Patient-Reported Outcomes of Breast Reconstruction after Mastectomy: A Systematic Review

Lee, Clara; Sunu, Christine; Pignone, Michael

doi:10.1016/j.jamcollsurg.2009.02.061

Cited by 180 publications

(108 citation statements)

References 52 publications

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“…Patient and doctor may, therefore, be talking 'different languages' and without recognition of this there is the potential for mis-communication, dissatisfaction and poor care. Therefore, given the mixed evidence on patient-reported outcomes from breast reconstruction, 9 the importance of our findings is to show that studying the characteristics and needs of women who opt for immediate reconstruction and examining the implications for women's adjustment should be a priority for research.…”

Section: Resultsmentioning

confidence: 99%

“…16 Therefore, if they were more depressed before surgery, it could be that reconstruction helped them. 9 Without prospective measurements of depression, beginning pre-operatively, together with information on their evaluations of surgery, we cannot distinguish between these explanations.…”

Section: Discussionmentioning

confidence: 99%

“…In a recent systematic review, the highest quality studies showed equivalent or poorer quality of life, body image or sexual function in women who had mastectomy with reconstruction by comparison with those having mastectomy alone. 9 The authors observed that this evidence is hard to interpret because there is little information about the pre-operative characteristics of the women who seek immediate reconstruction. The evidence that does exist suggests that women most likely to choose reconstruction are younger, 10 place more value on their body image 11 and are motivated by a wish to restore feelings of femininity, self-esteem and self-confidence.…”

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confidence: 99%

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Sexual abuse in childhood and postoperative depression in women with breast cancer who opt for immediate reconstruction after mastectomy

Clark

Holcombe

Hill

et al. 2011

annals

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INTRODUCTION Breast reconstruction is routinely offered to women who undergo mastectomy for breast cancer. However, patient-reported outcomes are mixed. Child abuse has enduring effects on adults' well-being and body image. As part of a study into damaging effects of abuse on adjustment to breast cancer, we examined: (i) whether women with history of abuse would be more likely than other women to opt for reconstruction; and (ii) whether mood problems in women opting for reconstruction can be explained by greater prevalence of abuse. PATIENTS AND METHODS We recruited 355 women within 2-4 days after surgery for primary breast cancer; 104 had mastectomy alone and 29 opted for reconstruction. Using standardised questionnaires, women self-reported emotional distress and recollections of childhood sexual abuse. Self-report of distress was repeated 12 months later. RESULTS Women who had reconstruction were younger than those who did not. Controlling for this, they reported greater prevalence of abuse and more distress than those having mastectomy alone. They were also more depressed postoperatively, and this effect remained significant after controlling for abuse. CONCLUSIONS One interpretation of these findings is that history of abuse influences women's decisions about responding to the threat of mastectomy, but it is premature to draw inferences for practice until the findings are replicated. If they are replicated, it will be important to recognise increased vulnerability of some patients who choose reconstruction. Studying the characteristics and needs of women who opt for immediate reconstruction and examining the implications for women's adjustment should be a priority for research.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Sexual abuse in childhood and postoperative depression in women with breast cancer who opt for immediate reconstruction after mastectomy

Clark

Holcombe

Hill

et al. 2011

annals

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“…Blazeby et al [9] and Lee et al [10] evaluated the quality of life and the prognosis in these patients. They concluded that, in the therapeutic decision, the quality of life is as important as the oncological prognosis [9,10]. This evaluation can be done from the assessment of different areas around the patient: physical, psychological and social [11].…”

Section: Resultsmentioning

confidence: 99%

The Use of the Latissimus dorsi Flap in Breast Reconstruction of Post- Mastectomy Patients: Is Superior to the Use of Expander / Prosthesis?

Gómez-Sánchez¹

2016

J Aesthet Reconstr Surg

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“…La reconstrucción inmediata tiene muchos adeptos por sus ventajas psicológicas y económicas, pero no es garantía de satisfacción completa a largo plazo (2,(9)(10)(11)(12)(13)(14)(15) . Uno de los aspectos en que coincide la literatura y que incide en la calidad percibida por las pacientes, es en la necesidad de información antes de tomar la decisión (16) y surgen interrogantes en relación a si las mujeres están bien informadas, si conocen las opciones de que disponen, de si tienen acceso a material específico de ayuda para la toma de una decisión para evitar generar situaciones de estrés, angustia e insatisfacción (1) .…”

Section: Introductionunclassified

Reconstrucción inmediata en cáncer de mama. ¿Las mujeres están satisfechas con su decisión?

López¹,

Fernández²,

Rodríguez³

et al. 2016

Psicooncología

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¡ResumenObjetivo: Conocer las vivencias, expectativas y satisfacción percibida de un grupo de mujeres diagnosticadas de cáncer de mama con mastectomía con reconstrucción en el mismo acto quirúrgico.Material y Métodos: La metodología utilizada en esta investigación ha sido la cualitativa y las técnicas para la recogida de la información fueron la entrevista en profundidad (cuatro mujeres) y el grupo focal (dos grupos de 8 pacientes cada uno).Resultados: se exploraron cinco áreas 1) El impacto del diagnóstico del cáncer 2) Información recibida ante la intervención 3) Las experiencias en el postoperatorio. 4) Cumplimiento de expectativas y 5) Satisfacción con la decisión tomada. El diagnóstico fue impactante para la mayoría de las mujeres. Inicialmente, la información recibida se consideró buena y suficiente pero hemos comprobado que posteriormente, una vez superada la convalecencia de la intervención, aparecen más quejas sobre todo relacionadas con las complicaciones posteriores y con el dolor. Las expectativas sobre la reconstrucción inmediata estuvieron muy ligadas con los resultados estéticos finales. Algu- AbstractObjective: To know the experiences, expectations and perceived satisfaction in a group of breast cancer women who had undergone immediate breast reconstruction after mastectomy.Material and Methods: 20 women took part in a qualitative study. 4 women were assessed through an in-depth interview and the other 16 women were divided into two focus groups (8 each). The recorded interview and focus group discussions were transcribed and analyzed using "framework analysis".Results: Five areas were explored: 1) Impact of cancer diagnosis, 2) Information received about the surgery, 3) Post-surgery experiences, 4) Fulfilment of expectations and 5) Satisfaction with the decision. Cancer diagnosis was overwhelming for most of the women. For women, information received was considered good and sufficient, but the study shows that after the post-surgical period, more complaints related to pain and other complications appear. The expectations about immediate breast reconstruction were linked with the final aesthetic results. Some women would choose to do the same procedure again despite the Financiación: El actual trabajo ha recibido una beca de la Fundación Victor Grifols i Lucas

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Patient-Reported Outcomes of Breast Reconstruction after Mastectomy: A Systematic Review

Cited by 180 publications

References 52 publications

Sexual abuse in childhood and postoperative depression in women with breast cancer who opt for immediate reconstruction after mastectomy

Sexual abuse in childhood and postoperative depression in women with breast cancer who opt for immediate reconstruction after mastectomy

The Use of the Latissimus dorsi Flap in Breast Reconstruction of Post- Mastectomy Patients: Is Superior to the Use of Expander / Prosthesis?

Reconstrucción inmediata en cáncer de mama. ¿Las mujeres están satisfechas con su decisión?

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