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J Surg Oncol. 2016 Sep;114(4):416-22. doi: 10.1002/jso.24364. Epub 2016 Jul 8.

Patient satisfaction with nipple-sparing mastectomy: A prospective study of patient reported outcomes using the BREAST-Q.

Author information

1
Division of Plastic Surgery, NorthShore University Health System, Evanston, Illinois.
2
Department of Surgery, NorthShore University Health System, Evanston, Illinois.
3
Division of Medical Genetics NorthShore, Evanston, Illinois.
4
Center for Biomedical Research Informatics, NorthShore University Health System, Evanston, Illinois.
5
Division of Plastic and Reconstructive Surgery, Memorial Sloan-Kettering Cancer Center, New York, New York.
6
Department of Surgery, Keck School of Medicine University of Southern California, Los Angeles, California.

Abstract

BACKGROUND AND OBJECTIVES:

The authors sought to study patient-reported outcomes following nipple-sparing mastectomy (NSM).

METHODS:

From 2008 to 2011, the BREAST-Q was administered to women undergoing NSM surgery for cancer treatment or risk-reduction prior to surgery and at 2 years after completion of reconstruction. The change in score over time and the impact of surgical indication, complication occurrence, and laterality on scores were analyzed.

RESULTS:

The BREAST-Q was prospectively administered to 39 women undergoing NSM for cancer treatment (n = 17) or risk-reduction (RR) (n = 22). At 2 years after operation, median overall satisfaction with breasts was 75 (IQR = 67,100). There were significant postoperative increases in scores for overall satisfaction with breasts (+8, P = 0.021) and psychosocial well-being (+14, P = 0.003). Postoperatively, RR patients had significantly higher scores for psychosocial wellness, physical impact (chest), and overall satisfaction with outcome compared to cancer treatment patients (P < 0.05). Also, increase from preoperative to postoperative psychosocial wellness was higher in the RR compared to cancer treatment patients (+17 vs. +1, P = 0.043). Complication occurrence did not significantly impact postoperative scores.

CONCLUSIONS:

Following NSM for cancer treatment or RR, patients demonstrated high levels of satisfaction and quality of life as measured by BREAST-Q. Satisfaction level increased 2 years following operation. J. Surg. Oncol. 2016;114:416-422. © 2016 Wiley Periodicals, Inc.

KEYWORDS:

BREAST-Q; mastectomy; nipple-sparing mastectomy; outcomes; satisfaction

PMID:
27393183
PMCID:
PMC5588895
DOI:
10.1002/jso.24364
[Indexed for MEDLINE]
Free PMC Article

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