Breast reconstruction patterns from a Swedish nation-wide survey
Copyright © 2020. Published by Elsevier Ltd..
OBJECTIVES: The overall aim of the Swedish Breast Reconstruction Outcome Study was to investigate national long-term outcomes after mastectomy with or without breast reconstruction. The current report evaluates breast reconstruction (BR) patterns in Sweden over time.
MATERIALS AND METHODS: This is a cross-sectional, registry-based study where all women operated with mastectomy 2000, 2005, 2010 were identified (N = 5853). Geographical differences in type of BR were investigated using heatmaps. Distribution of continuous variables were compared using the Mann-Whitney U test, categorical variables were compared using the chi-square test.
RESULTS: Mean age at survey was 69 years (SD=±11.4) and response rate was 50%, responders were on average six years younger than the non-responders and had a more favourable tumor stage (both p < 0.01). Of the 2904 responders, 31% (895/2904) had received a BR: implant-based in 58% (516/895)autologous in 31% (281/895). BR was immediate in 20% (176/895) and delayed in 80% (719/895) women. Women with BR were on average one year older, more often had a normal BMI, reported to be married or had a partner, had a higher educational level and a higher annual income when compared to those without BR (all p < 0.001). The independent factors of not receiving BR were older age and given radiotherapy.
CONCLUSIONS: To our knowledge, this is the first national long-term follow-up study on women undergoing mastectomy with and without BR. Around 30% of the survey responders have had a BR with a significant geographical variation highlighting the importance of information, availability and standardisation of indications for BR.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2020 |
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| Erschienen: |
2020 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:46 |
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| Enthalten in: |
European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology - 46(2020), 10 Pt A vom: 10. Okt., Seite 1867-1873 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Unukovych, Dmytro [VerfasserIn] |
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| Links: |
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| Themen: |
Antineoplastic Agents, Hormonal |
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| Anmerkungen: |
Date Completed 05.02.2021 Date Revised 05.02.2021 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.ejso.2020.04.030 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM312750609 |
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| 245 | 1 | 0 | |a Breast reconstruction patterns from a Swedish nation-wide survey |
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| 500 | |a Date Revised 05.02.2021 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2020. Published by Elsevier Ltd. | ||
| 520 | |a OBJECTIVES: The overall aim of the Swedish Breast Reconstruction Outcome Study was to investigate national long-term outcomes after mastectomy with or without breast reconstruction. The current report evaluates breast reconstruction (BR) patterns in Sweden over time | ||
| 520 | |a MATERIALS AND METHODS: This is a cross-sectional, registry-based study where all women operated with mastectomy 2000, 2005, 2010 were identified (N = 5853). Geographical differences in type of BR were investigated using heatmaps. Distribution of continuous variables were compared using the Mann-Whitney U test, categorical variables were compared using the chi-square test | ||
| 520 | |a RESULTS: Mean age at survey was 69 years (SD=±11.4) and response rate was 50%, responders were on average six years younger than the non-responders and had a more favourable tumor stage (both p < 0.01). Of the 2904 responders, 31% (895/2904) had received a BR: implant-based in 58% (516/895)autologous in 31% (281/895). BR was immediate in 20% (176/895) and delayed in 80% (719/895) women. Women with BR were on average one year older, more often had a normal BMI, reported to be married or had a partner, had a higher educational level and a higher annual income when compared to those without BR (all p < 0.001). The independent factors of not receiving BR were older age and given radiotherapy | ||
| 520 | |a CONCLUSIONS: To our knowledge, this is the first national long-term follow-up study on women undergoing mastectomy with and without BR. Around 30% of the survey responders have had a BR with a significant geographical variation highlighting the importance of information, availability and standardisation of indications for BR | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 650 | 4 | |a Breast cancer | |
| 650 | 4 | |a National | |
| 650 | 4 | |a Outcomes | |
| 650 | 4 | |a Quality of life | |
| 650 | 4 | |a Reconstruction | |
| 650 | 4 | |a Sweden | |
| 650 | 7 | |a Antineoplastic Agents, Hormonal |2 NLM | |
| 700 | 1 | |a Gümüscü, Rojda |e verfasserin |4 aut | |
| 700 | 1 | |a Wärnberg, Fredrik |e verfasserin |4 aut | |
| 700 | 1 | |a de Boniface, Jana |e verfasserin |4 aut | |
| 700 | 1 | |a Eriksen, Catharina |e verfasserin |4 aut | |
| 700 | 1 | |a Sund, Malin |e verfasserin |4 aut | |
| 700 | 1 | |a Nåsell, Petra |e verfasserin |4 aut | |
| 700 | 1 | |a Åhsberg, Kristina |e verfasserin |4 aut | |
| 700 | 1 | |a Olofsson, Pia |e verfasserin |4 aut | |
| 700 | 1 | |a Lewin, Richard |e verfasserin |4 aut | |
| 700 | 1 | |a Lambe, Mats |e verfasserin |4 aut | |
| 700 | 1 | |a Brandberg, Yvonne |e verfasserin |4 aut | |
| 700 | 1 | |a Folkvaljon, Folke |e verfasserin |4 aut | |
| 700 | 1 | |a Mani, Maria |e verfasserin |4 aut | |
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