Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
McCarthy, CM; Mehrara, BJ; Long, T; Garcia, P; Kropf, N; Klassen, AF; Cano, SJ; Li, Y; Hurley, K; Scott, A; Disa, JJ; Cordeiro, PG; Pusic, AL.
Chest and upper body morbidity following immediate postmastectomy breast reconstruction.
Ann Surg Oncol. 2014; 21(1):107-112
Doi: 10.1245/s10434-013-3231-z
Web of Science
PubMed
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- Co-Autor*innen der Med Uni Graz
- Fuchsjäger Nina
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- Abstract:
- The performance of a mastectomy for the treatment or prophylaxis of breast cancer may have long-term implications for both physical and mental well-being in women. The development of breast numbness and phantom breast sensations following mastectomy is well-known; however, relatively little is known about physical morbidity following postmastectomy breast reconstruction. The primary objective of this study was to evaluate the level of physical morbidity experienced following three surgical approaches: mastectomy alone, postmastectomy tissue expander/implant reconstruction, and postmastectomy autogenous tissue reconstruction. We conducted a cross-sectional survey of a sample of women who had undergone mastectomy with or without reconstruction. Chest and upper body morbidity were evaluated using the BREAST-Q. Physical well-being was compared across three types of breast surgery. In total, 308 of 452 women who received a questionnaire booklet returned completed questionnaires. There was an overall difference in physical morbidity attributable to surgical treatment (P < 0.001). Patients who underwent autogenous tissue reconstruction had the highest (i.e., best) mean physical well-being score. Women who underwent expander/implant reconstruction also had less chronic physical morbidity than women who underwent mastectomy alone (P < 0.05). Our findings suggest that women who undergo immediate autogenous tissue reconstruction experience significantly less chest and upper body morbidity than those who undergo either mastectomy with implant-based reconstruction or mastectomy alone. This information can be used to facilitate clinical decision-making, to validate individual experiences of breast cancer survivors, and to inform future innovations to decrease the long-term physical morbidity associated with breast cancer surgery.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult -
- Aged -
- Aged, 80 and over -
- Breast Neoplasms - pathology
- Breast Neoplasms - surgery
- Carcinoma, Intraductal, Noninfiltrating - pathology
- Carcinoma, Intraductal, Noninfiltrating - surgery
- Cross-Sectional Studies -
- Female -
- Follow-Up Studies -
- Humans -
- Mammaplasty - adverse effects
- Mastectomy - adverse effects
- Middle Aged -
- Morbidity -
- Muscle Weakness - etiology
- Muscle Weakness - physiopathology
- Postoperative Complications -
- Prognosis -
- Quality of Life -
- Range of Motion, Articular -
- Surgical Flaps -
- Surveys and Questionnaires -
- Thoracic Wall - pathology
- Tissue Expansion Devices -