Patient-reported outcome after oncoplastic breast surgery compared with conventional breast-conserving surgery in breast cancer
(2020) In Breast Cancer Research and Treatment 180(1). p.247-256- Abstract
Introduction: Oncoplastic breast surgery (OBS) has developed as an extension of breast-conserving surgery (BCS) in an effort to improve esthetic and functional outcome following surgery for breast cancer. The aim of the present study was to evaluate the possible benefits of OBS, as compared with BCS, with regard to health-related quality of life (HRQoL), using patient-reported outcome measures (PROMs). Patients and methods: Patients treated with OBS (n = 200) and BCS (n = 1304) in the period 1 January 2008 to 31 December 2013 were identified in a research database and in the Danish Breast Cancer Cooperative Group (DBCG) registry. Data on patient, tumor, and treatment characteristics were retrieved from the DBCG registry. Patients were... (More)
Introduction: Oncoplastic breast surgery (OBS) has developed as an extension of breast-conserving surgery (BCS) in an effort to improve esthetic and functional outcome following surgery for breast cancer. The aim of the present study was to evaluate the possible benefits of OBS, as compared with BCS, with regard to health-related quality of life (HRQoL), using patient-reported outcome measures (PROMs). Patients and methods: Patients treated with OBS (n = 200) and BCS (n = 1304) in the period 1 January 2008 to 31 December 2013 were identified in a research database and in the Danish Breast Cancer Cooperative Group (DBCG) registry. Data on patient, tumor, and treatment characteristics were retrieved from the DBCG registry. Patients were sent a survey including the Breast-Q™ BCT postoperative module and a study-specific questionnaire (SSQ) in 2016. A good outcome in the Breast-Q module was defined as above the median. OBS was compared to BCS using a logistic regression analysis, and then adjusted for potential confounders, yielding odds ratios (OR) with 95% confidence intervals. Results: There was a statistically significant better outcome considering the HRQoL domain “Psychosocial Well-being “ for patients treated with OBS as compared with BCS (OR 2.15: 1.25–3.69). No statistically significant differences were found for the domains “Physical Well-being” (0.83: 0.50–1.39), “Satisfaction with Breast” (0.95: 0.57–1.59), or “Sexual Well-being” (1.42: 0.78–2.58). Conclusion: The present study indicates better outcomes of HRQoL for breast cancer patients treated with OBS as compared to patients treated with BCS. There was no increase in physical discomfort among OBS patients despite more extensive surgery.
(Less)
- author
- Rose, Michael LU ; Svensson, Henry LU ; Handler, Jürgen ; Hoyer, Ute ; Ringberg, Anita LU and Manjer, Jonas LU
- organization
- publishing date
- 2020-02
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Breast cancer, Breast conserving surgery, Breast-Q, Oncoplastic breast surgery, Patient-reported outcome
- in
- Breast Cancer Research and Treatment
- volume
- 180
- issue
- 1
- pages
- 10 pages
- publisher
- Springer
- external identifiers
-
- pmid:31989380
- scopus:85078437601
- ISSN
- 0167-6806
- DOI
- 10.1007/s10549-020-05544-2
- language
- English
- LU publication?
- yes
- id
- 6f23d994-1f31-4443-b986-512b7b3d3bd8
- date added to LUP
- 2020-02-10 09:23:13
- date last changed
- 2024-11-15 01:39:52
@article{6f23d994-1f31-4443-b986-512b7b3d3bd8,
abstract = {{<p>Introduction: Oncoplastic breast surgery (OBS) has developed as an extension of breast-conserving surgery (BCS) in an effort to improve esthetic and functional outcome following surgery for breast cancer. The aim of the present study was to evaluate the possible benefits of OBS, as compared with BCS, with regard to health-related quality of life (HRQoL), using patient-reported outcome measures (PROMs). Patients and methods: Patients treated with OBS (n = 200) and BCS (n = 1304) in the period 1 January 2008 to 31 December 2013 were identified in a research database and in the Danish Breast Cancer Cooperative Group (DBCG) registry. Data on patient, tumor, and treatment characteristics were retrieved from the DBCG registry. Patients were sent a survey including the Breast-Q™ BCT postoperative module and a study-specific questionnaire (SSQ) in 2016. A good outcome in the Breast-Q module was defined as above the median. OBS was compared to BCS using a logistic regression analysis, and then adjusted for potential confounders, yielding odds ratios (OR) with 95% confidence intervals. Results: There was a statistically significant better outcome considering the HRQoL domain “Psychosocial Well-being “ for patients treated with OBS as compared with BCS (OR 2.15: 1.25–3.69). No statistically significant differences were found for the domains “Physical Well-being” (0.83: 0.50–1.39), “Satisfaction with Breast” (0.95: 0.57–1.59), or “Sexual Well-being” (1.42: 0.78–2.58). Conclusion: The present study indicates better outcomes of HRQoL for breast cancer patients treated with OBS as compared to patients treated with BCS. There was no increase in physical discomfort among OBS patients despite more extensive surgery.</p>}},
author = {{Rose, Michael and Svensson, Henry and Handler, Jürgen and Hoyer, Ute and Ringberg, Anita and Manjer, Jonas}},
issn = {{0167-6806}},
keywords = {{Breast cancer; Breast conserving surgery; Breast-Q; Oncoplastic breast surgery; Patient-reported outcome}},
language = {{eng}},
number = {{1}},
pages = {{247--256}},
publisher = {{Springer}},
series = {{Breast Cancer Research and Treatment}},
title = {{Patient-reported outcome after oncoplastic breast surgery compared with conventional breast-conserving surgery in breast cancer}},
url = {{http://dx.doi.org/10.1007/s10549-020-05544-2}},
doi = {{10.1007/s10549-020-05544-2}},
volume = {{180}},
year = {{2020}},
}