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https://www.readbyqxmd.com/read/29741462/complications-risk-factors-and-patients-reported-outcomes-after-skin-sparing-mastectomy-followed-by-breast-reconstruction-in-women-with-brca-mutations
#1
Ingvild O Moberg, Inger Schou Bredal, Michael R Schneider, Kim A Tønseth, Ellen Schlichting
BACKGROUND: Women with a BRCA mutation have the option of undergoing prophylactic mastectomy and immediate breast reconstruction; however, the potential negative effects of reconstruction on women's physical and psychological well-being are unclear. This study aimed to investigate complications, patient-reported pain, health-related quality-of-life (HRQoL) and satisfaction following reconstructive surgery at Oslo University Hospital between 2006 and 2013. METHODS: Data were collected retrospectively from the records of 238 patients...
May 9, 2018: Journal of Plastic Surgery and Hand Surgery
https://www.readbyqxmd.com/read/29697626/preoperative-and-postoperative-assessment-of-rectus-abdominis-muscle-size-and-function-following-diep-flap-surgery
#2
Shane K F Seal, Mark K Hewitt, Michael L Martin, Penelope M A Brasher, Sheina A Macadam
BACKGROUND: Prospective evaluation of rectus abdominis muscle function after deep inferior epigastric artery perforator (DIEP) flap breast reconstruction is limited. Elimination of muscle harvest with this procedure is theoretically associated with preservation of rectus abdominis function and minimization of abdominal wall morbidity. In this study, the authors evaluate the change in rectus abdominis muscle size and function after DIEP flap surgery. METHODS: Patients undergoing unilateral DIEP flap surgery were recruited prospectively...
May 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29697602/a-prospective-comparison-of-short-term-outcomes-of-subpectoral-and-prepectoral-strattice-based-immediate-breast-reconstruction
#3
Benjamin G Baker, Renu Irri, Vivienne MacCallum, Rahul Chattopadhyay, John Murphy, James R Harvey
BACKGROUND: Prepectoral acellular dermal matrix-assisted immediate implant-based breast reconstruction is gaining popularity, involving complete implant coverage with acellular dermal matrix. The authors aimed to compare pain, patient-reported outcome measures (including implant rippling), and safety of prepectoral and subpectoral Strattice-assisted implant-based breast reconstruction. METHODS: Consecutive patients were recruited prospectively, having either therapeutic or risk-reducing mastectomy...
May 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29688847/the-cosmam-trial-a-prospective-cohort-study-of-quality-of-life-and-cosmetic-outcome-in-patients-undergoing-breast-conserving-surgery
#4
Coriene J L M Catsman, Martinus A Beek, Adri C Voogd, Paul G H Mulder, Ernest J T Luiten
BACKGROUND: Cosmetic result in breast cancer surgery is gaining increased interest. Currently, some 30-40% of the patients treated with breast conserving surgery (BCS) are dissatisfied with their final cosmetic result. In order to prevent disturbing breast deformity oncoplastic surgical techniques have been introduced. The extent of different levels of oncoplastic surgery incorporated in breast conserving surgery and its value with regard to cosmetic outcome, patient satisfaction and quality of life remains to be defined...
April 23, 2018: BMC Cancer
https://www.readbyqxmd.com/read/29683937/patient-s-breast-perception-after-mastectomy-analysis-of-outcomes-in-208-patients-with-breast-q-following-mastectomy-alone-implant-of-tissue-expander-and-definitive-breast-reconstruction
#5
Mauro Barone, Annalisa Cogliandro, Antonella Grasso, Vittorio Altomare, Paolo Persichetti
No abstract text is available yet for this article.
March 31, 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29678302/patient-reported-outcome-measures-in-breast-cancer-patients
#6
M Lagendijk, L S E van Egdom, C Richel, N van Leeuwen, C Verhoef, H F Lingsma, L B Koppert
INTRODUCTION: In the International Consortium for Health Outcome Measures (ICHOM) breast cancer outcome set Patient Reported Outcome Measurements (PROMs) form an important but rather innovative part. Few data exist on scores per type of breast surgery and how to use scores in surgical practice. We evaluated PROM scores as well as satisfaction with and expectations of the use of PROMs in breast cancer patients using the national and local patient advocate society. METHODS: Through an online survey patients were asked to report age, type of breast cancer surgery (whether Breast Conserving Therapy (BCT), mastectomy, autologous or implant breast reconstruction) and time since surgery...
March 21, 2018: European Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29651851/patient-satisfaction-after-breast-reconstruction-implants-vs-autologous-tissues
#7
S Fracon, N Renzi, M Manara, V Ramella, G Papa, Z M Arnež
INTRODUCTION: Breast reconstruction is increasingly present in the treatment of breast cancer. It may be accomplished with implants or autologous tissues. This cross-sectional study evaluates patients satisfaction and quality of life in women after successful autologous or implant breast reconstruction. MATERIAL AND METHODS: 109 women who successfully underwent breast reconstruction between 2007 and 2016 were included. The patients completed the BREAST-Q questionnaire at follow-up visits...
2018: Acta Chirurgiae Plasticae
https://www.readbyqxmd.com/read/29619356/delivering-breast-reconstruction-information-to-patients-women-report-on-preferred-information-delivery-styles-and-options
#8
Carmen Webb, Vishal Sharma, Claire Temple-Oberle
Purpose: To discover missed opportunities for providing information to women undergoing breast reconstruction in an effort to decrease regret and improve patient education, teaching modalities, and satisfaction. Method: Thirty- to 45-minute semi-structured interviews were conducted exploring patient experiences with information provision on breast reconstruction. Purposeful sampling was used to include women with a variety of reconstruction types at different time points along their recovery...
February 2018: Plastic Surgery
https://www.readbyqxmd.com/read/29616167/patient-reported-outcomes-after-adm-assisted-implant-based-breast-reconstruction-a-cross-sectional-study
#9
Vera L Negenborn, Rieky E G Dikmans, Mark-Bram Bouman, Janneke A Wilschut, Margriet G Mullender, C Andrew Salzberg
Background: Although the use of acellular dermal matrices (ADMs) in implant-based reconstruction increases, there is a lack of studies evaluating patient-reported outcome measures after this reconstruction method. We aim to evaluate the patient satisfaction after ADM-assisted implant-based breast reconstruction (IBBR) in 1 of the largest series of patients undergoing ADM-assisted IBBR. Methods: Patients with ADM-assisted IBBR were invited to fill out the BREAST-Q, a validated and standardized questionnaire to measure patient satisfaction after a breast reconstruction...
February 2018: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29553980/analysis-of-aesthetic-outcomes-and-patient-satisfaction-after-delayed-immediate-autologous-breast-reconstruction
#10
Eva A Huis in 't Veld, Chao Long, Gloria R Sue, Arhana Chattopadhyay, Gordon K Lee
BACKGROUND: Patients with breast cancer frequently opt to undergo breast reconstruction after mastectomy. The timing and aesthetic outcome of the breast reconstruction may be affected by the need for radiation therapy (RT). Delayed-immediate autologous reconstruction (DIAR) is a novel surgical approach for patients in whom the need for adjuvant RT after mastectomy is preoperatively unknown. AIM: We sought to evaluate the difference in clinical outcomes, patient satisfaction, and cosmetic results between DIAR and patients who underwent delayed autologous reconstruction...
May 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29506826/nonresponse-bias-in-survey-research-lessons-from-a-prospective-study-of-breast-reconstruction
#11
Nicholas L Berlin, Jennifer B Hamill, Ji Qi, Hyungjin M Kim, Andrea L Pusic, Edwin G Wilkins
BACKGROUND: Survey-based research is essential for evaluating the outcomes of health care in an era of patient-centered care. However, many such studies are hampered by poor response rates in completion of study questionnaires, thus limiting the generalizability of any findings. The objectives of this analysis were to identify independent variables associated with nonresponse to surveys following breast reconstruction to improve future patient-reported outcomes research. MATERIALS AND METHODS: The Mastectomy Reconstruction Outcomes Consortium is a prospective cohort study involving 11 leading medical centers from the United States and Canada...
April 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/29485067/long-term-patient-reported-outcomes-in-older-breast-cancer-survivors-a-population-based-survey-study
#12
Cameron W Swanick, Xiudong Lei, Ying Xu, Yu Shen, Nathan A Goodwin, Grace L Smith, Sharon H Giordano, Kelly K Hunt, Reshma Jagsi, Simona F Shaitelman, Susan K Peterson, Benjamin D Smith
PURPOSE: For older women with breast cancer, local therapy options may include lumpectomy plus whole-breast irradiation (Lump + WBI), lumpectomy plus brachytherapy (Lump + Brachy), lumpectomy alone (Lump alone), mastectomy without radiation therapy (Mast alone), and mastectomy plus radiation therapy (Mast + RT). We surveyed a population-based cohort of older breast cancer survivors to assess the association of local therapy with long-term quality-of-life outcomes. METHODS AND MATERIALS: We used nationally comprehensive Medicare claims to identify women aged ≥67 years in whom nonmetastatic breast cancer was diagnosed in 2009, who were treated with 1 of the 5 aforementioned treatment options, and who were still alive in 2015...
March 15, 2018: International Journal of Radiation Oncology, Biology, Physics
https://www.readbyqxmd.com/read/29481390/the-effect-of-radiation-on-quality-of-life-throughout-the-breast-reconstruction-process-a-prospective-longitudinal-pilot-study-of-200-patients-with-long-term-follow-up
#13
Chris Devulapalli, Ricardo J Bello, Emily Moin, James Alsobrooks, Pablo Baltodano Fallas, Rika Ohkuma, Michele A Manahan, Justin M Sacks, Carisa M Cooney, Gedge D Rosson
BACKGROUND: Despite well-established correlation of postmastectomy radiotherapy and surgical complications in breast reconstruction, its impact on patient reported outcomes is less clear. We sought to determine the effect of postmastectomy radiotherapy on patient reported outcomes throughout the breast reconstruction process. METHODS: Patients undergoing prosthetic and autologous breast reconstruction from November 2010 to June 2013 were prospectively followed with BREAST-Q surveys (preoperatively, after expander placement, and 6 and 12 months after final reconstruction)...
March 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29455110/nipple-sparing-bilateral-prophylactic-mastectomy-and-immediate-reconstruction-with-tiloop-%C3%A2-bra-mesh-in-brca1-2-mutation-carriers-a-prospective-study-of-long-term-and-patient-reported-outcomes-using-the-breast-q
#14
D Casella, G Di Taranto, M Marcasciano, S Sordi, A Kothari, T Kovacs, F Lo Torto, E Cigna, D Ribuffo, C Calabrese
BACKGROUND: Although demand for prophylactic mastectomy is increasing over time among women at a high risk for breast cancer, there is a paucity of studies on long term patient-reported outcomes after this procedure. METHODS: Between January 2011 and January 2015, 46 patients documented BRCA1/2 mutation carriers, eligible for prophylactic nipple-sparing mastectomy (NSM) and immediate breast prosthetic reconstruction were registered at our Institution. Patients underwent NSM and subcutaneous reconstruction with implant covered by a titanium-coated polypropylene mesh (TiLoop® )...
June 2018: Breast: Official Journal of the European Society of Mastology
https://www.readbyqxmd.com/read/29443834/does-2-stage-implant-based-breast-reconstruction-allow-for-a-larger-volume-of-the-definite-implant-compared-with-1-stage-reconstruction
#15
R C Killaars, J Hommes, R R van der Hulst, H J Tielemans, V L Negenborn, A Piatkowski
INTRODUCTION: Breast reconstruction using implants is still the main breast reconstruction technique worldwide. Current debate within implant-based breast reconstruction is whether to perform a 1-stage (direct implant) or 2-stage (tissue expander/implant) reconstruction. Volume differences between a woman's native breast and changes in volume after breast reconstruction might be an important factor for a patient's choice between these types of reconstruction. Three-dimensional imaging facilitates objective breast volume estimates...
May 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29422399/quality-of-life-improvement-after-chest-wall-masculinization-in-female-to-male-transgender-patients-a-prospective-study-using-the-breast-q-and-body-uneasiness-test
#16
Cori A Agarwal, Melody F Scheefer, Lindsey N Wright, Norelle K Walzer, Andy Rivera
BACKGROUND: Chest reconstruction in many female-to-male (FTM) transgender individuals is an essential element of treatment for their gender dysphoria. In existing literature, there are very few longitudinal studies utilizing validated survey tools to evaluate patient reported outcomes surrounding this surgery. The purpose of our study is to prospectively evaluate patient reported satisfaction, improvement in body image, and quality of life following FTM chest wall reconstruction. METHODS: Our study was a prospective analysis of FTM patients who underwent chest reconstruction by a single surgeon (C...
May 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/29396899/predictive-factors-of-satisfaction-and-quality-of-life-after-immediate-breast-reconstruction-using-the-breast-q-%C3%A2
#17
Carmen Cereijo-Garea, Salvador Pita-Fernández, Benigno Acea-Nebril, Raquel Rey-Villar, Alejandra García-Novoa, Cristina Varela-Lamas, Sergio Builes-Ramirez, Teresa Seoane-Pillado, Vanesa Balboa-Barreiro
AIMS AND OBJECTIVES: To analyse quality of life and satisfaction after immediate breast reconstruction due to cancer and its determining factors. BACKGROUND: Studying breast reconstruction is important because of its frequency and variability. In addition to the surgical results, it is necessary to analyse the quality of life and patient satisfaction using a specific tool. DESIGN METHODS: An ambispective design was used (n = 101; α = 0...
April 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29389701/evaluation-of-modifications-to-tissue-expander-breast-reconstruction-a-quality-improvement-assessment-within-a-private-practice
#18
Henry Wilson, Adam Varnadore
BACKGROUND: As technology advances, surgical practice evolves over time. The author assesses a new approach to implant-based breast reconstruction and the impact of two changes implemented over several years. METHODS: A series of tissue-expander reconstructions performed early in the author's experience were retrospectively compared with a similar number of cases prospectively performed. Demographics, perioperative characteristics, and postoperative outcomes were assessed...
January 31, 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29359234/analysis-of-symmetry-stability-following-implant-based-breast-reconstruction-and-contralateral-management-in-582-patients-with-long-term-outcomes
#19
M Barone, A Cogliandro, M Signoretti, P Persichetti
INTRODUCTION: This study aimed to analyse the long-term outcomes following breast reconstruction and contralateral management to evaluate the stability of breast symmetry and patient satisfaction. MATERIALS AND METHODS: The study population consisted of women who had undergone implant-based monolateral breast reconstruction and contralateral management. Patients answered the BREAST-Q reconstruction module. Two reviewers analysed the post-operative outcomes of the patients included and compiled the Kroll Scale...
January 22, 2018: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/29325422/outcomes-in-deep-inferior-epigastric-perforator-flap-and-implant-based-reconstruction-does-age-really-matter
#20
Lauren V Kuykendall, Angie Zhang, Bugra Tugertimur, Sara Bijan, Corin Agoris, Ambuj Kumar, Deniz Dayicioglu
Despite the growing elderly population, there is limited research specific to this demographic concerning breast reconstruction (BR). Lack of evidence-based BR recommendations in older populations may contribute to misconceptions and subsequent underutilization of BR, especially autologous BR. Patients who received either deep inferior epigastric perforator (DIEP) flap BR or tissue expander/implant (TE/I) BR by a single surgeon between July 2011 and July 2015 were surveyed postoperatively by using the psychometrically validated BREAST-Q questionnaire to determine patient satisfaction...
January 2018: Cancer Control: Journal of the Moffitt Cancer Center
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