Autologous versus implant-based breast reconstruction: A systematic review and meta-analysis of Breast-Q patient-reported outcomes
| Autor: | Tine Engberg Damsgaard, Jens Ahm Sørensen, Navid Mohamadpour Toyserkani, Mads Gustaf Jørgensen, Siavosh Tabatabaeifar |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Mammaplasty/methods medicine.medical_treatment Mammaplasty 030230 surgery Autologous tissue Transplantation Autologous 03 medical and health sciences 0302 clinical medicine Breast q Medicine Humans Breast reconstruction Patient Reported Outcome Measures skin and connective tissue diseases Breast Implantation business.industry Implant Reconstruction method Surgery Meta-analysis 030220 oncology & carcinogenesis Systematic review Female business Mastectomy Cohort study |
| Zdroj: | Toyserkani, N M, Jørgensen, M G, Tabatabaeifar, S, Damsgaard, T & Sørensen, J A 2020, ' Autologous versus implant-based breast reconstruction : A systematic review and meta-analysis of Breast-Q patient-reported outcomes ', Journal of Plastic, Reconstructive and Aesthetic Surgery, vol. 73, no. 2, pp. 278-285 . https://doi.org/10.1016/j.bjps.2019.09.040 |
| ISSN: | 1878-0539 |
| Popis: | Objective: Breast reconstruction following mastectomy can increase the quality of life of patients. Reconstruction methods can broadly be divided into implant-based and autologous tissue reconstruction. Patient-reported outcomes following breast reconstruction are one of the most important success parameters. In this systematic review and meta-analysis, we aimed to compare the two methods using the recognized Breast-Q questionnaire. Methods: We performed a systematic search in PubMed and EMBASE databases. Meta-analysis was performed on the five most commonly reported Breast-Q modules. RevMan 5.3 was used for statistical analysis. Methodological quality of the included studies was assessed using the Newcastle-Ottawa Quality Assessment Form for Cohort Studies. Results: The search strategy resulted in 219 studies of which nine studies were included in the analysis, yielding 2129 implant-based and 825 autologous breast reconstructions. Overall satisfaction with outcome as well as breast was significantly higher among patients with autologous breast reconstructions (mean Breast-Q difference between the two groups was 9.82 [3.09, 16.54], p = 0.004, and 10.33 [95% CI 5.93, 14.74], p |
| Databáze: | OpenAIRE |
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