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Long-term results of oncoplastic breast surgery with latissimus dorsi flap reconstruction: a pilot study of the objective cosmetic results and patient reported outcome

PURPOSE: The goal of oncoplastic breast surgery is to restore the appearance of the breast and improve patient satisfaction. Thus, the assessment of cosmetic results and patient-reported outcomes (PROs) using appropriately constructed and validated instruments is essential. The aim of the present st...

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Autores principales: Kim, Kyeong-Deok, Kim, Zisun, Kuk, Jung Cheol, Jeong, Jaehong, Choi, Kyu Sung, Hur, Sung Mo, Jeong, Gui Ae, Chung, Jun Chul, Cho, Gyu Seok, Shin, Eung Jin, Kim, Hyung Chul, Kang, Sang-Gue, Lee, Min Hyuk, Lim, Cheol Wan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Surgical Society 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4773455/
https://www.ncbi.nlm.nih.gov/pubmed/26942154
http://dx.doi.org/10.4174/astr.2016.90.3.117
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author Kim, Kyeong-Deok
Kim, Zisun
Kuk, Jung Cheol
Jeong, Jaehong
Choi, Kyu Sung
Hur, Sung Mo
Jeong, Gui Ae
Chung, Jun Chul
Cho, Gyu Seok
Shin, Eung Jin
Kim, Hyung Chul
Kang, Sang-Gue
Lee, Min Hyuk
Lim, Cheol Wan
author_facet Kim, Kyeong-Deok
Kim, Zisun
Kuk, Jung Cheol
Jeong, Jaehong
Choi, Kyu Sung
Hur, Sung Mo
Jeong, Gui Ae
Chung, Jun Chul
Cho, Gyu Seok
Shin, Eung Jin
Kim, Hyung Chul
Kang, Sang-Gue
Lee, Min Hyuk
Lim, Cheol Wan
author_sort Kim, Kyeong-Deok
collection PubMed
description PURPOSE: The goal of oncoplastic breast surgery is to restore the appearance of the breast and improve patient satisfaction. Thus, the assessment of cosmetic results and patient-reported outcomes (PROs) using appropriately constructed and validated instruments is essential. The aim of the present study was to assess the long-term objective cosmetic results and corresponding PROs after oncoplastic breast surgery. METHODS: Cosmetic results were assessed by the patients, a medical panel, and a computer program (BCCT.core). PROs were assessed using BREAST-Q, a questionnaire that measures the perception of patients having breast surgery. The cosmetic results and PROs were analyzed in patients who underwent quadrantectomy and partial breast reconstruction utilizing the latissimus dorsi flap. RESULTS: The mean duration of the follow-up period was 91.6 months (range, 33.3–171.0 months), and mean age of the patients was 51 years old (range, 33–72 years). The mean tumor size was 2.1 cm (range, 0.9–5.5 cm). There was fair agreement between the medical panel and BCCT.core score (K = 0.32, P < 0.001), and a statistically significant correlation between the BCCT.core score and medical panel cosmetic results was identified (r = 0.606, P < 0.001). A better BCCT.core result was related to a higher PRO of each BREAST-Q domain—satisfaction with breasts (R(2) = 0.070, P = 0.039), satisfaction with outcome (R(2) = 0.087, P = 0.021), psychosocial well-being (R(2) = 0.085, P = 0.023), sexual well-being (R(2) = 0.082, P = 0.029), and satisfaction with information (R(2) = 0.064, P = 0.049). CONCLUSION: Our long-term results of oncoplastic surgery achieved a high level of patient satisfaction with good cosmetic results. The medical panel and BCCT.core results correlated well with the PROs of the patients using valid, reliable, and procedure-specific measures.
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spelling pubmed-47734552016-03-03 Long-term results of oncoplastic breast surgery with latissimus dorsi flap reconstruction: a pilot study of the objective cosmetic results and patient reported outcome Kim, Kyeong-Deok Kim, Zisun Kuk, Jung Cheol Jeong, Jaehong Choi, Kyu Sung Hur, Sung Mo Jeong, Gui Ae Chung, Jun Chul Cho, Gyu Seok Shin, Eung Jin Kim, Hyung Chul Kang, Sang-Gue Lee, Min Hyuk Lim, Cheol Wan Ann Surg Treat Res Original Article PURPOSE: The goal of oncoplastic breast surgery is to restore the appearance of the breast and improve patient satisfaction. Thus, the assessment of cosmetic results and patient-reported outcomes (PROs) using appropriately constructed and validated instruments is essential. The aim of the present study was to assess the long-term objective cosmetic results and corresponding PROs after oncoplastic breast surgery. METHODS: Cosmetic results were assessed by the patients, a medical panel, and a computer program (BCCT.core). PROs were assessed using BREAST-Q, a questionnaire that measures the perception of patients having breast surgery. The cosmetic results and PROs were analyzed in patients who underwent quadrantectomy and partial breast reconstruction utilizing the latissimus dorsi flap. RESULTS: The mean duration of the follow-up period was 91.6 months (range, 33.3–171.0 months), and mean age of the patients was 51 years old (range, 33–72 years). The mean tumor size was 2.1 cm (range, 0.9–5.5 cm). There was fair agreement between the medical panel and BCCT.core score (K = 0.32, P < 0.001), and a statistically significant correlation between the BCCT.core score and medical panel cosmetic results was identified (r = 0.606, P < 0.001). A better BCCT.core result was related to a higher PRO of each BREAST-Q domain—satisfaction with breasts (R(2) = 0.070, P = 0.039), satisfaction with outcome (R(2) = 0.087, P = 0.021), psychosocial well-being (R(2) = 0.085, P = 0.023), sexual well-being (R(2) = 0.082, P = 0.029), and satisfaction with information (R(2) = 0.064, P = 0.049). CONCLUSION: Our long-term results of oncoplastic surgery achieved a high level of patient satisfaction with good cosmetic results. The medical panel and BCCT.core results correlated well with the PROs of the patients using valid, reliable, and procedure-specific measures. The Korean Surgical Society 2016-03 2016-02-26 /pmc/articles/PMC4773455/ /pubmed/26942154 http://dx.doi.org/10.4174/astr.2016.90.3.117 Text en Copyright © 2016, the Korean Surgical Society http://creativecommons.org/licenses/by-nc/4.0/ Annals of Surgical Treatment and Research is an Open Access Journal. All articles are distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Kim, Kyeong-Deok
Kim, Zisun
Kuk, Jung Cheol
Jeong, Jaehong
Choi, Kyu Sung
Hur, Sung Mo
Jeong, Gui Ae
Chung, Jun Chul
Cho, Gyu Seok
Shin, Eung Jin
Kim, Hyung Chul
Kang, Sang-Gue
Lee, Min Hyuk
Lim, Cheol Wan
Long-term results of oncoplastic breast surgery with latissimus dorsi flap reconstruction: a pilot study of the objective cosmetic results and patient reported outcome
title Long-term results of oncoplastic breast surgery with latissimus dorsi flap reconstruction: a pilot study of the objective cosmetic results and patient reported outcome
title_full Long-term results of oncoplastic breast surgery with latissimus dorsi flap reconstruction: a pilot study of the objective cosmetic results and patient reported outcome
title_fullStr Long-term results of oncoplastic breast surgery with latissimus dorsi flap reconstruction: a pilot study of the objective cosmetic results and patient reported outcome
title_full_unstemmed Long-term results of oncoplastic breast surgery with latissimus dorsi flap reconstruction: a pilot study of the objective cosmetic results and patient reported outcome
title_short Long-term results of oncoplastic breast surgery with latissimus dorsi flap reconstruction: a pilot study of the objective cosmetic results and patient reported outcome
title_sort long-term results of oncoplastic breast surgery with latissimus dorsi flap reconstruction: a pilot study of the objective cosmetic results and patient reported outcome
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4773455/
https://www.ncbi.nlm.nih.gov/pubmed/26942154
http://dx.doi.org/10.4174/astr.2016.90.3.117
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