Qualitative Assessment of Breast Reconstruction in a Specialist Breast Unit

Nano, Maria Teresa; Gill, P. Grantley; Kollias, James; Bochner, Melissa; Carter, Nicholas; Winefield, Helen R.

doi:10.1111/j.1445-2197.2005.03388.x

Cited by 34 publications

(11 citation statements)

References 62 publications

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“…The majority of studies that measured quality of life used generic instruments which may not be able to discriminate between outcomes of reconstruction and mastectomy only 54. Of note, the five studies that did use breast cancer-specific instruments which have been validated in breast cancer patients and shown to be responsive to change,51, 52 found equivalent or poorer outcomes with reconstruction 25, 28–30, 53. Of the studies that measured body image, only one used a disease-specific measure 25.…”

Section: Discussionmentioning

confidence: 99%

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

Lee

Sunu

Pignone

2009

Journal of the American College of Surgeons

180

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Section: Discussionmentioning

confidence: 99%

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

Lee

Sunu

Pignone

2009

Journal of the American College of Surgeons

180

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“…The methods of reconstructive surgery currently practised comprise flap reconstruction, implant reconstruction and a combination of these procedures (Nano et al, 2005). Flap reconstruction involves transferring sections of a woman's own muscle tissue from a remote site in the body to the breast area; procedural risks include loss of blood circulation to the transplanted muscle tissue, infection and abdominal bulges (Clayton & Waller, 1996).…”

Section: Factors Affecting the Breast Reconstruction Decisionmentioning

confidence: 99%

Regret associated with the decision for breast reconstruction: The association of negative body image, distress and surgery characteristics with decision regret

Sheehan

Sherman

Lam

et al. 2008

Psychology & Health

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This study investigated the influence of psychosocial and surgical factors on decision regret among 123 women diagnosed with breast cancer who had undergone immediate (58%) or delayed (42%) breast reconstruction following mastectomy. The majority of participants (52.8%, n = 65) experienced no decision regret, 27.6% experienced mild regret and 19.5% moderate to strong regret. Bivariate analyses indicated that decision regret was associated with negative body image and psychological distress - intrusion and avoidance. There were no differences in decision regret either with respect to methods or timing patterns of reconstructive surgery. Multinominal logistic regression analysis showed that, when controlling for mood state and time since last reconstructive procedure, increases in negative body image were associated with increased likelihood of experiencing decision regret. These findings highlight the need for optimal input from surgeons and therapists in order to promote realistic expectations regarding the outcome of breast reconstruction and to reduce the likelihood of women experiencing decision regret.

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“…51 Many studies have found that method of reconstruction has a limited effect on psychosocial outcomes especially when this is considered over time and following completion of the reconstructive process. 48,50,52 However, there are numerous reports of significant associations between procedure type and satisfaction rates, with autologous tissue-based procedures tending to have higher satisfaction rates than implant-based procedures. 53–55 …”

Section: Overview Of Patient-reported Outcomes Research In Breast Recmentioning

confidence: 99%

Developing a theoretical framework to illustrate associations among patient satisfaction, body image and quality of life for women undergoing breast reconstruction

Fingeret

Nipomnick²,

Crosby³

et al. 2013

Cancer Treatment Reviews

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Within the field of breast reconstruction there is increasing focus on patient-reported outcomes related to satisfaction, body image, and quality of life. These outcomes are deemed highly relevant because the primary goal of breast reconstruction is to recreate the appearance of a breast (or breasts) that is satisfying to the patient. Prominent researchers have suggested the need to develop improved standards for outcome evaluation which can ultimately benefit patients as well as physicians. The purpose of this article is to summarize key findings in the area of patient-reported outcomes for breast reconstruction and introduce a theoretical framework for advancing research in this field. We conducted an extensive literature review of outcome studies for breast reconstruction focusing on patient-reported results. We developed a theoretical framework illustrating core patient-reported outcomes related to breast reconstruction and factors associated with these outcomes. Our theoretical model highlights domains and distinguishing features of patient satisfaction, body image, and quality of life outcomes for women undergoing breast reconstruction. This model further identifies a broad range of variables (e.g., historical/premorbid influences, disease and treatment-related factors) that have been found to influence patient-reported outcomes and need to be taken into consideration when designing future research in this area. Additional attention is given to examining the relationship between patient reported outcomes and outside evaluation of breast reconstruction. Our proposed theoretical framework suggests key opportunities to expand research in this area with the goal of optimizing body image adjustment, satisfaction, and psychosocial outcomes for the individual patient.

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Qualitative Assessment of Breast Reconstruction in a Specialist Breast Unit

Cited by 34 publications

References 62 publications

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

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

Regret associated with the decision for breast reconstruction: The association of negative body image, distress and surgery characteristics with decision regret

Developing a theoretical framework to illustrate associations among patient satisfaction, body image and quality of life for women undergoing breast reconstruction

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