Sometimes it is better to just make it simple. De-escalation of oncoplastic and reconstructive procedures

Bonci, Eduard‐Alexandru; Anacleto, João; Cardoso, M.J.

doi:10.1016/j.breast.2023.03.006

Cited by 6 publications

(6 citation statements)

References 117 publications

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“…This study demonstrates that also BREAST-Q-BCT module is useful to evaluate patients’ perception in terms of sexual, emotional, and psychosocial well-being following different surgical techniques. Furthermore, our data, as well as many others, point to the appropriateness of using OCS where there is an effective indication, while it is more complex and even the perspective of patients cannot find significant superiority over TCS in any of the areas analyzed [ 35 ].…”

Section: Discussionmentioning

confidence: 77%

“…In conclusion, it has been recently stated that OCS requires accurate evaluation with validated tools to provide valuable insight into the effectiveness from both clinical and patient-reported experience and that objective measurement of the complex interaction of psychological and surgical-specific issues affecting the QoL is limited [ 35 ]. Thus, to improve outcomes in this area, the existing tools should be used to enhance data accuracy and reliability in terms of QoL and aesthetic outcomes.…”

Section: Discussionmentioning

confidence: 99%

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Quality of life and satisfaction of patients after oncoplastic or traditional breast-conserving surgery using the BREAST-Q (BCT module): a prospective study

Ghilli,

Mariniello,

Ferrè

et al. 2023

Breast Cancer

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Introduction The oncoplastic conservative surgery was developed as a natural evolution of traditional surgery, attempting to improve the therapeutic and aesthetic outcomes where tumor resection could be followed by not-adequate results. Our primary aim is to evaluate how patient satisfaction and quality-of-life after conservative oncoplastic surgery, using BREAST-Q (BCT Module), change pre- and post-operatively. The secondary aim is to compare patient-reported outcome after oncoplastic or traditional conservative surgery. Patients and methods We enrolled 647 patients who underwent traditional conservative surgery or oncoplastic surgery from January 2020 to December 2022. Only 232 women (35.9%) completed the BREAST-Q questionnaire on a web-based platform, at the preoperative phase and 3 months after treatment. Results The average score of “Psychosocial well-being” and “Satisfaction with Breasts” 3 months after surgery showed a statistically significant improvement, while the average score for “Physical well-being: Chest” at 3 months showed a worsening compared to the baseline. “Sexual well-being” did not show statistically significant change. A significant difference between the post-operative outcome of oncoplastic surgery and traditional surgery was observed only for Physical well-being (better for traditional surgery). Conclusions The study showed significant improvement in patient-reported outcomes 3 months after the surgery, except for physical discomfort that increases especially after oncoplastic surgery. Furthermore, our data, as well as many others, point to the appropriateness of using OCS where there is an effective indication, while the perspective of patients cannot find significant superiority over TCS in any of the areas analyzed.

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Section: Discussionmentioning

confidence: 77%

Section: Discussionmentioning

confidence: 99%

Quality of life and satisfaction of patients after oncoplastic or traditional breast-conserving surgery using the BREAST-Q (BCT module): a prospective study

Ghilli,

Mariniello,

Ferrè

et al. 2023

Breast Cancer

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“…Given these complexities, is it still worthwhile to pursue breast conservation by OBCS? Some researchers have proposed whether the use of OBCS should be reduced 9 .…”

Section: Introductionmentioning

confidence: 99%

Disparities in quality of life among patients with breast cancer based on surgical methods: a cross-sectional prospective study

Wang,

He,

et al. 2024

Sci Rep

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To determine the impact of breast conservation on quality of life and identify treatment-related and other demographic factors associated with post-breast cancer treatment quality of life. A prospective study was conducted on 392 women who underwent breast cancer surgery at Hangzhou Cancer Hospital from January 1, 2013, to December 31, 2022. Operable breast cancer patients who had completed all treatments except endocrine therapy were included. Patients with tumor recurrence/metastasis, bilateral or male breast cancer, and other primary malignancies were excluded. After enrollment, patients were asked to complete the BREAST-Q scale, and their pathological and medical records were reviewed. Analysis of variance was used to compare the quality of life scores among the groups. Univariate and multivariate linear regression analyses were performed to identify independent factors associated with quality of life scores in different domains. Participants completed the BREAST-Q scale at a median of 4.6 years after surgery. Quality of life scores varied based on the therapeutic strategy. Breast conservation has significant advantages over mastectomy in terms of breast satisfaction, psychosocial, and sexual well-being. Compared to oncoplastic breast-conserving surgery, mastectomy was independently associated with decreased breast satisfaction, psychosocial, and sexual well-being, while conventional breast-conserving surgery showed comparable outcomes to oncoplastic breast-conserving surgery in terms of these factors. Breast conservation leads to an improvement in quality of life compared to mastectomy. Oncoplastic breast-conserving surgery does not lead to a decrease in quality of life compared to conventional breast-conserving surgery and offers better outcomes compared to mastectomy.

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“…For this Special Issue, we have invited outstanding, international experts to provide an overview of the current situation for both surgical and radiation treatments as well as to share their view on future perspectives, taking into account the potential adverse consequences of too hasty de-escalation [ [10] , [11] , [12] , [13] , [14] , [15] , [16] , [17] , [18] , [19] , [20] , [21] , [22] , [23] , [24] , [25] , [26] ]. “Time to find a balance” is, in fact, the subtitle of this monographic work; a document that aims to give the reader a broader/more in-depth vision of the potential implications of this ongoing process.…”

mentioning

confidence: 99%

De-escalation of loco-regional treatments: Time to find a balance

Gentilini,

Cardoso,

Senkus

et al. 2024

The Breast

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Sometimes it is better to just make it simple. De-escalation of oncoplastic and reconstructive procedures

Cited by 6 publications

References 117 publications

Quality of life and satisfaction of patients after oncoplastic or traditional breast-conserving surgery using the BREAST-Q (BCT module): a prospective study

Quality of life and satisfaction of patients after oncoplastic or traditional breast-conserving surgery using the BREAST-Q (BCT module): a prospective study

Disparities in quality of life among patients with breast cancer based on surgical methods: a cross-sectional prospective study

De-escalation of loco-regional treatments: Time to find a balance

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