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Patient satisfaction with postmastectomy breast reconstruction
A comparison of saline and silicone implants
Article first published online: 8 NOV 2010
Copyright © 2010 American Cancer Society
Volume 116, Issue 24, pages 5584–5591, 15 December 2010
How to Cite
McCarthy, C. M., Klassen, A. F., Cano, S. J., Scott, A., VanLaeken, N., Lennox, P. A., Alderman, A. K., Mehrara, B. J., Disa, J. J., Cordeiro, P. G. and Pusic, A. L. (2010), Patient satisfaction with postmastectomy breast reconstruction. Cancer, 116: 5584–5591. doi: 10.1002/cncr.25552
- Issue published online: 3 DEC 2010
- Article first published online: 8 NOV 2010
- Manuscript Accepted: 13 MAY 2010
- Manuscript Revised: 4 MAY 2010
- Manuscript Received: 19 FEB 2010
- breast surgery;
- patient satisfaction;
- breast cancer;
- breast reconstruction;
- patient-reported outcomes;
- breast implants
At a time when the safety and effectiveness of breast implants remains under close scrutiny, it is important to provide reliable and valid evidence regarding patient outcomes. In the setting of postmastectomy reconstruction, patient satisfaction and quality of life may be the most significant outcome variables when evaluating surgical success. The objective of the current study was to identify predictors of patient satisfaction with breast appearance, including implant type, in a large sample of women who underwent breast reconstruction surgery using implants.
A multicenter, cross-sectional study design was used. A total of 672 women who had completed postmastectomy, implant-based reconstruction at 1 of 3 centers in North America were asked to complete the BREAST-Q (Reconstruction Module). Multivariate linear regression modeling was performed.
Completed questionnaire data were available for 482 of the 672 patients. In 176 women, silicone implants were placed and in 306, saline implants were used. The multivariate model confirmed that patients' satisfaction with their breasts was significantly higher in patients with silicone implants (P = .016). The receipt of postmastectomy radiotherapy was found to have a significant, negative effect on breast satisfaction (P<.000) in both silicone and saline implant recipients. In addition, for women who received either silicone or saline implants, satisfaction diminished over time (P = .017).
In the setting of postmastectomy reconstruction, patients who received silicone breast implants reported significantly higher satisfaction with the results of reconstruction than those who received saline implants. This information can be used to optimize shared medical decision-making by providing patients with realistic postoperative expectations. Cancer 2010. © 2010 American Cancer Society.