Systematic review of studies of patients' satisfaction with breast reconstruction after mastectomy

Guyomard, Veronique, Leinster, Sam and Wilkinson, Mark (2007) Systematic review of studies of patients' satisfaction with breast reconstruction after mastectomy. The Breast, 16 (6). pp. 547-567. ISSN 1532-3080

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Abstract

Systematic review of studies of patients' satisfaction with breast reconstruction published in English (1994-2006) using Medline, Embase, Cochrane databases. Twenty-eight studies related to cosmesis and two related to pain management were identified. Study designs were mostly randomised surveys but half of samples were small. Five studies compared surgical techniques and satisfaction, twelve analysed surgical techniques; two studies looked at the effect of radiation therapy. Nine studies assessed satisfaction determinants. All studies reported good levels of satisfaction. Methodological deficiencies (small sample sizes, context and study designs, satisfaction assessment, basic statistical analysis) limit the generalisability of the findings. Overall, studies suggested that patients were satisfied with breast reconstruction whatever the technique used, whereas age or procedure timing did not affect general satisfaction. Breast symmetry, size, shape and scars were reported as influencing the patients' score. Nipple reconstruction positively influenced satisfaction; radiation before/after reconstruction achieved satisfactory cosmesis, and complications predicted dissatisfaction.

Item Type: Article
Uncontrolled Keywords: breast neoplasms,female,humans,mammaplasty,mastectomy,patient satisfaction
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
Related URLs:
Depositing User: EPrints Services
Date Deposited: 25 Nov 2010 11:09
Last Modified: 21 Apr 2020 19:24
URI: https://ueaeprints.uea.ac.uk/id/eprint/12699
DOI: 10.1016/j.breast.2007.04.004

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