Patient-reported Outcomes after ADM-assisted Implant-based Breast Reconstruction: A Cross-sectional Study
| Autor: | C. Andrew Salzberg, Vera L Negenborn, Mark-Bram Bouman, Rieky E. G. Dikmans, Janneke A. Wilschut, Margriet G. Mullender |
|---|---|
| Přispěvatelé: | Plastic, Reconstructive and Hand Surgery, APH - Methodology, Other Research, Epidemiology and Data Science, APH - Quality of Care |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
business.industry Sexual functioning Cross-sectional study MEDLINE lcsh:Surgery lcsh:RD1-811 030230 surgery Surgery 03 medical and health sciences 0302 clinical medicine Patient satisfaction 030220 oncology & carcinogenesis ComputingMethodologies_DOCUMENTANDTEXTPROCESSING Medicine Original Article Implant Breast reconstruction Complication business Psychosocial |
| Zdroj: | Plastic and Reconstructive Surgery Global Open Negenborn, V L, Dikmans, R E G, Bouman, M-B, Wilschut, J A, Mullender, M G & Salzberg, C A 2018, ' Patient-reported Outcomes after ADM-assisted Implant-based Breast Reconstruction : A Cross-sectional Study ', Plastic and reconstructive surgery.Global open, vol. 6, no. 2, pp. e1654 . https://doi.org/10.1097/GOX.0000000000001654 Plastic and Reconstructive Surgery, Global Open, Vol 6, Iss 2, p e1654 (2018) Plastic and reconstructive surgery.Global open, 6(2). Lippincott Williams and Wilkins Ltd. |
| ISSN: | 2169-7574 |
| DOI: | 10.1097/GOX.0000000000001654 |
| Popis: | Supplemental Digital Content is available in the text. 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. A retrospective chart review was performed to identify patient and surgical characteristics. Results: In total, 208 patients (38.4%) responded and reported a mean satisfaction of 70.6 ± 20.2 with their breasts and 78.0 ± 20.5 with the outcome. An overall complication rate of 7.7% was noted, with 1.5% severe complications leading to hospital readmission (0.5%) and implant removal (0.5%). Patients with complications and unilateral reconstruction for oncological reasons reported overall less satisfaction rates compared with patients with bilateral, preventive surgery, and an uncomplicated postoperative course. Strongly related domains indicate the importance of patient satisfaction with their breasts and outcome on psychosocial and sexual functioning and satisfaction with information on satisfaction with breasts, outcome, and surgeon. Conclusion: There is an increased demand for patient-reported outcome measures in a changing practice to which the opinion of the patient assumes a larger role. With high satisfaction rates, ADM-assisted IBBR is a valuable reconstruction method, provided that complication rates remain low. Hence, it should only be performed in a selected group of women. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|