Nipple-areolar Complex Reconstruction following Postmastectomy Breast Reconstruction: A Comparative Utility Assessment Study
Identifieur interne : 001A54 ( Main/Exploration ); précédent : 001A53; suivant : 001A55Nipple-areolar Complex Reconstruction following Postmastectomy Breast Reconstruction: A Comparative Utility Assessment Study
Auteurs : Ahmed M. S. Ibrahim ; Hani H. Sinno ; Ali Izadpanah ; Joshua Vorstenbosch ; Tassos Dionisopoulos ; Marc A. M. Mureau ; Adam M. Tobias ; Bernard T. Lee ; Samuel J. LinSource :
- Plastic and Reconstructive Surgery Global Open [ 2169-7574 ] ; 2015.
Abstract
Nipple-areola complex (NAC) reconstruction occurs toward the final stage of breast reconstruction; however, not all women follow through with these procedures. The goal of this study was to determine the impact of the health state burden of living with a reconstructed breast before NAC reconstruction.
A sample of the population and medical students at McGill University were recruited to establish the utility scores [visual analog scale (VAS), time trade-off (TTO), and standard gamble (SG)] of living with an NAC deformity. Utility scores for monocular and binocular blindness were determined for validation and comparison. Linear regression and Student’s
There were 103 prospective volunteers included. Utility scores (VAS, TTO, and SG) for NAC deformity were 0.84 ± 0.18, 0.92 ± 0.11, and 0.92 ± 0.11, respectively. Age, gender, and ethnicity were not statistically significant independent predictors of utility scores. Income thresholds of <$10,000 and >$10,000 revealed a statistically significant difference for VAS (
The absence of NAC in a reconstructed breast can be objectively assessed using utility scores (VAS, 0.84 ± 0.18; TTO, 0.92 ± 0.11; SG, 0.92 ± 0.11). In comparison to prior reported conditions, the quality of life in patients choosing to undergo NAC reconstruction is similar to that of persons living with a nasal deformity or an aging neck requiring rejuvenation.
Url:
DOI: 10.1097/GOX.0000000000000133
PubMed: 25973358
PubMed Central: 4422211
Affiliations:
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Sinno</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Izadpanah, Ali" sort="Izadpanah, Ali" uniqKey="Izadpanah A" first="Ali" last="Izadpanah">Ali Izadpanah</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Vorstenbosch, Joshua" sort="Vorstenbosch, Joshua" uniqKey="Vorstenbosch J" first="Joshua" last="Vorstenbosch">Joshua Vorstenbosch</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Dionisopoulos, Tassos" sort="Dionisopoulos, Tassos" uniqKey="Dionisopoulos T" first="Tassos" last="Dionisopoulos">Tassos Dionisopoulos</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Mureau, Marc A M" sort="Mureau, Marc A M" uniqKey="Mureau M" first="Marc A. M." last="Mureau">Marc A. M. Mureau</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Tobias, Adam M" sort="Tobias, Adam M" uniqKey="Tobias A" first="Adam M." last="Tobias">Adam M. Tobias</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Lee, Bernard T" sort="Lee, Bernard T" uniqKey="Lee B" first="Bernard T." last="Lee">Bernard T. Lee</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Lin, Samuel J" sort="Lin, Samuel J" uniqKey="Lin S" first="Samuel J." last="Lin">Samuel J. Lin</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25973358</idno><idno type="pmc">4422211</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4422211</idno><idno type="RBID">PMC:4422211</idno><idno type="doi">10.1097/GOX.0000000000000133</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000464</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000464</idno><idno type="wicri:Area/Pmc/Curation">000464</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000464</idno><idno type="wicri:Area/Pmc/Checkpoint">001034</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001034</idno><idno type="wicri:Area/Ncbi/Merge">007371</idno><idno type="wicri:Area/Ncbi/Curation">007371</idno><idno type="wicri:Area/Ncbi/Checkpoint">007371</idno><idno type="wicri:Area/Main/Merge">001A57</idno><idno type="wicri:Area/Main/Curation">001A54</idno><idno type="wicri:Area/Main/Exploration">001A54</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Nipple-areolar Complex Reconstruction following Postmastectomy Breast Reconstruction: A Comparative Utility Assessment Study</title><author><name sortKey="Ibrahim, Ahmed M S" sort="Ibrahim, Ahmed M S" uniqKey="Ibrahim A" first="Ahmed M. S." last="Ibrahim">Ahmed M. S. Ibrahim</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Sinno, Hani H" sort="Sinno, Hani H" uniqKey="Sinno H" first="Hani H." last="Sinno">Hani H. Sinno</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Izadpanah, Ali" sort="Izadpanah, Ali" uniqKey="Izadpanah A" first="Ali" last="Izadpanah">Ali Izadpanah</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Vorstenbosch, Joshua" sort="Vorstenbosch, Joshua" uniqKey="Vorstenbosch J" first="Joshua" last="Vorstenbosch">Joshua Vorstenbosch</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Dionisopoulos, Tassos" sort="Dionisopoulos, Tassos" uniqKey="Dionisopoulos T" first="Tassos" last="Dionisopoulos">Tassos Dionisopoulos</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Mureau, Marc A M" sort="Mureau, Marc A M" uniqKey="Mureau M" first="Marc A. M." last="Mureau">Marc A. M. Mureau</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Tobias, Adam M" sort="Tobias, Adam M" uniqKey="Tobias A" first="Adam M." last="Tobias">Adam M. Tobias</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Lee, Bernard T" sort="Lee, Bernard T" uniqKey="Lee B" first="Bernard T." last="Lee">Bernard T. Lee</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Lin, Samuel J" sort="Lin, Samuel J" uniqKey="Lin S" first="Samuel J." last="Lin">Samuel J. Lin</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author></analytic><series><title level="j">Plastic and Reconstructive Surgery Global Open</title><idno type="eISSN">2169-7574</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background:</title><p>Nipple-areola complex (NAC) reconstruction occurs toward the final stage of breast reconstruction; however, not all women follow through with these procedures. The goal of this study was to determine the impact of the health state burden of living with a reconstructed breast before NAC reconstruction.</p></sec><sec><title>Methods:</title><p>A sample of the population and medical students at McGill University were recruited to establish the utility scores [visual analog scale (VAS), time trade-off (TTO), and standard gamble (SG)] of living with an NAC deformity. Utility scores for monocular and binocular blindness were determined for validation and comparison. Linear regression and Student’s <italic>t</italic> test were used for statistical analysis, and significance was set at <italic>P</italic> < 0.05.</p></sec><sec><title>Results:</title><p>There were 103 prospective volunteers included. Utility scores (VAS, TTO, and SG) for NAC deformity were 0.84 ± 0.18, 0.92 ± 0.11, and 0.92 ± 0.11, respectively. Age, gender, and ethnicity were not statistically significant independent predictors of utility scores. Income thresholds of <$10,000 and >$10,000 revealed a statistically significant difference for VAS (<italic>P</italic> = 0.049) and SG (<italic>P</italic> = 0.015). Linear regression analysis showed that medical education was directly proportional to the SG and TTO scores (<italic>P</italic> < 0.05).</p></sec><sec><title>Conclusions:</title><p>The absence of NAC in a reconstructed breast can be objectively assessed using utility scores (VAS, 0.84 ± 0.18; TTO, 0.92 ± 0.11; SG, 0.92 ± 0.11). In comparison to prior reported conditions, the quality of life in patients choosing to undergo NAC reconstruction is similar to that of persons living with a nasal deformity or an aging neck requiring rejuvenation.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Losken, A" uniqKey="Losken A">A Losken</name></author><author><name sortKey="Duggal, Cs" uniqKey="Duggal C">CS Duggal</name></author><author><name sortKey="Desai, Ka" uniqKey="Desai K">KA Desai</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Momoh, Ao" uniqKey="Momoh A">AO Momoh</name></author><author><name sortKey="Colakoglu, S" uniqKey="Colakoglu S">S Colakoglu</name></author><author><name sortKey="De Blacam, C" uniqKey="De Blacam C">C de Blacam</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Little, Jw" uniqKey="Little J">JW Little</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Craig, Es" uniqKey="Craig E">ES Craig</name></author><author><name sortKey="Walker, Me" uniqKey="Walker M">ME Walker</name></author><author><name sortKey="Salomon, J" uniqKey="Salomon J">J Salomon</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yueh, Jh" uniqKey="Yueh J">JH Yueh</name></author><author><name sortKey="Houlihan, Mj" uniqKey="Houlihan M">MJ Houlihan</name></author><author><name sortKey="Slavin, Sa" uniqKey="Slavin S">SA Slavin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Alderman, Ak" uniqKey="Alderman A">AK Alderman</name></author><author><name sortKey="Wilkins, Eg" uniqKey="Wilkins E">EG Wilkins</name></author><author><name sortKey="Lowery, Jc" uniqKey="Lowery J">JC Lowery</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Shestak, Kc" uniqKey="Shestak K">KC Shestak</name></author><author><name sortKey="Nguyen, Td" uniqKey="Nguyen T">TD. 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Stason</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list></list><tree><noCountry><name sortKey="Dionisopoulos, Tassos" sort="Dionisopoulos, Tassos" uniqKey="Dionisopoulos T" first="Tassos" last="Dionisopoulos">Tassos Dionisopoulos</name><name sortKey="Ibrahim, Ahmed M S" sort="Ibrahim, Ahmed M S" uniqKey="Ibrahim A" first="Ahmed M. S." last="Ibrahim">Ahmed M. S. Ibrahim</name><name sortKey="Izadpanah, Ali" sort="Izadpanah, Ali" uniqKey="Izadpanah A" first="Ali" last="Izadpanah">Ali Izadpanah</name><name sortKey="Lee, Bernard T" sort="Lee, Bernard T" uniqKey="Lee B" first="Bernard T." last="Lee">Bernard T. Lee</name><name sortKey="Lin, Samuel J" sort="Lin, Samuel J" uniqKey="Lin S" first="Samuel J." last="Lin">Samuel J. Lin</name><name sortKey="Mureau, Marc A M" sort="Mureau, Marc A M" uniqKey="Mureau M" first="Marc A. M." last="Mureau">Marc A. M. Mureau</name><name sortKey="Sinno, Hani H" sort="Sinno, Hani H" uniqKey="Sinno H" first="Hani H." last="Sinno">Hani H. Sinno</name><name sortKey="Tobias, Adam M" sort="Tobias, Adam M" uniqKey="Tobias A" first="Adam M." last="Tobias">Adam M. Tobias</name><name sortKey="Vorstenbosch, Joshua" sort="Vorstenbosch, Joshua" uniqKey="Vorstenbosch J" first="Joshua" last="Vorstenbosch">Joshua Vorstenbosch</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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