当前位置： SCI文献检索 > Clinical Breast Cancer期刊下所有文献 > Breast Reconstruction After Mastectomy: A Survey of Surgeons' and Patients' Perceptions.

Breast Reconstruction After Mastectomy: A Survey of Surgeons' and Patients' Perceptions.

Abstract：

BACKGROUND:Breast reconstruction after mastectomy is important in breast cancer care. MATERIALS AND METHODS:A cross-sectional study was designed to assess surgeons' and patients' perceptions toward breast reconstruction. Questionnaires were distributed to general and breast surgeons in East Coast Malaysian hospitals and Hospital Kuala Lumpur and to postmastectomy patients with and without breast reconstruction at the Hospital Universiti Sains Malaysia and Hospital Raja Perempuan Zainab II. The response rates were 82.5% for the surgeons (n = 33), 95.4% for the patients with reconstruction (n = 63), and 95.5% for the patients without reconstruction (n = 278). RESULTS:The median surgeon age and experience was 42 and 6 years, respectively. Each surgeon saw an average of 20 new breast cancer cases annually. Most surgeons (86.7%) discussed reconstruction options with their patients but had only referred an average of 4 patients for reconstruction during a 3-year period. Surgeons' concerns regarding the qualitative outcome increased the likelihood of a breast reconstruction discussion (β = 4.833; P = .044). The women who underwent breast reconstruction were younger (mean age, 42 vs. 50 years), were more often working (69.4% vs. 42.2%), and more often had previous awareness of the option (90.3% vs. 44.3%). The most common reasons for undergoing breast reconstruction were "to feel more balanced" (92.1%) and "surgeon's strong recommendation" (92.1%). Previous knowledge of breast reconstruction increased the likelihood of reconstruction (odds ratio, 5.805; P = .026). Although 70% of surgeons thought that patients would not be interested in reconstruction, only 37.9% of patients with previous awareness reported having no interest. CONCLUSION:The low reconstruction rate (20.6%) can be attributed to the low referral rate. Patients' likelihood to undergo reconstruction with their surgeon's recommendation and with previous awareness were reflective of the surgeons' strong influence on their patients. Thus, clarification of surgeons' hypothetical criticisms could conceivably increase the reconstructive surgery rate.

journal_name

Clin Breast Cancer

journal_title

Clinical breast cancer

authors

Ishak A,Yahya MM,Halim AS

doi

10.1016/j.clbc.2018.04.012

subject

Has Abstract

pub_date

2018-10-01 00:00:00

pages

e1011-e1021

issue

eissn

1526-8209

issn

1938-0666

pii

S1526-8209(18)30158-7

journal_volume

pub_type

杂志文章

在线工具

Breast Reconstruction After Mastectomy: A Survey of Surgeons' and Patients' Perceptions.