Discrepancies Between Surgical Oncologists and Plastic Surgeons in Patient Information Provision and Personal Opinions Towards Immediate Breast Reconstruction

Autor: Sabine Siesling, Annelotte C. M. van Bommel, Marie-Jeanne T. F. D. Vrancken Peeters, Kelly M. de Ligt, K. Schreuder, John H. Maduro, Renske K. Veenstra, Marc A. M. Mureau
Přispěvatelé: Guided Treatment in Optimal Selected Cancer Patients (GUTS), Plastic and Reconstructive Surgery and Hand Surgery
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Adult
medicine.medical_specialty
Esthetics
medicine.medical_treatment
Mammaplasty
NETHERLANDS
MEDLINE
clinician perspective
030230 surgery
03 medical and health sciences
0302 clinical medicine
Breast cancer
Patient satisfaction
breast cancer
Quality of life
Patient Education as Topic
Surveys and Questionnaires
SKIN-SPARING MASTECTOMY
medicine
Humans
POSTOPERATIVE COMPLICATIONS
Stage (cooking)
Practice Patterns
Physicians'
QUALITY IMPROVEMENT
METAANALYSIS
Aged
Oncologists
Surgeons
Physician-Patient Relations
OUTCOMES
business.industry
General surgery
mastectomy
immediate breast reconstruction
Middle Aged
medicine.disease
CANCER
TRENDS
Radiation therapy
Patient Satisfaction
030220 oncology & carcinogenesis
POSTMASTECTOMY RECONSTRUCTION
Surgery
Female
Breast reconstruction
business
Mastectomy
RADIOTHERAPY
Zdroj: Annals of Plastic Surgery, 81(4), 383-388. LIPPINCOTT WILLIAMS & WILKINS
Annals of Plastic Surgery, 81(4), 383-388. Lippincott Williams & Wilkins
ISSN: 0148-7043
Popis: Background Immediate breast reconstruction (IBR) may improve quality of life of patients receiving mastectomy. However, a significant hospital variation exists in the use of IBR due to various reasons. To better understand this variation, the present study investigated preoperative information provision to patients and personal opinions of surgical oncologists and plastic surgeons towards potential contra-indications for IBR.Methods An online survey (35 questions) was developed including questions on respondent demographics, information provision to the patient about IBR and potential contra-indications by IBR technique.Results One-hundred-eighty-nine physicians participated: 118 surgical oncologists and 71 plastic surgeons. All clinicians discussed the possibility of IBR with their patients. Complications (79% versus 100%, P 75 years, breast size >D-cup, BMI >40 kg/m(2), smoking (for implant reconstruction), pulmonary/cardiac comorbidities (for autologous reconstruction) and radiotherapy were considered a contra-indication more frequently by plastic surgeons. In contrast, surgical oncologists reported tumor stage (cT3), nodal stage (cN2) and chemotherapy more frequently to be a contra-indication for IBR.Conclusion We observed that all respondents discussed the possibility of IBR with their patients, whereas patient-tailored information was given more frequently by plastic surgeons. Physicians differed in their opinions towards contra-indications for IBR, with plastic surgeons reporting patient-related risk factors for wound healing problems and surgical oncologists reporting oncological contra-indications more frequently. Consensus between physicians regarding contra-indications for IBR may optimize patient counseling and shared decision-making.
Databáze: OpenAIRE
Externí odkaz: