A Comparison of Patient-Reported Outcomes After Breast-Conserving Surgery and Mastectomy with Implant Breast Reconstruction

Background Many factors influence decisions regarding choice of breast-conserving surgery (BCS) versus mastectomy with reconstruction for early invasive breast cancer. The purpose of this study was to compare patient satisfaction following BCS and mastectomy with implant reconstruction (M-iR) utiliz...

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Bibliographic Details
Published in:Annals of surgical oncology 2019-10, Vol.26 (10), p.3133-3140
Main Authors: Flanagan, Meghan R., Zabor, Emily C., Romanoff, Anya, Fuzesi, Sarah, Stempel, Michelle, Mehrara, Babak J., Morrow, Monica, Pusic, Andrea L., Gemignani, Mary L.
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Breast cancer
Breast Implantation - methods
Breast Neoplasms - surgery
Breast Oncology
Female
Follow-Up Studies
Humans
IMPLANTS
Invasiveness
Mammaplasty - methods
MAMMARY GLANDS
Mastectomy
Mastectomy - methods
Medicine
Medicine & Public Health
Middle Aged
NEOPLASMS
Oncology
Patient Reported Outcome Measures
Patient satisfaction
PATIENTS
Prognosis
Prospective Studies
QUALITY OF LIFE
RADIOLOGY AND NUCLEAR MEDICINE
Retrospective Studies
SKIN
SURGERY
Surgical Oncology
Young Adult
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Summary:Background Many factors influence decisions regarding choice of breast-conserving surgery (BCS) versus mastectomy with reconstruction for early invasive breast cancer. The purpose of this study was to compare patient satisfaction following BCS and mastectomy with implant reconstruction (M-iR) utilizing the BREAST-Q patient-reported outcome measure. Methods Women with stage I or II breast cancer undergoing BCS or M-iR who completed a BREAST-Q from 2010 to 2016 were identified by retrospective review of a prospective database. Baseline characteristics were compared, and linear mixed models were used to analyze associations with BREAST-Q scores over time. Results Our study group was composed of 3233 women; 2026 (63%) had BCS, 123 (3.8%) had nipple-sparing mastectomy, and 1084 (34%) had skin-sparing or total mastectomy. Median time from surgery to BREAST-Q was 205 days for BCS and 639 days for M-iR ( p  
ISSN:1068-9265
1534-4681
1534-4681
DOI:10.1245/s10434-019-07548-9