Factors related to patient-reported cosmetic outcome after breast-conserving therapy for breast cancer

2021 ◽  
Author(s):  
A. T. P. M. Brands-Appeldoorn ◽  
R. C. M. Thomma ◽  
L. Janssen ◽  
A. J. G. Maaskant-Braat ◽  
V. C. G. Tjan-Heijnen ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Breast Conserving Therapy ◽  
Cosmetic Outcome ◽  
Patient Reported

COSMETIC OUTCOME OF BREAST-CONSERVING THERAPY IN CHINESE PATIENTS WITH EARLY BREAST CANCER

1997 ◽  
Vol 67 (11) ◽  
pp. 771-774 ◽  
Author(s):  
W. Yeo ◽  
W. H. Kwan ◽  
P. M. L. Teo ◽  
W. T. Leung ◽  
W. King ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Early Breast Cancer ◽  
Breast Conserving Therapy ◽  
Cosmetic Outcome ◽  
Chinese Patients

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.

Breast-Conserving Therapy in Patients with a Relatively Large (T2 or T3) Breast Cancer: Long-Term Local Control and Cosmetic Outcome of a Feasibility Study

2004 ◽  
Vol 113 (6) ◽  
pp. 1607-1616 ◽  
Author(s):  
Leonie A. E. Woerdeman ◽  
J. Joris Hage ◽  
Esther A. Thio ◽  
Frans A. N. Zoetmulder ◽  
Emiel J. Th. Rutgers
Keyword(s):  
Breast Cancer ◽  
Feasibility Study ◽  
Local Control ◽  
Breast Conserving Therapy ◽  
Cosmetic Outcome

scholarly journals Patient-reported outcome measurement compared with professional judgment of cosmetic results after breast-conserving therapy

2018 ◽  
Vol 25 (6) ◽  
Author(s):  
A.T.P.M. Brands-Appeldoorn ◽  
A.J.G. Maaskant-Braat ◽  
W.A.R Zwaans ◽  
J.P. Dieleman ◽  
K.E. Schenk ◽  
...  
Keyword(s):  
Rating Scale ◽  
Outcome Measurement ◽  
Intraclass Correlation ◽  
Scoring Systems ◽  
Breast Conserving Therapy ◽  
Numeric Rating Scale ◽  
Cosmetic Outcome ◽  
Professional Judgment ◽  
Size And Shape ◽  
Patient Reported

Background In the present study, we set out to compare patient reported outcomes with professional judgment about cosmesis after breast-conserving therapy (bct) and to evaluate which items (position of the nipple, color, scar, size, shape, and firmness) correlate best with subjective outcome.Methods Dutch patients treated with bct between 2008 and 2009 were analyzed. Exclusion criteria were prior amputation or bct of the contralateral breast, metastatic disease, local recurrence, or any prior cosmetic breast surgery. Structured questionnaires and standardized six-view photographs were obtained with a minimum of 3 years’ follow-up. Cosmetic outcome was judged by the patients and, based on photographs, by 5 different medical professionals using 3 different scoring systems: the Harvard scale, the Sneeuw questionnaire, and a numeric rating scale. Agreement was scored using the intraclass correlation coefficient (icc). The association between items of the Sneeuw questionnaire and a fair–poor Harvard score was estimated using logistic regression analysis.Results The study included 108 female patients (age: 40–91 years). Based on the Harvard scale, agreement on cosmetic outcome between the professionals was good (icc: 0.78). In contrast, agreement between professionals as a group compared with the patients was found to be fair to moderate (icc range: 0.38–0.50). The items “size” and “shape” were identified as the strongest determinants of cosmetic outcome.Conclusions Cosmetic outcome was scored differently by patients and professionals. Agreement was greater between the professionals than between the patients and the professionals as a group. In general, size and shape were the most prominent items on which cosmetic outcome was judged by patients and professionals alike.

scholarly journals Risk Factors of Cosmetic Outcome in Early Breast Cancer Patients After Breast Conserving Therapy

2009 ◽  
Vol 1 (1) ◽  
pp. 18-24 ◽  
Author(s):  
Niwinska Anna ◽  
Galecki Jacek ◽  
Nagadowska Monika ◽  
Tchórzewska Hanna
Keyword(s):  
Breast Cancer ◽  
Risk Factors ◽  
Cancer Patients ◽  
Early Breast Cancer ◽  
Breast Conserving Therapy ◽  
Cosmetic Outcome ◽  
Breast Cancer Patients

scholarly journals PV-0259 Cosmetic outcome in irradiated breast cancer patients and association with patient reported outcomes

2019 ◽  
Vol 133 ◽  
pp. S128
Author(s):  
M. Batenburg ◽  
M. Gregorowitsch ◽  
D. Van den Bongard ◽  
W. Maarse ◽  
H. Verkooijen
Keyword(s):  
Breast Cancer ◽  
Cancer Patients ◽  
Patient Reported Outcomes ◽  
Cosmetic Outcome ◽  
Breast Cancer Patients ◽  
Patient Reported

scholarly journals Effect of Surgeon Factors on Long-Term Patient-Reported Outcomes After Breast-Conserving Therapy in Older Breast Cancer Survivors

2020 ◽  
Vol 27 (4) ◽  
pp. 1013-1022 ◽  
Author(s):  
Benjamin D. Smith ◽  
Xiudong Lei ◽  
Kevin Diao ◽  
Ying Xu ◽  
Yu Shen ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Survivors ◽  
Patient Reported Outcomes ◽  
Breast Cancer Survivors ◽  
Breast Conserving Therapy ◽  
Patient Reported

scholarly journals From Radical Mastectomy to Breast-Conserving Therapy and Oncoplastic Breast Surgery: A Narrative Review Comparing Oncological Result, Cosmetic Outcome, Quality of Life, and Health Economy

ISRN Oncology ◽  
2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Ahmad Kaviani ◽  
Nassim Sodagari ◽  
Sara Sheikhbahaei ◽  
Vahid Eslami ◽  
Nima Hafezi-Nejad ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Breast Surgery ◽  
Radical Mastectomy ◽  
Breast Conserving Therapy ◽  
Cosmetic Outcome ◽  
Health Economy ◽  
Outcome Quality ◽  
Oncoplastic Breast Surgery ◽  
Oncological Result

Surgical management of breast cancer has evolved considerably over the last two decades. There has been a major shift toward less-invasive local treatments, from radical mastectomy to breast-conserving therapy (BCT) and oncoplastic breast surgery (OBS). In order to investigate the efficacy of each of the three abovementioned methods, a literature review was conducted for measurable outcomes including local recurrence, survival, cosmetic outcome, quality of life (QOL), and health economy. From the point of view of oncological result, there is no difference between mastectomy and BCT in local recurrence rate and survival. Long-term results for OBS are not available. The items assessed in the QOL sound a better score for OBS in comparison with mastectomy or BCT. OBS is also associated with a better cosmetic outcome. Although having low income seems to be associated with lower BCT and OBS utilization, prognosis of breast cancer is worse in these women as well. Thus, health economy is the matter that should be studied seriously. OBS is an innovative, progressive, and complicated subspeciality that lacks published randomized clinical trials comparing surgical techniques and objective measures of outcome, especially from oncologic and health economy points of view.

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