Abstract:
INTRODUCTION:Mastectomy patients' satisfaction with reconstructive options has not been examined. METHODS:A national study measured 18-month satisfaction with reconstructive options and collected case-mix and reconstructive offer and uptake data on breast cancer patients having mastectomy with or without immediate reconstruction (IR) in England between January 2008 and March 2009. Multivariable logistic regression examined the relationship between satisfaction, age, IR offer and uptake, and clinical suitability. RESULTS:Of 4796 patients, 1889 were not offered IR, 1489 declined an offer and 1418 underwent it. Women not offered IR were more likely older, obese or smokers and had higher ASA grades, ECOG scores, tumour burdens and adjuvant chemotherapy and radiotherapy likelihoods (9% of lowest suitability group offered IR; 81% in highest suitability group). 83.7% were satisfied with their reconstructive options, varying significantly by IR offer and uptake (76.1% for those not offered IR; 85.8% for those who declined IR; 91.7% following IR). Older women and women deemed more suitable for IR were more often satisfied (p-values <0.001). CONCLUSIONS:Satisfaction varied by offer and uptake status, age and suitability score. Clinicians should target equity for women deemed unsuitable by exploring their needs and desired outcomes, standardising operative fitness assessments and utilising shared decision-making aids.
journal_name
Eur J Cancer Care (Engl)journal_title
European journal of cancer careauthors
Jeevan R,Browne JP,Gulliver-Clarke C,Pereira J,Caddy CM,van der Meulen JHP,Cromwell DAdoi
10.1111/ecc.13362subject
Has Abstractpub_date
2020-11-10 00:00:00pages
e13362eissn
0961-5423issn
1365-2354pub_type
杂志文章abstract::Preparing cancer patients and their families for chemotherapy treatment is difficult. The challenge lies in finding ways to promote self-care and improve their ability to recall instructions. The aim of this study was to evaluate the usefulness of an educational video with regard to patients' ability to recall and rep...
journal_title:European journal of cancer care
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journal_title:European journal of cancer care
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journal_title:European journal of cancer care
pub_type: 杂志文章,评审
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journal_title:European journal of cancer care
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journal_title:European journal of cancer care
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journal_title:European journal of cancer care
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pub_type: 杂志文章,多中心研究
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journal_title:European journal of cancer care
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journal_title:European journal of cancer care
pub_type: 杂志文章
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journal_title:European journal of cancer care
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journal_title:European journal of cancer care
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journal_title:European journal of cancer care
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journal_title:European journal of cancer care
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journal_title:European journal of cancer care
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