Comments on patient-reported outcome after oncoplastic breast surgery compared with conventional breast-conserving surgery in breast cancer

2020 ◽  
Author(s):  
Fernando Hernanz
Keyword(s):  
Breast Cancer ◽  
Breast Surgery ◽  
Breast Conserving Surgery ◽  
Patient Reported Outcome ◽  
Oncoplastic Breast Surgery ◽  
Patient Reported

scholarly journals Patient-reported outcome after oncoplastic breast surgery compared with conventional breast-conserving surgery in breast cancer

2020 ◽  
Vol 180 (1) ◽  
pp. 247-256 ◽  
Author(s):  
Michael Rose ◽  
Henry Svensson ◽  
Jürgen Handler ◽  
Ute Hoyer ◽  
Anita Ringberg ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Breast Surgery ◽  
Breast Conserving Surgery ◽  
Patient Reported Outcome ◽  
Oncoplastic Breast Surgery ◽  
Patient Reported

scholarly journals Breast cancer patient-reported outcome of factors influencing cosmetic satisfaction after breast-conserving therapy

Breast Cancer ◽  
2021 ◽  
Author(s):  
A. T. P. M. Brands-Appeldoorn ◽  
A. J. G. Maaskant-Braat ◽  
L. Janssen ◽  
L. A. D. M. van Osch ◽  
V. C. G. Tjan-Heijnen ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Body Image ◽  
Breast Surgery ◽  
Breast Conserving Therapy ◽  
Patient Reported Outcome ◽  
Breast Size ◽  
Exclusion Criteria ◽  
Non Invasive ◽  
Patient Reported ◽  
Relevant Factors

Abstract Background The aim of this study was to investigate which factors patients considered to be important for determining the degree of cosmetic satisfaction with regards to perceived body image after previous breast-conserving therapy (BCT). Methods Outcomes considered relevant by the patients were first identified using interviews. A questionnaire based on this group input was then devised and added to the physician-based Sneeuw questionnaire. Next, a quantitative study using this questionnaire was conducted in Dutch patients treated at least 6 months earlier for (non-) invasive breast cancer by BCT. Exclusion criteria were: previous mastectomy or BCT of the contralateral breast, BCT with nipple resection, metastatic disease, local recurrence or (previous) plastic breast surgery. Descriptive statistics were used throughout. Results A total of 149 patients (aged 36–87 years) completed the questionnaire. From this focus group input, the top three factors in overall importance (important or very important) for satisfaction were: ‘wearability of bra’ (67%), ‘breast sensitivity’ (59%) and ‘asymmetry’ (51%). Younger patients (< 55 years) considered ‘breast size’ to be most important, whereas ‘wearability of bra’ was most frequently reported by older patients (> 55 years). Time since BCT did not significantly influence the rating of relevant factors. Conclusion Patients consider ‘wearability of bra’, ‘breast sensitivity’ and ‘asymmetry’ as the most important factors when assessing their satisfaction with regards to cosmetic outcome and body image. These factors should be addressed in routine clinical practice during (pre) counseling.

scholarly journals Intraoperative Boost Radiotherapy during Targeted Oncoplastic Breast Surgery: Overview and Single Center Experiences

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Wolfram Malter ◽  
Verena Kirn ◽  
Lisa Richters ◽  
Claudius Fridrich ◽  
Birgid Markiefka ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Local Recurrence ◽  
Early Breast Cancer ◽  
Breast Surgery ◽  
Intraoperative Radiotherapy ◽  
Local Therapy ◽  
Breast Conserving Surgery ◽  
Resection Margins ◽  
X Rays ◽  
Oncoplastic Breast Surgery

Breast-conserving surgery followed by whole-breast irradiation is the standard local therapy for early breast cancer. The international discussion of reduced importance of wider tumor-free resection margins than “tumor not touching ink” leads to the development of five principles in targeted oncoplastic breast surgery. IORT improves local recurrence risk and diminishes toxicity since there is less irradiation of healthy tissue. Intraoperative radiotherapy (IORT) can be delivered in two settings: an IORT boost followed by a conventional regimen of external beam radiotherapy or a single IORT dose. The data from TARGIT-A and ELIOT reinforce the conviction that intraoperative radiotherapy during breast-conserving surgery is a reliable alternative to conventional postoperative fractionated irradiation, but only in a carefully selected population at low risk of local recurrence. We describe our experiences with IORT boost (50 kV energy X-rays; 20 Gy) in combination with targeted oncoplastic breast surgery in a routine clinical setting. Our experiences demonstrate the applicability and reliability of combining IORT boost with targeted oncoplastic breast surgery in breast-conserving therapy of early breast cancer.

scholarly journals The impact of age on patient-reported outcomes after oncoplastic versus conventional breast cancer surgery

2021 ◽  
Author(s):  
M. Ritter ◽  
B. M. Ling ◽  
I. Oberhauser ◽  
G. Montagna ◽  
L. Zehnpfennig ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Patient Reported Outcomes ◽  
Breast Surgery ◽  
Perforator Flap ◽  
Well Being ◽  
Breast Cancer Surgery ◽  
Oncoplastic Breast Surgery ◽  
Age Related ◽  
Patient Reported ◽  
The Impact

Abstract Purpose Some studies have indicated age-specific differences in quality of life (QoL) among breast cancer (BC) patients. The aim of this study was to compare patient-reported outcomes after conventional and oncoplastic breast surgery in two distinct age groups. Methods Patients who underwent oncoplastic and conventional breast surgery for stage I-III BC, between 6/2011–3/2019, were identified from a prospectively maintained database. QoL was prospectively evaluated using the Breast-Q questionnaire. Comparisons were made between women < 60 and ≥ 60 years. Results One hundred thirty-three patients were included. Seventy-three of them were ≥ 60 years old. 15 (20.5%) of them received a round-block technique (RB) / oncoplastic breast-conserving surgeries (OBCS), 10 (13.7%) underwent nipple-sparing mastectomies (NSM) with deep inferior epigastric perforator flap (DIEP) reconstruction, 23 (31.5%) underwent conventional breast-conserving surgeries (CBCS), and 25 (34.2%) received total mastectomy (TM). Sixty patients were younger than 60 years, 15 (25%) thereof received RB/OBCS, 22 (36.7%) NSM/DIEP, 17 (28.3%) CBCS, and 6 (10%) TM. Physical well-being chest and psychosocial well-being scores were significantly higher in older women compared to younger patients (88.05 vs 75.10; p < 0.001 and 90.46 vs 80.71; p = 0.002, respectively). In multivariate linear regression, longer time intervals had a significantly positive effect on the scales Physical Well-being Chest (p = 0.014) and Satisfaction with Breasts (p = 0.004). No significant results were found concerning different types of surgery. Conclusion Our findings indicate that age does have a relevant impact on postoperative QoL. Patient counseling should include age-related considerations, however, age itself cannot be regarded as a contraindication for oncoplastic surgery.

scholarly journals Objective assessment of clinical, oncological and cosmetic outcomes following volume replacement in patients undergoing oncoplastic breast-conserving surgery: protocol for a systematic review

BMJ Open ◽  
2018 ◽  
Vol 8 (7) ◽  
pp. e020859 ◽  
Author(s):  
Jesse Hu ◽  
Richard M Rainsbury ◽  
Ashvina Segaran ◽  
Oana Predescu ◽  
Pankaj G Roy
Keyword(s):  
Systematic Review ◽  
Breast Surgery ◽  
Objective Assessment ◽  
Case Series ◽  
Breast Conserving Surgery ◽  
Volume Replacement ◽  
Case Control Studies ◽  
Oncoplastic Breast Surgery ◽  
Patient Reported ◽  
Cosmetic Outcomes

IntroductionOncoplastic breast surgery allows the excision of larger tumours without compromising cosmetic outcome and can be broadly divided into volume displacement and volume replacement techniques. Although oncoplastic surgery has rapidly gained acceptance and is now widely practised, evidence is still lacking especially in patients who underwent volume replacement techniques. As it is a relatively new technique that has been described in the literature in the recent years, a summary of evidence from this literature can help clinicians to understand the clinical, oncologicalandcosmetic outcomes of such procedures.Methods and analysisAll original studies including randomised controlled trials, cohort studies, case–control studies and case series involving more than 10 women undergoing partial breast reconstruction using a volume replacement technique will be included. The primary objective is to evaluate the clinical, oncological and cosmetic outcomes following volume replacement in patients undergoing oncoplastic breast-conserving surgery. The secondary objective is to review the patient-reported outcomes (PROMs) associated with oncoplastic breast surgery to help identify any unmet needs and to consider refining the existing PROMs to suit women undergoing volume replacement surgery.A comprehensive literature search, eligibility assessment and extraction of data will be conducted by two trained teams acting independently. Data will be extracted and stored in a database with standardised extraction fields to facilitate easy and consistent data entry. Heterogeneity will be assessed using the Cochrane tests.Ethics and disseminationThis systematic review requires no ethical approval. It will be published in a peer-reviewed journal, and it will also be presented at nationalandinternational conferences.PROSPERO registration numberCRD42017075700; Pre-results.

Breast MRI in DCIS size estimation, breast-conserving surgery and oncoplastic breast surgery

2021 ◽  
Vol 94 ◽  
pp. 102158
Author(s):  
Alexander Bartram ◽  
Fiona Gilbert ◽  
Alastair Thompson ◽  
G Bruce Mann ◽  
Amit Agrawal
Keyword(s):  
Breast Surgery ◽  
Breast Mri ◽  
Breast Conserving Surgery ◽  
Size Estimation ◽  
Oncoplastic Breast Surgery

Quality of Patient-Reported Outcome Studies Utilizing the BREAST-Q: A Systematic Review

2021 ◽  
Author(s):  
Lior Har-Shai ◽  
Sar-El Ofek ◽  
Addy Brandstetter ◽  
Keren H Cohen ◽  
Tamir Shay ◽  
...  
Keyword(s):  
Systematic Review ◽  
Plastic Surgery ◽  
Survey Research ◽  
Breast Surgery ◽  
Sample Size Calculation ◽  
Patient Reported Outcome ◽  
Validated Questionnaire ◽  
Patient Reported ◽  
Current Guidance

Abstract Background Patient-reported outcome (PRO) studies are essential the assessment of surgical procedures in plastic surgery. An accepted and validated questionnaire is the Breast-Q. Objectives This study aims to assess the quality of PRO studies in plastic surgery utilizing the Breast-Q questionnaire. Methods This study included two steps: (1) A systematic review of 23 key-criteria assessing the quality of survey-research in studies utilizing the Breast-Q which were published between 2015-2018; (2) Review of current guidance for survey-research in journals related to Plastic Surgery and Breast Surgery which were included in the systematic review. Results 79 studies were included in the systematic review. Many key-criteria were poorly reported: 51.9% of the studies did not provide a defined response rate and almost 90% did not provide a method for analysis of non-response error. 67.1% lacked a description of the sample's representativeness of the population of interest, and 82.3% did not present a sample size calculation. 11.4% of papers failed to describe the data analyzing methods; in 27.8% the data analysis which was presented could not allow replication of the results. Of the 16 journals in Plastic Surgery and Breast Surgery that their "Instruction to Authors" were reviewed, 15 (93.7%) did not provide any guidance for survey reporting. Conclusions The majority of key criteria are under-reported by authors publishing their survey-research in peer-reviewed journals in the fields of plastic and breast surgery. There is an urgent need for constructing a well-developed reporting guideline for survey-research in plastic surgery and particularly in breast surgery.

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