Patient-reported outcomes of breast reconstruction in older women: Audit of a large metropolitan public/private practice in Sydney, Australia.

Daniel D Oh Kathy Flitcroft Meagan E Brennan Kylie L Snook Andrew J Spillane

Psychooncology

Breast and Surgical Oncology, The Poche Centre, North Sydney, Australia.

Published: December 2018

Older women (60+) who had mastectomy with breast reconstruction (BR) reported higher body satisfaction compared to those who opted for mastectomy without reconstruction (NBR).
The study involved 135 women, revealing that patients who chose BR tended to be younger and reported overall good quality of life and low pain levels, regardless of their choice.
There is no clear evidence suggesting quality of life declines for older women that decide to undergo BR, indicating they should be given the option if they are fit and informed.

Objective: Older age is associated with lower rates of breast reconstruction (BR) for women requiring mastectomy. This study compared patient-reported outcomes between women aged 60 years and older who had received mastectomy and BR with those who received no BR (NBR).

Methods: About 135 women aged 60 or over treated between 2009 and 2016 with mastectomy only (N = 87) or mastectomy with BR (N = 48) for primary breast cancer completed patient-reported outcome measures using a set of validated questionnaires. Reasons for choosing or declining BR were also explored using a set of nonvalidated questionnaires.

Results: Patients who received BR were generally younger (P = <0.001) and reported greater satisfaction with their bodies (P = 0.048) than NBR patients. Patients with autologous reconstruction reported greater satisfaction with their breasts than implant-based reconstruction patients. Both BR and NBR patients reported good quality of life, low pain scores, good body image, and low levels of decisional regret.

Conclusions: These data do not identify any quality of life-related reasons to not offer clinically fit, well-informed older women the option of BR.

Download full-text PDF	Source
http://dx.doi.org/10.1002/pon.4895	DOI Listing

Publication Analysis

Top Keywords

patient-reported outcomes

breast reconstruction

women aged

outcomes breast

reconstruction older

women

older women

women audit

audit large

large metropolitan

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!

A PHP Error was encountered