Patient-centered outcomes of breast reconstruction in the setting of post-mastectomy radiotherapy: A comprehensive review of the literature. [Review]

MedStar author(s):
Citation: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS. 70(6):768-780, 2017 JunPMID: 28416138Institution: MedStar Washington Hospital CenterDepartment: SurgeryForm of publication: Journal ArticleMedline article type(s): Journal Article | ReviewYear: 2017Local holdings: Available online from MWHC library: 1995 - presentMH - *Breast Neoplasms/rt [Radiotherapy]MH - *Breast Neoplasms/su [Surgery]MH - *EstheticsMH - FemaleMH - HumansMH - Mammaplasty/mt [Methods]MH - *MammaplastyMH - *MastectomyMH - *Patient Outcome AssessmentMH - *Patient SatisfactionMH - Quality of LifeMH - Radiotherapy, AdjuvantMH - Surveys and QuestionnairesMH - Time FactorsAB - BACKGROUND: The impact of post-mastectomy radiotherapy (PMRT) on patient-centered outcomes of breast reconstruction remains unclear. This comprehensive review aims to consolidate the available data regarding aesthetic outcomes, patient satisfaction, and the BREAST-Q<sup>©</sup> following breast reconstruction in the setting of PMRT to facilitate the informed consent and shared decision-making process.AB - MATERIALS AND METHODS: A systematic search of the literature published from 2000 to 2016 in the PubMed/MEDLINE database was performed to identify all manuscripts reporting aesthetic outcome, patient satisfaction, or BREAST-Q<sup>©</sup> scores of patients undergoing PMRT and breast reconstruction.AB - RESULTS: The initial search identified 1604 potential titles. Ultimately, 29 manuscripts fit inclusion criteria and were included in this review. A total of 21 studies reported measures of aesthetic outcomes (1611 patients). Positive aesthetic outcomes ("good" or "better") widely varied in patients with prosthetic reconstruction and ranged from 36% to 100%. In addition, positive aesthetic outcomes following autologous reconstruction ranged from 70% to 90%. Measures of patient satisfaction were evaluated in eight studies (722 patients). Satisfaction rates ranged from 41% to 90% following prosthetic reconstruction and 74%-75% following autologous reconstruction. BREAST-Q<sup>©</sup> findings were reported in four studies (575 patients), all evaluating outcomes following prosthetic reconstruction. The range of satisfaction with breasts was 48.9-57.2; satisfaction with outcome, 63.8-70.2; psychosocial well-being, 63.9-72.3; sexual well-being, 45.4-55.4; and physical well-being, 71.7-75.1.AB - CONCLUSIONS: Breast reconstruction in the setting of PMRT is associated with poorer outcomes. However, the majority of studies indicate that acceptable rates of positive aesthetic outcomes and patient satisfaction can be achieved in the setting of PMRT. Copyright (c) 2017 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.ISSN:
  • 1748-6815
Name of journal: Journal of plastic, reconstructive & aesthetic surgery : JPRASAll authors: El-Sabawi B, Ho AL, Patel KM, Sosin MFiscal year: FY2017Digital Object Identifier: Date added to catalog: 2017-05-06
Holdings
Item type Current library Collection Call number Status Date due Barcode
Journal Article MedStar Authors Catalog Article 28416138 Available 28416138

Available online from MWHC library: 1995 - presentMH - *Breast Neoplasms/rt [Radiotherapy]MH - *Breast Neoplasms/su [Surgery]MH - *EstheticsMH - FemaleMH - HumansMH - Mammaplasty/mt [Methods]MH - *MammaplastyMH - *MastectomyMH - *Patient Outcome AssessmentMH - *Patient SatisfactionMH - Quality of LifeMH - Radiotherapy, AdjuvantMH - Surveys and QuestionnairesMH - Time FactorsAB - BACKGROUND: The impact of post-mastectomy radiotherapy (PMRT) on patient-centered outcomes of breast reconstruction remains unclear. This comprehensive review aims to consolidate the available data regarding aesthetic outcomes, patient satisfaction, and the BREAST-Q<sup>©</sup> following breast reconstruction in the setting of PMRT to facilitate the informed consent and shared decision-making process.AB - MATERIALS AND METHODS: A systematic search of the literature published from 2000 to 2016 in the PubMed/MEDLINE database was performed to identify all manuscripts reporting aesthetic outcome, patient satisfaction, or BREAST-Q<sup>©</sup> scores of patients undergoing PMRT and breast reconstruction.AB - RESULTS: The initial search identified 1604 potential titles. Ultimately, 29 manuscripts fit inclusion criteria and were included in this review. A total of 21 studies reported measures of aesthetic outcomes (1611 patients). Positive aesthetic outcomes ("good" or "better") widely varied in patients with prosthetic reconstruction and ranged from 36% to 100%. In addition, positive aesthetic outcomes following autologous reconstruction ranged from 70% to 90%. Measures of patient satisfaction were evaluated in eight studies (722 patients). Satisfaction rates ranged from 41% to 90% following prosthetic reconstruction and 74%-75% following autologous reconstruction. BREAST-Q<sup>©</sup> findings were reported in four studies (575 patients), all evaluating outcomes following prosthetic reconstruction. The range of satisfaction with breasts was 48.9-57.2; satisfaction with outcome, 63.8-70.2; psychosocial well-being, 63.9-72.3; sexual well-being, 45.4-55.4; and physical well-being, 71.7-75.1.AB - CONCLUSIONS: Breast reconstruction in the setting of PMRT is associated with poorer outcomes. However, the majority of studies indicate that acceptable rates of positive aesthetic outcomes and patient satisfaction can be achieved in the setting of PMRT. Copyright (c) 2017 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

English

Powered by Koha