Aesthetic result after breast-conserving therapy is associated with quality of life several years after treatment. Swedish women evaluated with BCCT.core and BREAST-Q™
(2017) In Breast Cancer Research and Treatment 164(3). p.679-687- Abstract
Purpose: A gold standard for evaluation of aesthetic outcome after breast-conserving therapy (BCT) is still lacking. The BCCT.core software has been developed to assess aesthetic result in a standardised way. We aimed to study how the result of BCCT.core after BCT is associated with quality of life, measured with the BREAST-Q™, a validated questionnaire. Methods: Women eligible for BCT were consecutively recruited between February 1st 2008 and January 31st 2012 (n = 653). Photographs of 310 women, taken one year after BCT, were evaluated using the BCCT.core software. The postoperative BCT module of the BREAST-Q™ questionnaire was administered by mail and 348 questionnaires were returned (median 5.5 years after BCT). In all, 216 women... (More)
Purpose: A gold standard for evaluation of aesthetic outcome after breast-conserving therapy (BCT) is still lacking. The BCCT.core software has been developed to assess aesthetic result in a standardised way. We aimed to study how the result of BCCT.core after BCT is associated with quality of life, measured with the BREAST-Q™, a validated questionnaire. Methods: Women eligible for BCT were consecutively recruited between February 1st 2008 and January 31st 2012 (n = 653). Photographs of 310 women, taken one year after BCT, were evaluated using the BCCT.core software. The postoperative BCT module of the BREAST-Q™ questionnaire was administered by mail and 348 questionnaires were returned (median 5.5 years after BCT). In all, 216 women had both BCCT.core results and completed BREAST-Q™ questionnaires available. Results: The results from the BCCT.core evaluation were: excellent n = 49 (15.8%); good n = 178 (57.4%); fair n = 73 (23.5%); poor n = 10 (3.2%). The median BREAST-Q™ score for satisfaction with breasts was 66 [interquartile range (IQR) 57–80] and for psychosocial well-being 82 (IQR 61–100). Poor/fair results on BCCT.core were associated with Q-scores below median for both satisfaction with breasts [odds ratio (OR) 3.4 (confidence interval (CI) 1.7–6.8)] as well as for psychosocial well-being [OR 2.2 (CI 1.1–4.2)]. Conclusions: A statistically significant association between BCCT.core results one year after BCT and quality of life ratings using BREAST-Q™ several years later is shown in this study. This implies that the BCCT.core may be valuable in BCT follow-up and used as a standardised instrument in the evaluation of aesthetic results.
(Less)
- author
- Dahlbäck, Cecilia LU ; Ullmark, Jenny Heiman ; Rehn, Martin LU ; Ringberg, Anita LU and Manjer, Jonas LU
- organization
- publishing date
- 2017-05-23
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Aesthetic result, BCCT.core, Breast-conserving therapy, BREAST-Q, Health-related quality of life
- in
- Breast Cancer Research and Treatment
- volume
- 164
- issue
- 3
- pages
- 679 - 687
- publisher
- Springer
- external identifiers
-
- scopus:85019883876
- pmid:28536951
- wos:000404777500017
- ISSN
- 0167-6806
- DOI
- 10.1007/s10549-017-4306-5
- language
- English
- LU publication?
- yes
- id
- bfd96c74-e228-4ad1-8091-e41783742a15
- date added to LUP
- 2017-06-30 14:17:33
- date last changed
- 2024-06-10 21:54:48
@article{bfd96c74-e228-4ad1-8091-e41783742a15,
abstract = {{<p>Purpose: A gold standard for evaluation of aesthetic outcome after breast-conserving therapy (BCT) is still lacking. The BCCT.core software has been developed to assess aesthetic result in a standardised way. We aimed to study how the result of BCCT.core after BCT is associated with quality of life, measured with the BREAST-Q™, a validated questionnaire. Methods: Women eligible for BCT were consecutively recruited between February 1st 2008 and January 31st 2012 (n = 653). Photographs of 310 women, taken one year after BCT, were evaluated using the BCCT.core software. The postoperative BCT module of the BREAST-Q™ questionnaire was administered by mail and 348 questionnaires were returned (median 5.5 years after BCT). In all, 216 women had both BCCT.core results and completed BREAST-Q™ questionnaires available. Results: The results from the BCCT.core evaluation were: excellent n = 49 (15.8%); good n = 178 (57.4%); fair n = 73 (23.5%); poor n = 10 (3.2%). The median BREAST-Q™ score for satisfaction with breasts was 66 [interquartile range (IQR) 57–80] and for psychosocial well-being 82 (IQR 61–100). Poor/fair results on BCCT.core were associated with Q-scores below median for both satisfaction with breasts [odds ratio (OR) 3.4 (confidence interval (CI) 1.7–6.8)] as well as for psychosocial well-being [OR 2.2 (CI 1.1–4.2)]. Conclusions: A statistically significant association between BCCT.core results one year after BCT and quality of life ratings using BREAST-Q™ several years later is shown in this study. This implies that the BCCT.core may be valuable in BCT follow-up and used as a standardised instrument in the evaluation of aesthetic results.</p>}},
author = {{Dahlbäck, Cecilia and Ullmark, Jenny Heiman and Rehn, Martin and Ringberg, Anita and Manjer, Jonas}},
issn = {{0167-6806}},
keywords = {{Aesthetic result; BCCT.core; Breast-conserving therapy; BREAST-Q; Health-related quality of life}},
language = {{eng}},
month = {{05}},
number = {{3}},
pages = {{679--687}},
publisher = {{Springer}},
series = {{Breast Cancer Research and Treatment}},
title = {{Aesthetic result after breast-conserving therapy is associated with quality of life several years after treatment. Swedish women evaluated with BCCT.core and BREAST-Q™}},
url = {{http://dx.doi.org/10.1007/s10549-017-4306-5}},
doi = {{10.1007/s10549-017-4306-5}},
volume = {{164}},
year = {{2017}},
}