Document Detail


Systematic review of studies of patients' satisfaction with breast reconstruction after mastectomy.
MedLine Citation:
PMID:  18024116     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Systematic review of studies of patients' satisfaction with breast reconstruction published in English (1994-2006) using Medline, Embase, Cochrane databases. Twenty-eight studies related to cosmesis and two related to pain management were identified. Study designs were mostly randomised surveys but half of samples were small. Five studies compared surgical techniques and satisfaction, twelve analysed surgical techniques; two studies looked at the effect of radiation therapy. Nine studies assessed satisfaction determinants. All studies reported good levels of satisfaction. Methodological deficiencies (small sample sizes, context and study designs, satisfaction assessment, basic statistical analysis) limit the generalisability of the findings. Overall, studies suggested that patients were satisfied with breast reconstruction whatever the technique used, whereas age or procedure timing did not affect general satisfaction. Breast symmetry, size, shape and scars were reported as influencing the patients' score. Nipple reconstruction positively influenced satisfaction; radiation before/after reconstruction achieved satisfactory cosmesis, and complications predicted dissatisfaction.
Authors:
Veronique Guyomard; Sam Leinster; Mark Wilkinson
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Publication Detail:
Type:  Journal Article; Review     Date:  2007-11-19
Journal Detail:
Title:  Breast (Edinburgh, Scotland)     Volume:  16     ISSN:  0960-9776     ISO Abbreviation:  Breast     Publication Date:  2007 Dec 
Date Detail:
Created Date:  2007-12-06     Completed Date:  2008-01-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9213011     Medline TA:  Breast     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  547-67     Citation Subset:  IM    
Affiliation:
School of Medicine, Health Policy and Practice, University of East Anglia, Norwich, NR4 7TJ, UK.
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MeSH Terms
Descriptor/Qualifier:
Breast Neoplasms / surgery*
Female
Humans
Mammaplasty / methods*
Mastectomy*
Patient Satisfaction*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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