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Breast surgeons performing immediate breast reconstruction with implants - Assessment of resource-use and patient-reported outcome measures
Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.
Department of Neurobiology, Care Science and Society, Division of Nursing, Karolinska University Hospital, Stockholm, Sweden.
Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden; Department of Breast and Endocrine Surgery, Karolinska University Hospital, Stockholm, Sweden.
Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden; Department of Breast and Endocrine Surgery, Karolinska University Hospital, Stockholm, Sweden.
2012 (English)In: Breast, ISSN 0960-9776, E-ISSN 1532-3080, Vol. 21, no 4, 590-596 p.Article in journal (Refereed) Published
Abstract [en]

Oncoplastic surgery, including immediate breast reconstruction (IBR), is expanding as a result of public demand. IBR in women with breast carcinoma is resource intense and the reconstruction is often completed concurrently with adjuvant oncological treatment. A series of 223 patients with implant-based IBRs, performed by breast surgeons 2005-2008, were analysed for use of resources and outcome. Low overall major complication rates (19,7%) were identified, even though 41% of the patients had received post-mastectomy radiation. A total of 1.1 reoperations per patient were required. Patient-reported outcomes using the EQ-5D and a disease-specific questionnaire at a median of four years follow-up were analysed. Patients' general health-state was high (0.83), whereas negative impact on intimate situations and the sensibility of the breast was reported. Our audit concludes that trained breast surgeon specialists perform implant-based IBRs with a satisfactory outcome when evaluated by subjective and objective analyses. (c) 2012 Elsevier Ltd. All rights reserved.

Place, publisher, year, edition, pages
2012. Vol. 21, no 4, 590-596 p.
Keyword [en]
Breast cancer; Breast implant; Complication; Immediate breast reconstruction; Quality of life
National Category
Nursing
Research subject
Nursing Science
Identifiers
URN: urn:nbn:se:oru:diva-36312DOI: 10.1016/j.breast.2012.01.003ISI: 000307909600032PubMedID: 22277311Scopus ID: 2-s2.0-84861705215OAI: oai:DiVA.org:oru-36312DiVA: diva2:746484
Available from: 2014-09-12 Created: 2014-09-02 Last updated: 2017-10-17Bibliographically approved

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CiteExportLink to record
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