Breast Reconstruction–Prospective Follow up on Breast Cancer Patients’ Health‐Related Quality of Life

OUTCOMES Original Scientific Report Mammaplasty MULTICENTER Surgery, anesthesiology, intensive care, radiology Breast Neoplasms SURGICAL COMPLICATIONS CLASSIFICATION 3. Good health 03 medical and health sciences 0302 clinical medicine SAFETY SKIN-SPARING MASTECTOMY Quality of Life IMMEDIATE Humans Female Prospective Studies Mastectomy Follow-Up Studies
DOI: 10.1007/s00268-021-06426-4 Publication Date: 2022-01-09T18:02:26Z
ABSTRACT
AbstractBackgroundAnalysing the results of breast reconstruction is important both in terms of oncological safety and health‐related quality of life (HRQoL). Immediate breast reconstruction (IBR) is thought to be prone to complications and heavy for patients with no time to adapt to having cancer. Delayed reconstruction (DR) is an option after primary surgery and oncological treatments, but requires patients to go through two recovery periods after surgery.MethodsA prospective study of 1065 breast cancer patients with repeated measurement of HRQoL with both generic (15D) and disease specific (EORTC QLQ C‐30 BR23) measuring tools included 51 IBR patients and 41 DR patients. These patients’ HRQoL and reconstruction methods were studied in more detail alongside with clinical data to determine HRQoL levels for patients with IBR and those with mastectomy and DR during a 24‐month follow‐up. Measuring points were baseline, 3, 6, 12 and 24 months.ResultsMost frequent techniques used were abdominal flaps (IBR n = 16, DR n = 14), latissimus dorsi flaps (LD) (IBR n = 19, DR n = 10), implants (IBR n = 12) and fat grafting (DR n = 6). Smaller groups were excluded from group comparisons. Approximately one third of the patients encountered complications. Symptom scores did not differ between reconstruction methods. DR patients had better overall HRQoL at 12 months, but at 24 months the situation had changed in favour of IBR. Both approaches of reconstructive surgery produced good HRQoL with no significant differences between the approaches studied.
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