Quality of Life of Patients After Immediate or Delayed Autologous Breast Reconstruction: A Multicenter Study

Research output: Contribution to journalArticleAcademicpeer-review

8 Citations (Web of Science)

Abstract

Introduction It is known that breast reconstruction improves quality of life (QoL) in women who underwent mastectomy. Previous studies showed that autologous immediate breast reconstruction is as safe as delayed breast reconstruction. However, there is not much known about the influence of the timing of the breast reconstruction on QoL. Therefore, this study aims to assess the effect of timing of the breast reconstruction on QoL, using the BREAST-Q questionnaire. Methods A total of 543 patients aged 18 years or older who underwent deep inferior epigastric perforator flap reconstruction after mastectomy (for prophylactic or oncological reasons) at least 12 months ago were selected in 3 hospitals in the Netherlands and invited to complete the BREAST-Q. Mean QoL outcomes were compared between patients who underwent immediate or delayed breast reconstruction. Furthermore, QoL outcomes were compared with recently published normative data of the BREAST-Q. Results Patients who underwent immediate reconstruction reported higher scores on satisfaction with psychosocial well-being, sexual well-being, physical well-being of the chest, and physical well-being of the abdomen. Patients who underwent delayed reconstruction reported higher scores on satisfaction with breasts, outcome, and nipples. However, after adjusting for potentially influencing factors, none of the differences were significant. Compared with the normative BREAST-Q data, both of our patient groups reported higher scores on satisfaction with breasts, psychological well-being, and sexual well-being, whereas they reported lower scores on satisfaction with physical well-being of the chest and the abdomen. Conclusions This study suggests that patients who underwent immediate or delayed deep inferior epigastric perforator flap breast reconstruction have comparable QoL more than 1 year after surgery, irrespective of the timing of the breast reconstruction.
Original languageEnglish
Pages (from-to)523-527
Number of pages5
JournalAnnals of Plastic Surgery
Volume81
Issue number5
DOIs
Publication statusPublished - 1 Nov 2018

Keywords

  • breast cancer
  • breast reconstruction
  • DIEP flap
  • primary reconstruction
  • secondary reconstruction
  • quality of life
  • SKIN-SPARING MASTECTOMY
  • REPORTED OUTCOMES
  • CANCER
  • RECURRENCE
  • SURGERY
  • COHORT

Cite this