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

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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

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PMC:4498460

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<author><name sortKey="Boughey, Judy C" sort="Boughey, Judy C" uniqKey="Boughey J" first="Judy C." last="Boughey">Judy C. Boughey</name>
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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>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
  <pmc-dir>properties manuscript</pmc-dir>
  <front><journal-meta><journal-id journal-id-type="nlm-journal-id">9420840</journal-id>
<journal-id journal-id-type="pubmed-jr-id">8578</journal-id>
<journal-id journal-id-type="nlm-ta">Ann Surg Oncol</journal-id>
<journal-id journal-id-type="iso-abbrev">Ann. Surg. Oncol.</journal-id>
<journal-title-group><journal-title>Annals of surgical oncology</journal-title>
</journal-title-group>
<issn pub-type="ppub">1068-9265</issn>
<issn pub-type="epub">1534-4681</issn>
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<article-meta><article-id pub-id-type="pmid">25192678</article-id>
<article-id pub-id-type="pmc">4498460</article-id>
<article-id pub-id-type="doi">10.1245/s10434-014-4053-3</article-id>
<article-id pub-id-type="manuscript">NIHMS701176</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
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</article-categories>
<title-group><article-title>Impact of reconstruction and reoperation on long-term patient-reported satisfaction after contralateral prophylactic mastectomy</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Boughey</surname>
<given-names>Judy C.</given-names>
</name>
<degrees>M.D.</degrees>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Hoskin</surname>
<given-names>Tanya L.</given-names>
</name>
<degrees>M.S.</degrees>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Hartmann</surname>
<given-names>Lynn C.</given-names>
</name>
<degrees>M.D.</degrees>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Johnson</surname>
<given-names>Joanne L.</given-names>
</name>
<degrees>R.N.</degrees>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Jacobson</surname>
<given-names>Steven R.</given-names>
</name>
<degrees>M.D.</degrees>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Degnim</surname>
<given-names>Amy C.</given-names>
</name>
<degrees>M.D.</degrees>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Frost</surname>
<given-names>Marlene H.</given-names>
</name>
<degrees>Ph.D.</degrees>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
Mayo Clinic, Rochester, MN</aff>
<author-notes><corresp id="FN1">Corresponding Author: Judy C. Boughey, M.D., Mayo Clinic, 200 First Street, SW, Rochester, MN 55905, <email>boughey.judy@mayo.edu</email>
, Telephone: (507) 284-8392, Fax: (507) 284-5196</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>24</day>
<month>6</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="epub"><day>06</day>
<month>9</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="ppub"><month>2</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>01</day>
<month>8</month>
<year>2015</year>
</pub-date>
<volume>22</volume>
<issue>2</issue>
<fpage>401</fpage>
<lpage>408</lpage>
<pmc-comment>elocation-id from pubmed: 10.1245/s10434-014-4053-3</pmc-comment>
      <abstract><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>
</abstract>
<kwd-group><kwd>contralateral prophylactic mastectomy</kwd>
<kwd>satisfaction</kwd>
<kwd>quality of life</kwd>
<kwd>breast reconstruction</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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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

Source :

Abstract

Links toward previous steps (curation, corpus...)

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

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Pour générer des pages wiki