Breast reconstruction patterns from a Swedish nation-wide survey
| Autor: | Dmytro Unukovych, Maria Mani, Rojda Gümüscü, Folke Folkvaljon, Richard Lewin, Mats Lambe, Jana de Boniface, Kristina Åhsberg, Catharina Eriksen, Fredrik Wärnberg, Petra Nåsell, Pia Olofsson, Yvonne Brandberg, Malin Sund |
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| Rok vydání: | 2019 |
| Předmět: |
Time Factors
Antineoplastic Agents Hormonal medicine.medical_treatment Mammaplasty Breast Neoplasms 030230 surgery Continuous variable 03 medical and health sciences 0302 clinical medicine Breast cancer Quality of life Surveys and Questionnaires Tumor stage Medicine Humans Breast Implantation Mastectomy Aged Neoplasm Staging Response rate (survey) Aged 80 and over Sweden Marital Status business.industry Age Factors General Medicine Middle Aged medicine.disease Cross-Sectional Studies Oncology Chemotherapy Adjuvant 030220 oncology & carcinogenesis Mann–Whitney U test Income Educational Status Surgery Female Radiotherapy Adjuvant Breast reconstruction business Demography |
| Zdroj: | European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology. 46(10 Pt) |
| ISSN: | 1532-2157 |
| Popis: | The overall aim of the Swedish Breast Reconstruction Outcome Study was to investigate national long-term outcomes after mastectomy with or without breast reconstruction. The current report evaluates breast reconstruction (BR) patterns in Sweden over time.This is a cross-sectional, registry-based study where all women operated with mastectomy 2000, 2005, 2010 were identified (N = 5853). Geographical differences in type of BR were investigated using heatmaps. Distribution of continuous variables were compared using the Mann-Whitney U test, categorical variables were compared using the chi-square test.Mean age at survey was 69 years (SD=±11.4) and response rate was 50%, responders were on average six years younger than the non-responders and had a more favourable tumor stage (both p 0.01). Of the 2904 responders, 31% (895/2904) had received a BR: implant-based in 58% (516/895)autologous in 31% (281/895). BR was immediate in 20% (176/895) and delayed in 80% (719/895) women. Women with BR were on average one year older, more often had a normal BMI, reported to be married or had a partner, had a higher educational level and a higher annual income when compared to those without BR (all p 0.001). The independent factors of not receiving BR were older age and given radiotherapy.To our knowledge, this is the first national long-term follow-up study on women undergoing mastectomy with and without BR. Around 30% of the survey responders have had a BR with a significant geographical variation highlighting the importance of information, availability and standardisation of indications for BR. |
| Databáze: | OpenAIRE |
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