Patient-reported outcomes and their predictors at 2- and 3-year follow-up after immediate latissimus dorsi breast reconstruction and adjuvant treatment

Winters, ZE; Afzal, Maryam; Balta, V.; Freeman, Janet; Llewellyn-Bennett, Rebecca; Rayter, Zenon; Cook, J; Greenwood, Rosemary; King, Madeleine

doi:10.1002/bjs.10102

Cited by 27 publications

(35 citation statements)

References 31 publications

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“…Lastly, four studies out of 11 (36%) suggested that complications had a significant impact on physical, emotional, and sexual well‐being . Menez et al reported that major complications (vs minor) were associated with lower psychosocial, emotional, and sexual well‐being, while Winters et al found that early complications (vs later) were associated with lower overall quality of life.…”

Section: Resultsmentioning

confidence: 99%

“…Four studies out of six (67%) reported that chemotherapy was associated with low levels of psychosocial, sexual, and social function, and an overall lower quality of life . One study found that patients who underwent immunotherapy presented higher odds of having lower psychosocial and sexual well‐being …”

Section: Resultsmentioning

confidence: 99%

“…Six studies out of 14 (43%) identified age as a significant factor. Three studies found that older patients reported higher levels of psychosocial, sexual, and physical well‐being, while Dauplat et al found that younger patients reported higher overall quality of life, but with low effect sizes. Two studies suggested that older patients reported higher levels of overall quality of life after breast reconstruction .…”

Section: Resultsmentioning

confidence: 99%

“…Previous research has sustained the important role of breast reconstruction after breast cancer mastectomy . However, recent studies suggested that quality of life improvements after this procedure are not as expected since, for some patients, quality of life after breast reconstruction was unchanged, worse, or similar to the quality of life of women with mastectomy alone …”

Section: Introductionmentioning

confidence: 99%

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A systematic review of factors affecting quality of life after postmastectomy breast reconstruction in women with breast cancer

et al. 2019

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Objective The aim of this study is to present a broader perspective of factors affecting the quality of life after postmastectomy breast reconstruction in women with breast cancer by considering these patients' self‐reported outcomes. Methods The search was performed from 29 March to 19 April 2019, on the following databases: PsycInfo; Web of Science Core Collection, Current Contents Connect, Derwent Innovations Index, KCI‐Korean Journal Database, Russian Science Citation Index, SciELO Citation Index, and MEDLINE. The studies were included if they identified factors affecting self‐reported quality of life after breast reconstruction, in women with breast cancer. Results One hundred and twenty‐two records were identified. After quality assessment, 44 studies were included for qualitative synthesis. This review comprised a total of 16 683 women who underwent breast reconstruction. The results identified a broad collection of 32 empirically based variables associated with several domains of quality of life. These variables were grouped into four categories: (a) surgical, (b) clinical, (c) psychosocial, and (d) sociodemographic variables. Conclusions This systematic review goes beyond surgical factors of morbidity and uses patient‐reported outcomes to scope wider issues that influence quality of life, such as psychosocial and sociodemographic variables. It sustains the need to adopt a more holistic approach and advises the consideration of preoperative psychosocial factors to better understand these patients' quality of life after breast reconstruction and to implement future preventive measures.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A systematic review of factors affecting quality of life after postmastectomy breast reconstruction in women with breast cancer

et al. 2019

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“…their health status had deteriorated) from baseline to 3 months however improved by 12 months post-operatively Winters et al (2016). They assessed health-related quality of life (HRQL) using validated self-report questionnaires, some of which focused on the functional impact of breast cancer and its treatment.…”

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confidence: 99%

The musculoskeletal consequences of breast reconstruction using the latissimus dorsi muscle for women following mastectomy for breast cancer: A critical review

et al. 2017

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Breast reconstruction using the latissimus dorsi (LD) flap following mastectomy is an important management option in breast cancer. However, one common, but often ignored, complication following LD flap is shoulder dysfunction. The aim of this critical review was to comprehensively assess the musculoskeletal impact of LD breast reconstruction and evaluate the functional outcome following surgery. Five electronic databases were searched including; Medline, Embase, CINAHL Plus (Cumulative Index to Nursing and Allied Health), PubMed and Web of Science. Databases were searched from 2006 to 2016, and only full text, English language articles were included. Twenty-two observational studies and two surveys were reviewed with sample sizes ranging from six to 206 participants. The majority of studies had small sample sizes and were retrospective in nature. Nevertheless, there is evidence to suggest that there is some degree of weakness and reduced mobility at the shoulder following LD muscle transfer. The literature demonstrates that there is considerable morbidity in the immediate post-operative period with functional recovery varying between studies. The majority of work tends to be limited and often gives conflicting results; therefore, further investigation is required in order to determine underlying factors that contribute to a reduction in function and activities of daily living.

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Breast reconstruction after mastectomy

Rayter

Wilson

2016

British Journal of Surgery

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Patient-reported outcomes and their predictors at 2- and 3-year follow-up after immediate latissimus dorsi breast reconstruction and adjuvant treatment

Abstract: Clinically important changes occurred in physical functioning, breast symptoms, body image and psychological distress. These results will guide selections of key PRO domains and sample-size calculation of future studies.

Cited by 27 publications

References 31 publications

A systematic review of factors affecting quality of life after postmastectomy breast reconstruction in women with breast cancer

A systematic review of factors affecting quality of life after postmastectomy breast reconstruction in women with breast cancer

The musculoskeletal consequences of breast reconstruction using the latissimus dorsi muscle for women following mastectomy for breast cancer: A critical review

Breast reconstruction after mastectomy

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