title: Breast surgeons performing immediate breast reconstruction with implants - assessment of resource-use and patient-reported outcome measures.
abstract: Oncoplastic surgery, including immediate breast reconstruction (IBR), is expanding as a result of public demand. IBR in women with breast carcinoma is resource intense and the reconstruction is often completed concurrently with adjuvant oncological treatment. A series of 223 patients with implant-based IBRs, performed by breast surgeons 2005-2008, were analysed for use of resources and outcome. Low overall major complication rates (19,7%) were identified, even though 41% of the patients had received post-mastectomy radiation. A total of 1.1 reoperations per patient were required. Patient-reported outcomes using the EQ-5D and a disease-specific questionnaire at a median of four years follow-up were analysed. Patients' general health-state was high (0.83), whereas negative impact on intimate situations and the sensibility of the breast was reported. Our audit concludes that trained breast surgeon specialists perform implant-based IBRs with a satisfactory outcome when evaluated by subjective and objective analyses.
authors.affiliation: Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden. stephanie.robertson.546@gmail.com
authors.forename: S
authors.initials: S
authors.lastname: Robertson
authors.forename: Y
authors.initials: Y
authors.lastname: Wengström
authors.forename: C
authors.initials: C
authors.lastname: Eriksen
authors.forename: K
authors.initials: K
authors.lastname: Sandelin
mesh_terms: D019928:Breast Implantation; D001943:Breast Neoplasms / Q000601:surgery* / Q000628:therapy; D018270:Carcinoma, Ductal, Breast / Q000601:surgery* / Q000628:therapy; D002285:Carcinoma, Intraductal, Noninfiltrating / Q000601:surgery* / Q000628:therapy; D059186:Chemoradiotherapy, Adjuvant; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008408:Mastectomy; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D011788:Quality of Life; D012044:Regression Analysis; D012086:Reoperation / Q000706:statistics & numerical data; D012189:Retrospective Studies; D057566:Self Report; D016896:Treatment Outcome