The impact of mastectomy and reconstruction technique on patient perceived quality of Life - 08/12/22
Abstract |
Background |
We sought to evaluate the impact of mastectomy type, post-mastectomy reconstruction choice, and procedure bilaterality, on patient perceived postoperative quality of life (QoL).
Methods |
Patients who underwent post-mastectomy reconstruction between 2008 and 2020 were identified in a prospective database. QoL was assessed with the BREAST-Q and the Was It Worth It (WIWI) questionnaires. The results were compared between reconstruction type, reconstruction laterality, and type of mastectomy. Responses were compared using one-way analysis of variance (ANOVA) and chi-square tests.
Results |
568 patients met inclusion criteria, and 244 patients responded (43%). QoL did not significantly vary between different reconstructions selected, procedure laterality, or mastectomy type. Patients who underwent DIEP flap were significantly more satisfied with their reconstructed breasts than implant-based reconstruction. Overall, over 85% of patients experienced improved or unchanged QoL no matter what reconstruction choices were made.
Conclusion |
Most domains of QOL are not impacted by mastectomy type, post-mastectomy reconstruction, or laterality.
Le texte complet de cet article est disponible en PDF.Highlights |
• | There are no differences in quality of life regardless of reconstruction type, procedure laterality, or mastectomy type. |
• | Most women reported unchanged or improved quality of life after reconstruction. |
• | Most women felt that reconstruction was worth it, would choose reconstruction again, and would recommend reconstruction. |
Keywords : Mastectomy, Reconstruction, Well-being, Quality of life, Breast cancer, Outcomes
Plan
Vol 224 - N° 6
P. 1450-1454 - décembre 2022 Retour au numéro
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