and compare them to women born in Australia and other countries. Another aim was to consider how this information can inform clinical care for this multicultural population. Methods This is a retrospective audit of an institutional breast cancer database. Demographic, tumour and surgical treatment data were extracted for the Arab women and compared to Australian‐born women (comparison 1) and to women born in all other countries (comparison 2); chi‐squared analysis was performed to test for differences between groups. Results A total of 2086 cases with country of birth information were identified, of whom 139 women (6.7%) were born in Arabic‐speaking countries, 894 (42.8%) were born in Australia and 1053 (50.4%) were born in other countries (71 nations). Arab women tended to be younger (P = 0.013), more disadvantaged (P < 0.001), were more likely to have symptomatic rather than screen‐detected breast cancer (P < 0.001), had a higher rate of high grade (P = 0.021), HER2‐positive (P = 0.025) breast cancer compared to Australian‐born women or others. There was no difference in tumour (pT) stage, rate of breast conservation versus mastectomy, re‐excision and contralateral prophylactic mastectomy between groups. Australian‐born women were more likely to undergo breast reconstruction after mastectomy (P < 0.001); reconstruction rate was >29% in all groups. Conclusion Women born in Arabic‐speaking countries were younger, more disadvantaged and showed more aggressive tumour features. This has implications for supportive care during treatment and survivorship.

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“…This may be largely due to referral patterns where women are not seen by specialist breast surgeons who are able to perform reconstruction or willing to refer to a multidisciplinary team colleague who can. Given the proven quality of life benefits to reconstruction for women who choose it, 16,17 it is essential that women have the opportunity for a balanced discussion about breast reconstruction when mastectomy is needed or chosen, and that this discussion happens before surgery. GPs can play a part in facilitating this through appropriate referral at the time of diagnosis.…”

Section: Oncoplastic Breast Surgery and Breast Reconstructionmentioning

confidence: 99%

Update on the management of early-stage breast cancer

Heilat¹,

Brennan²,

French³

2019

Aust J Gen Pract

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Background Breast cancer affects one in eight Australian women. While surgery, chemotherapy, radiotherapy and endocrine therapy are still the main treatments, there have been changes in the sequencing of treatment and advances in each therapy. The general practitioner (GP) is involved at each stage of the patient's journey. Objective This article discusses the current approach to the management of early breast cancer. It focuses on changes in recent years and discusses the role of the GP in supporting women in their decision-making and treatment. Discussion Key changes include the increasing use of neoadjuvant chemotherapy, the development of advanced oncoplastic surgery and breast reconstruction techniques, the use of gene expression profiling and the recommendation for extended adjuvant endocrine therapy for up to 10 years.

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Meta-analysis for psychological impact of breast reconstruction in patients with breast cancer

Abstract: Breast reconstruction after mastectomy was benefit for improving the psychological damages in patients with breast cancer.

Cited by 80 publications

References 16 publications

Immediate versus secondary DIEP flap breast reconstruction: a multicenter outcome study

Immediate versus secondary DIEP flap breast reconstruction: a multicenter outcome study

Presentation, tumour and treatment features in immigrant women from Arabic‐speaking countries treated for breast cancer in Australia

Update on the management of early-stage breast cancer

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