LymphedemaV1, Main, Exploration, bibRecord, 002996

Impact of reconstruction and reoperation on long-term patient-reported satisfaction after contralateral prophylactic mastectomy

Identifieur interne : 002996 ( Main/Exploration ); précédent : 002995; suivant : 002997

Impact of reconstruction and reoperation on long-term patient-reported satisfaction after contralateral prophylactic mastectomy

Auteurs : Judy C. Boughey [États-Unis] ; Tanya L. Hoskin [États-Unis] ; Lynn C. Hartmann [États-Unis] ; Joanne L. Johnson [États-Unis] ; Steven R. Jacobson [États-Unis] ; Amy C. Degnim [États-Unis] ; Marlene H. Frost [États-Unis]

Source :

Annals of surgical oncology [ 1068-9265 ] ; 2014.

RBID : PMC:4498460

Abstract

Background

Contralateral prophylactic mastectomy (CPM) is increasingly chosen by breast cancer patients and may be related to increased use of immediate reconstruction. This study examines long-term patient satisfaction with CPM and reconstruction in a historical cohort.

Methods

621 unilateral breast cancer patients with a family history of breast cancer who underwent CPM between 1960–1993 were surveyed regarding QOL and satisfaction with CPM at two time points - approximately 10 years and 20 years after CPM.

Results

583 women responded to the first follow-up questionnaire (median 10.7 years, mean 11.9 years) after CPM. 403 (69%) underwent reconstruction and 180 (31%) did not. Women electing reconstruction were younger (mean age 47 vs 53 years, p=0.01) and more likely to be married (85% vs 78%, p=0.048). Most women reported satisfaction with CPM (83%), that they would choose CPM again (84%) and make the same choice regarding reconstruction (73%). However, reconstruction patients demonstrated significantly lower satisfaction (p=0.0001) and were less likely to choose CPM again (p<0.0001). Within the reconstruction group, 39% needed 1+ unplanned reoperation, and this was strongly associated with lower satisfaction (p=0.0001), lower likelihood of choosing CPM again (p=0.006) and lower likelihood of choosing reconstruction again (p<0.0001). 269 women responded to the second questionnaire (median 18.4 years, mean 20.2 years after CPM). Satisfaction with CPM remained high, with 92% of women stating they would choose CPM again.

Conclusions

Most women report stable long-term satisfaction with CPM. Women who had reconstruction and required reoperations in this historical cohort reported lower satisfaction.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4498460

DOI: 10.1245/s10434-014-4053-3
PubMed: 25192678
PubMed Central: 4498460

Affiliations:

Le document en format XML

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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title>
<p id="P1">Contralateral prophylactic mastectomy (CPM) is increasingly chosen by breast cancer patients and may be related to increased use of immediate reconstruction. This study examines long-term patient satisfaction with CPM and reconstruction in a historical cohort.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">621 unilateral breast cancer patients with a family history of breast cancer who underwent CPM between 1960–1993 were surveyed regarding QOL and satisfaction with CPM at two time points - approximately 10 years and 20 years after CPM.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">583 women responded to the first follow-up questionnaire (median 10.7 years, mean 11.9 years) after CPM. 403 (69%) underwent reconstruction and 180 (31%) did not. Women electing reconstruction were younger (mean age 47 vs 53 years, p=0.01) and more likely to be married (85% vs 78%, p=0.048). Most women reported satisfaction with CPM (83%), that they would choose CPM again (84%) and make the same choice regarding reconstruction (73%). However, reconstruction patients demonstrated significantly lower satisfaction (p=0.0001) and were less likely to choose CPM again (p<0.0001). Within the reconstruction group, 39% needed 1+ unplanned reoperation, and this was strongly associated with lower satisfaction (p=0.0001), lower likelihood of choosing CPM again (p=0.006) and lower likelihood of choosing reconstruction again (p<0.0001). 269 women responded to the second questionnaire (median 18.4 years, mean 20.2 years after CPM). Satisfaction with CPM remained high, with 92% of women stating they would choose CPM again.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">Most women report stable long-term satisfaction with CPM. Women who had reconstruction and required reoperations in this historical cohort reported lower satisfaction.</p>
</sec>
</div>
</front>
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Impact of reconstruction and reoperation on long-term patient-reported satisfaction after contralateral prophylactic mastectomy

Impact of reconstruction and reoperation on long-term patient-reported satisfaction after contralateral prophylactic mastectomy

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Abstract

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