Postoperative Complications After Breast Cancer Surgery are Not Related to Age

Wolde, Britt ten; Kuiper, Michelle; Wilt, Johannes H. W. de; Strobbe, Luc J. A.

doi:10.1245/s10434-016-5726-x

Cited by 23 publications

(17 citation statements)

References 25 publications

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“… 11 , 12 , 13 Despite the relatively small risk of postoperative complications from breast cancer surgery, many studies have recommended postponing or not performing these procedures during the pandemic. 23 , 24 , 28 , 29 However, we found no increase in postoperative complications in the patients undergoing breast cancer surgery during the COVID-19 pandemic in our study. The multivariate analysis results showed that patients undergoing mastectomy and patients with multiple comorbidities had an increased risk of developing postoperative complications.…”

Section: Discussioncontrasting

confidence: 61%

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Effect of the COVID-19 Pandemic on Surgical Breast Cancer Care in the Netherlands: A Multicenter Retrospective Cohort Study

Filipe

Deukeren

Kip

et al. 2020

Clinical Breast Cancer

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Background Coronavirus disease 2019 (COVID-19) has put a strain on regular healthcare worldwide. In the Netherlands, the national screening programs, including for breast cancer, were halted temporarily. This posed a challenge to breast cancer care, because ∼40% of cases are detected through national screening. Therefore, the aim of the present study was to evaluate the effects of the COVID-19 pandemic on the surgical care of patients with breast cancer in the Netherlands. Materials and Methods The present multicenter retrospective cohort study investigated the effects of COVID-19 on patients with breast cancer who had undergone surgery from March 9 to May 17, 2020. The primary endpoints were the number of surgical procedures performed during the study period, tumor characteristics, surgery type, and route of referral. The secondary endpoint was the incidence of postoperative complications during the study period. Results A total of 217 consecutive patients with breast cancer requiring surgery were included. We found an overall decrease in the number of patients with breast cancer who were undergoing surgery. The most significant decline was seen in surgery for T1-T2 and N0 tumors. A decline in the number of referrals from both the national screening program and general practitioners was observed. The incidence of postoperative complications remained stable during the study period. Conclusions The temporary halt of the national screening program for breast cancer resulted in fewer surgical procedures during the study period and a pronounced decrease in surgery of the lower tumor stages.

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Section: Discussioncontrasting

confidence: 61%

“…However, these findings are in line with those from previous studies reporting a significantly greater complication rate for patients undergoing mastectomy and patients with more comorbidities. 28 , 29 …”

Section: Discussionmentioning

confidence: 99%

Effect of the COVID-19 Pandemic on Surgical Breast Cancer Care in the Netherlands: A Multicenter Retrospective Cohort Study

Filipe

Deukeren

Kip

et al. 2020

Clinical Breast Cancer

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“…To date, very little literature exists discussing the difference between the short-term morbidity of salvage mastectomy versus repeat lumpectomy [19]. The surgical complication rate after primary mastectomy (varying from seroma, wound infection and wound dehiscence) varies between 10 and 30% in recent studies [20,21]. The incidence of seroma and other short-term complications in patients with salvage mastectomy after previous irradiation as part of a primary breast-conserving treatment varies from 17 to 27% [22][23][24].…”

Section: Discussionmentioning

confidence: 99%

Repeat breast-conserving treatment of ipsilateral breast cancer recurrence: a nationwide survey amongst breast surgeons and radiation oncologists in the Netherlands

Walstra

Schipper

Riet

et al. 2021

Breast Cancer Res Treat

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Background In line with the paradigm to minimize surgical morbidity in patients with primary breast cancer, there is increasing evidence for the safety of a repeat breast-conserving treatment (BCT) of an ipsilateral breast tumour recurrence (IBTR) in selected patients. The conditions for the feasibility of a repeat BCT vary widely in literature. In clinical practice, many physicians have ongoing concerns about the oncological safety and possible toxicity of repeat BCT. Aim To investigate the attitude of Dutch breast surgeons and radiation oncologists towards repeat BCT and to report on their experiences with, objections against and perceived requirements to consider a repeat BCT in case of IBTR. Patients and methods An online survey consisting of a maximum of 26 open and multiple-choice questions about repeat BCT for IBTR was distributed amongst Dutch breast surgeons and radiation oncologists. Results Forty-nine surgeons representing 49% of Dutch hospitals and 20 radiation oncologists representing 70% of Dutch radiation oncology centres responded. A repeat BCT was considered feasible in selected cases by 28.7% of breast surgeons and 55% of radiation oncologists. The most important factors to consider a repeat BCT for both groups were the patient’s preference to preserve the breast and surgical feasibility of a second lumpectomy. Arguments against a repeat BCT were based on the perceived unacceptable toxicity and cosmesis of a second course of radiotherapy. The technique of preference for re-irradiation would be partial breast irradiation (PBI) according to all radiation oncologists. Differentiating between new primary tumours (NPT) and true recurrences (TR) was reported to be done by 57.1% of breast surgeons and 60% of radiation oncologists. The most important reason to differentiate between NPT and TR was to establish prognosis and to consider whether a repeat BCT would be feasible. Conclusion An increasing number of Dutch breast cancer specialists is considering a repeat BCT feasible in selected cases, at the patient’s preference and with partial breast re-irradiation.

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“…En este estudio se ha evidenciado que la proporción de mujeres que se complicaron debido a la cirugía por CaMa fue del 42%, a diferencia en estudios similares donde la cifra oscila entre el 26% y 32% 15,16 , por lo que se concluye la importancia de identificar los factores modificables o no modificables involucrados, para implementar estrategias en aras de prevenir y reducir la probabilidad de aparición.…”

Section: Discussionunclassified

“…En general, estas complicaciones repercuten en la mujer y en los sistemas de salud, ya que aumentan los costos y días de estancia hospitalaria, además que la mujer puede regresar al hospital para recibir una nueva atención derivada de su complicación, lo que retarda su tratamiento oncológico adyuvante. 11,15 Por ello, los profesionales de salud deben tener en mente la probabilidad de que se presenten complicaciones después de la cirugía; es necesario implementar estrategias preventivas y/o medidas terapéuticas precoces, es preciso identificar factores modificables para minimizar en lo posible las repercusiones que conlleva una complicación por la cirugía de CaMa.…”

Section: Discussionunclassified

Complicaciones postoperatorias en mujeres con cirugía por cáncer de mama

Chavira

Pérez-Zumano²,

Hernández-Corral

2019

Enferm. univ.

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Introducción: El cáncer de mama es una enfermedad crónica degenerativa, por su naturaleza, requiere que la mujer reciba tratamiento multimodal como la cirugía para su control, exponiéndola a numerosos riesgos que la llevan a presentar complicaciones postoperatorias. Objetivo: Identificar la prevalencia de complicaciones postoperatorias que presentan las mujeres con cáncer de mama en una institución de salud de tercer nivel de atención. Material y métodos: Estudio observacional, transversal, retrolectivo. La unidad de análisis fueron los expedientes de mujeres a quienes se les realizó cirugía en el año 2015. La muestra fue a conveniencia con la revisión de 52 casos. Para la recolección de datos se elaboró una cédula y se procesó la información con el paquete estadístico SPSS v.24. Resultados: El 42% de las mujeres presentaron alguna complicación quirúrgica: dehiscencia de herida con un 27%, seguido de infección y dolor con 23% cada una, estas se manifestaron entre los 40 días posteriores al egreso del hospital; linfedema con 23% y 4% por seroma, ambas se presentaron generalmente después de cuatro meses. Discusión: Se ha evidenciado que las complicaciones derivadas del tratamiento quirúrgico del cáncer de mama tienen una prevalencia del 42%, superior a lo reportado en otros estudios donde la proporción va de 25 al 32%. Conclusiones: Las complicaciones postoperatorias en su mayoría son esperadas y prevenibles, por ello, es necesario que los profesionales de la salud propongan estrategias para su prevención o detección temprana, a través de la identificación de factores de riesgo modificables reportados en la literatura.

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Postoperative Complications After Breast Cancer Surgery are Not Related to Age

Cited by 23 publications

References 25 publications

Effect of the COVID-19 Pandemic on Surgical Breast Cancer Care in the Netherlands: A Multicenter Retrospective Cohort Study

Effect of the COVID-19 Pandemic on Surgical Breast Cancer Care in the Netherlands: A Multicenter Retrospective Cohort Study

Repeat breast-conserving treatment of ipsilateral breast cancer recurrence: a nationwide survey amongst breast surgeons and radiation oncologists in the Netherlands

Complicaciones postoperatorias en mujeres con cirugía por cáncer de mama

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