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Breast reconstruction with an expander prosthesis following mastectomy does not cause additional persistent pain: a nationwide cross-sectional study.

Identifieur interne : 001988 ( PubMed/Corpus ); précédent : 001987; suivant : 001989

Breast reconstruction with an expander prosthesis following mastectomy does not cause additional persistent pain: a nationwide cross-sectional study.

Auteurs : Anders Klit ; Mathias Kvist Mejdahl ; Rune G Rtner ; Jens J Rgen Elberg ; Niels Kroman ; Kenneth Geving Andersen

Source :

RBID : pubmed:23911718

English descriptors

Abstract

Few studies have examined the prevalence of persistent pain after breast reconstruction with an implant after tissue expansion in comparison to mastectomy without breast reconstruction. Our primary objective was to evaluate the prevalence of persistent pain after breast reconstruction with a subpectoral implant after tissue expansion in a population-based study. Secondary objectives were to evaluate sensory disturbances, lymphoedema and functional impairment.

DOI: 10.1016/j.bjps.2013.07.015
PubMed: 23911718

Links to Exploration step

pubmed:23911718

Le document en format XML

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<title xml:lang="en">Breast reconstruction with an expander prosthesis following mastectomy does not cause additional persistent pain: a nationwide cross-sectional study.</title>
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<name sortKey="Klit, Anders" sort="Klit, Anders" uniqKey="Klit A" first="Anders" last="Klit">Anders Klit</name>
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<nlm:affiliation>Department of Plastic Surgery, Breast Surgery and Burns Unit, Rigshospitalet, Copenhagen University, Copenhagen, Denmark. Electronic address: anders.klit@regionh.dk.</nlm:affiliation>
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<author>
<name sortKey="Mejdahl, Mathias Kvist" sort="Mejdahl, Mathias Kvist" uniqKey="Mejdahl M" first="Mathias Kvist" last="Mejdahl">Mathias Kvist Mejdahl</name>
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<name sortKey="G Rtner, Rune" sort="G Rtner, Rune" uniqKey="G Rtner R" first="Rune" last="G Rtner">Rune G Rtner</name>
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<name sortKey="Elberg, Jens J Rgen" sort="Elberg, Jens J Rgen" uniqKey="Elberg J" first="Jens J Rgen" last="Elberg">Jens J Rgen Elberg</name>
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<name sortKey="Kroman, Niels" sort="Kroman, Niels" uniqKey="Kroman N" first="Niels" last="Kroman">Niels Kroman</name>
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<name sortKey="Andersen, Kenneth Geving" sort="Andersen, Kenneth Geving" uniqKey="Andersen K" first="Kenneth Geving" last="Andersen">Kenneth Geving Andersen</name>
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<name sortKey="Mejdahl, Mathias Kvist" sort="Mejdahl, Mathias Kvist" uniqKey="Mejdahl M" first="Mathias Kvist" last="Mejdahl">Mathias Kvist Mejdahl</name>
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<name sortKey="Elberg, Jens J Rgen" sort="Elberg, Jens J Rgen" uniqKey="Elberg J" first="Jens J Rgen" last="Elberg">Jens J Rgen Elberg</name>
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<name sortKey="Kroman, Niels" sort="Kroman, Niels" uniqKey="Kroman N" first="Niels" last="Kroman">Niels Kroman</name>
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<name sortKey="Andersen, Kenneth Geving" sort="Andersen, Kenneth Geving" uniqKey="Andersen K" first="Kenneth Geving" last="Andersen">Kenneth Geving Andersen</name>
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<title level="j">Journal of plastic, reconstructive & aesthetic surgery : JPRAS</title>
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<term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Breast Neoplasms (surgery)</term>
<term>Cross-Sectional Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Logistic Models</term>
<term>Mammaplasty (methods)</term>
<term>Mastectomy</term>
<term>Middle Aged</term>
<term>Pain, Postoperative (epidemiology)</term>
<term>Tissue Expansion Devices</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en">
<term>Pain, Postoperative</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Mammaplasty</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Breast Neoplasms</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Cross-Sectional Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Logistic Models</term>
<term>Mastectomy</term>
<term>Middle Aged</term>
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<div type="abstract" xml:lang="en">Few studies have examined the prevalence of persistent pain after breast reconstruction with an implant after tissue expansion in comparison to mastectomy without breast reconstruction. Our primary objective was to evaluate the prevalence of persistent pain after breast reconstruction with a subpectoral implant after tissue expansion in a population-based study. Secondary objectives were to evaluate sensory disturbances, lymphoedema and functional impairment.</div>
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<Day>25</Day>
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<Month>02</Month>
<Day>17</Day>
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<Year>2013</Year>
<Month>11</Month>
<Day>25</Day>
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<ISSN IssnType="Electronic">1878-0539</ISSN>
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<Volume>66</Volume>
<Issue>12</Issue>
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<Year>2013</Year>
<Month>Dec</Month>
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<Title>Journal of plastic, reconstructive & aesthetic surgery : JPRAS</Title>
<ISOAbbreviation>J Plast Reconstr Aesthet Surg</ISOAbbreviation>
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<ArticleTitle>Breast reconstruction with an expander prosthesis following mastectomy does not cause additional persistent pain: a nationwide cross-sectional study.</ArticleTitle>
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<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.bjps.2013.07.015</ELocationID>
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<AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Few studies have examined the prevalence of persistent pain after breast reconstruction with an implant after tissue expansion in comparison to mastectomy without breast reconstruction. Our primary objective was to evaluate the prevalence of persistent pain after breast reconstruction with a subpectoral implant after tissue expansion in a population-based study. Secondary objectives were to evaluate sensory disturbances, lymphoedema and functional impairment.</AbstractText>
<AbstractText Label="METHOD" NlmCategory="METHODS">This was a nationwide cross-sectional questionnaire study of breast cancer patients aged 18-69 years who were treated with or without reconstruction after mastectomy for primary breast cancer in Denmark between 1 January 2005 and 31 December 2006. The response rate was 84% for mastectomy without reconstruction and 83% for patients treated with breast reconstruction.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 129 patients treated with mastectomy and breast reconstruction with a subpectoral implant were compared with 1131 patients treated with mastectomy without reconstruction. Prevalence of persistent pain for patients treated with mastectomy followed by reconstruction with an implant was 40% compared to 48% of patients treated only with mastectomy. We found no increased risk of persistent pain in patients having a reconstruction with an implant compared with mastectomy without reconstruction (odds ratio (OR) 0.82, 95% confidence interval (CI) 0.55-1.22, P=0.33) when adjusting for age, axillary procedure, radiotherapy and chemotherapy. We observed no difference in the prevalence of pain between patients treated with immediate or delayed breast reconstruction (P=0.116).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Breast reconstruction with a subpectoral implant after tissue expansion does not confer increased prevalence of persistent pain.</AbstractText>
<CopyrightInformation>Copyright © 2013 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.</CopyrightInformation>
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<Affiliation>Department of Plastic Surgery, Breast Surgery and Burns Unit, Rigshospitalet, Copenhagen University, Copenhagen, Denmark. Electronic address: anders.klit@regionh.dk.</Affiliation>
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<Keyword MajorTopicYN="N">Axillary lymph node dissection</Keyword>
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<Keyword MajorTopicYN="N">Breast implant</Keyword>
<Keyword MajorTopicYN="N">Breast reconstruction</Keyword>
<Keyword MajorTopicYN="N">Persistent pain</Keyword>
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