Postoperative Complication Impact on Quality of Life after Postmastectomy Breast Reconstruction.
In: Journal of the American College of Surgeons (2563-9021), Jg. 237 (2023-08-01), Heft 2, S. 319-330
academicJournal
Zugriff:
BACKGROUND: Although the overall psychosocial benefits and body image gains of postmastectomy breast reconstruction are well-established, there is limited information on how postoperative complications affect patient quality of life (QOL). STUDY DESIGN: A single-institution cross-sectional survey analysis was performed on patients who underwent postmastectomy breast reconstruction between 2008 and 2020. QOL was assessed using the BREAST-Q and the Was It Worth It questionnaires. The results were compared among patients who had major complications, minor complications, and no complications. Responses were compared using 1-way ANOVA and chi-square tests as appropriate. RESULTS: A total of 568 patients met inclusion criteria, and 244 patients responded (43% response rate). Most patients did not have any complications (n = 128; 52%), 41 had minor complications (17%), and 75 had major complications (31%). There were no differences in any of the BREAST-Q well-being metrics based on degree of complication. Across all 3 groups, patients reported that surgery was worthwhile (n = 212; 88%), they would choose reconstruction again (n = 203; 85%), and they would recommend it to a friend (n = 196; 82%). Overall, 77% reported that their overall experience either met or exceeded expectations, and 88% of patients had unchanged or improved overall QOL. CONCLUSIONS: Our study demonstrates that QOL and well-being are not negatively impacted by postoperative complications. Although patients who had no complications had an overall more positive experience, nearly two-thirds of all patients, no matter the degree of complication, stated that their overall experience either met or exceeded their expectations. [ABSTRACT FROM AUTHOR]
Titel: |
Postoperative Complication Impact on Quality of Life after Postmastectomy Breast Reconstruction.
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Autor/in / Beteiligte Person: | Zhang, Chi ; Gomez, Diego ; Abdulwadood, Isra ; Kosiorek, Heidi ; Hammond, Jacob B. ; Cronin, Patricia ; Reece, Edward ; Rebecca, Alanna ; Casey, William ; Pockaj, Barbara A. |
Zeitschrift: | Journal of the American College of Surgeons (2563-9021), Jg. 237 (2023-08-01), Heft 2, S. 319-330 |
Veröffentlichung: | 2023 |
Medientyp: | academicJournal |
ISSN: | 2563-9021 (print) |
DOI: | 10.1097/XCS.0000000000000739 |
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