دورية أكاديمية
أعرض في EDS

Patient Perspectives and Quality of Life after Breast Reconstruction and the Impact of Subsequent Revisions.

التفاصيل البيبلوغرافية
العنوان: Patient Perspectives and Quality of Life after Breast Reconstruction and the Impact of Subsequent Revisions.
المؤلفون: Kandi LA; From the Division of Plastic and Reconstructive Surgery, Mayo Clinic, Phoenix, Ariz., Hammond JB; Department of Surgery, Mayo Clinic, Phoenix, Ariz., Nadone H; Department of Surgery, Mayo Clinic, Phoenix, Ariz., Kosiorek HE; Department of Research, Section of Biostatistics, Mayo Clinic, Scottsdale, Ariz., Rebecca AM; From the Division of Plastic and Reconstructive Surgery, Mayo Clinic, Phoenix, Ariz., Casey WJ 3rd; From the Division of Plastic and Reconstructive Surgery, Mayo Clinic, Phoenix, Ariz., Reece EM; From the Division of Plastic and Reconstructive Surgery, Mayo Clinic, Phoenix, Ariz., Cronin PA; Division of Surgical Oncology and Endocrine Surgery, Mayo Clinic, Phoenix, Ariz., Pockaj BA; Division of Surgical Oncology and Endocrine Surgery, Mayo Clinic, Phoenix, Ariz.
المصدر: Plastic and reconstructive surgery. Global open [Plast Reconstr Surg Glob Open] 2023 Jun 12; Vol. 11 (6), pp. e4885. Date of Electronic Publication: 2023 Jun 12 (Print Publication: 2023).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wolters Kluwer Health/Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 101622231 Publication Model: eCollection Cited Medium: Print ISSN: 2169-7574 (Print) Linking ISSN: 21697574 NLM ISO Abbreviation: Plast Reconstr Surg Glob Open Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: [Philadelphia, PA] : Wolters Kluwer Health/Lippincott Williams & Wilkins, [2013]-
مستخلص: There is limited research on the impact of revisional surgery after breast reconstruction on patient experience and postoperative quality of life (QoL).
Methods: Patients undergoing mastectomy with immediate implant-based or autologous free-flap breast reconstruction from 2008 to 2020 were reviewed. These patients were categorized by revisions (0-1, 2-3, and 4+) and surveyed on QoL metrics using BREAST-Q and Was It Worth It? (WIWI) questionnaires. BREAST-Q QoL, satisfaction, and WIWI metrics between revision groups were evaluated.
Results: Among 252 patients, a total of 150 patients (60%) underwent zero to one revisions, 72 patients (28%) underwent two to three revisions, and 30 patients (12%) underwent four or more revisions. Median follow-up was 6 years (range, 1-11 years). BREAST-Q satisfaction among patients with four or more revisions was significantly lower ( P = 0.03), while core QoL domains (chest physical, psychosocial, and sexual well-being) did not significantly differ. Analysis of unplanned reoperations due to complications and breast satisfaction showed no significant difference in QoL scores between groups ( P = 0.08). Regarding WIWI QoL metrics, four or more revisions were associated with a higher rate of worse QoL ( P = 0.035) and worse overall experience ( P = 0.001). Most patients in all revision groups felt it was worthwhile to undergo breast reconstruction (86%), would choose breast reconstruction again (83%), and would recommend breast reconstruction to others (79%).
Conclusions: Overall, a majority of patients undergoing revisions after breast reconstruction still have a worthwhile experience. Although reoperations after breast reconstruction do not significantly impact long-term BREAST-Q QoL domains, patients undergoing four or more revisions have significantly lower breast satisfaction, worse QoL, and a postoperative experience worse than expected.
Competing Interests: The authors have no financial interest to declare in relation to the content of this article.
(Copyright © 2023 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.)
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تواريخ الأحداث: Date Created: 20230614 Latest Revision: 20230615
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC10259630
DOI: 10.1097/GOX.0000000000004885
PMID: 37313481
قاعدة البيانات: MEDLINE
الوصف
تدمد:2169-7574
DOI:10.1097/GOX.0000000000004885