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Comparison of Patient-reported Outcomes after Implant Versus Autologous Tissue Breast Reconstruction Using the BREAST-Q

BACKGROUND: The demand for reconstructive breast procedures of various types has accelerated in recent years. Coupled with increased patient expectations, it has fostered the development of oncoplastic and reconstructive techniques in breast surgery. In the setting of postmastectomy reconstruction,...

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Autores principales: Pirro, Ortensia, Mestak, Ondrej, Vindigni, Vincenzo, Sukop, Andrej, Hromadkova, Veronika, Nguyenova, Alena, Vitova, Lenka, Bassetto, Franco
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5293311/
https://www.ncbi.nlm.nih.gov/pubmed/28203513
http://dx.doi.org/10.1097/GOX.0000000000001217
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author Pirro, Ortensia
Mestak, Ondrej
Vindigni, Vincenzo
Sukop, Andrej
Hromadkova, Veronika
Nguyenova, Alena
Vitova, Lenka
Bassetto, Franco
author_facet Pirro, Ortensia
Mestak, Ondrej
Vindigni, Vincenzo
Sukop, Andrej
Hromadkova, Veronika
Nguyenova, Alena
Vitova, Lenka
Bassetto, Franco
author_sort Pirro, Ortensia
collection PubMed
description BACKGROUND: The demand for reconstructive breast procedures of various types has accelerated in recent years. Coupled with increased patient expectations, it has fostered the development of oncoplastic and reconstructive techniques in breast surgery. In the setting of postmastectomy reconstruction, patient satisfaction and quality of life are the most significant outcome variables when evaluating surgical success. The aim of this study was to evaluate the quality of life after implant breast reconstruction compared with autologous breast reconstruction. MATERIALS AND METHODS: A cross-sectional study design was used. A total of 65 women who had completed postmastectomy implant-based or autologous reconstruction in the participating center were asked to complete the BREAST-Q (Reconstruction Module). RESULTS: Data analysis demonstrated that women with autologous breast reconstruction were significantly more satisfied with their breasts (P = 0.0003) and with the overall outcome (P = 0.0001) compared with women with implant breast reconstruction. All other BREAST-Q parameters that were considered and observed were not significantly different between the 2 patient groups. CONCLUSIONS: Through statistical analysis, our results showed that patients who underwent autologous tissue reconstruction had better satisfaction with the reconstructed breast and the outcome, while both techniques appear to equally improve psychosocial well-being, sexual well-being, and chest satisfaction.
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spelling pubmed-52933112017-02-15 Comparison of Patient-reported Outcomes after Implant Versus Autologous Tissue Breast Reconstruction Using the BREAST-Q Pirro, Ortensia Mestak, Ondrej Vindigni, Vincenzo Sukop, Andrej Hromadkova, Veronika Nguyenova, Alena Vitova, Lenka Bassetto, Franco Plast Reconstr Surg Glob Open Original Article BACKGROUND: The demand for reconstructive breast procedures of various types has accelerated in recent years. Coupled with increased patient expectations, it has fostered the development of oncoplastic and reconstructive techniques in breast surgery. In the setting of postmastectomy reconstruction, patient satisfaction and quality of life are the most significant outcome variables when evaluating surgical success. The aim of this study was to evaluate the quality of life after implant breast reconstruction compared with autologous breast reconstruction. MATERIALS AND METHODS: A cross-sectional study design was used. A total of 65 women who had completed postmastectomy implant-based or autologous reconstruction in the participating center were asked to complete the BREAST-Q (Reconstruction Module). RESULTS: Data analysis demonstrated that women with autologous breast reconstruction were significantly more satisfied with their breasts (P = 0.0003) and with the overall outcome (P = 0.0001) compared with women with implant breast reconstruction. All other BREAST-Q parameters that were considered and observed were not significantly different between the 2 patient groups. CONCLUSIONS: Through statistical analysis, our results showed that patients who underwent autologous tissue reconstruction had better satisfaction with the reconstructed breast and the outcome, while both techniques appear to equally improve psychosocial well-being, sexual well-being, and chest satisfaction. Wolters Kluwer Health 2017-01-25 /pmc/articles/PMC5293311/ /pubmed/28203513 http://dx.doi.org/10.1097/GOX.0000000000001217 Text en Copyright © 2017 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. All rights reserved. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Original Article
Pirro, Ortensia
Mestak, Ondrej
Vindigni, Vincenzo
Sukop, Andrej
Hromadkova, Veronika
Nguyenova, Alena
Vitova, Lenka
Bassetto, Franco
Comparison of Patient-reported Outcomes after Implant Versus Autologous Tissue Breast Reconstruction Using the BREAST-Q
title Comparison of Patient-reported Outcomes after Implant Versus Autologous Tissue Breast Reconstruction Using the BREAST-Q
title_full Comparison of Patient-reported Outcomes after Implant Versus Autologous Tissue Breast Reconstruction Using the BREAST-Q
title_fullStr Comparison of Patient-reported Outcomes after Implant Versus Autologous Tissue Breast Reconstruction Using the BREAST-Q
title_full_unstemmed Comparison of Patient-reported Outcomes after Implant Versus Autologous Tissue Breast Reconstruction Using the BREAST-Q
title_short Comparison of Patient-reported Outcomes after Implant Versus Autologous Tissue Breast Reconstruction Using the BREAST-Q
title_sort comparison of patient-reported outcomes after implant versus autologous tissue breast reconstruction using the breast-q
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5293311/
https://www.ncbi.nlm.nih.gov/pubmed/28203513
http://dx.doi.org/10.1097/GOX.0000000000001217
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