A study of satisfaction and quality of life in women after breast reconstruction comparing alloplastic and autoplastic technique

Ginkel, A.C. van (2016) A study of satisfaction and quality of life in women after breast reconstruction comparing alloplastic and autoplastic technique. thesis, Medicine.

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Abstract

Background Patient-reported outcomes in reconstructive breast surgery have become increasingly important in clinical research. Breast reconstruction may be performed using a variety of techniques, often categorized in alloplastic approach or autologous tissue method. Most studies regarding outcomes are focused on traditional surgical outcomes, such as risks and complications. The main objective of this study is to evaluate whether there is a difference satisfaction and quality of life after alloplastic breast reconstruction or breast reconstruction with autologous tissue. Methods Patients eligible for breast reconstruction were asked to participate. Quality of life and satisfaction were measured with four self-report questionnaires: Breast-Q, RAND-36, HADS and CWS. This study analyzed the questionnaires pre-operative, six weeks and six months post-operatively respectively. The scores of all questionnaires were compared between two groups: women with an autologous and women with an alloplastic breast reconstruction. Multivariate linear and logistic regression was used to analyze the questionnaires. Results 35 women were recruited (14 autologous, 21 alloplastic). Preoperatively, linear regression showed that alloplastic reconstruction scored significantly higher in the Breast-Q, domain satisfaction with breasts (p = 0.05). Six months postoperatively, women that underwent autoplastic reconstruction were significantly more satisfied with their breasts (p = 0.05) and sexual well-being (p = 0.02) than women that underwent alloplastic reconstruction. RAND-36, HADS and CWS did not show significant differences on the different domains between the two breast reconstruction groups. Conclusions Patients with an autologous breast reconstruction reported higher levels of satisfaction versus woman who underwent alloplastic breast reconstruction six months post-operatively. The small sample size may limit the generalizability of the findings of this study. Results of this study may help patients and physicians in shared and informed decision-making to make the best decision for an optimal breast reconstruction.

Item Type:	Thesis (Thesis)
Supervisor name:	Mentor: and Stenekes, M.W. M.D and Department of Plastic Surgery and University Medical Center Groningen
Faculty:	Medical Sciences
Date Deposited:	25 Jun 2020 10:56
Last Modified:	25 Jun 2020 10:56
URI:	https://umcg.studenttheses.ub.rug.nl/id/eprint/1660

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