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Breast reconstruction patterns from a Swedish nation-wide survey

Unukovych, Dmytro ; Gümüscü, Rojda ; Wärnberg, Fredrik ; de Boniface, Jana ; Eriksen, Catharina ; Sund, Malin ; Nåsell, Petra ; Åhsberg, Kristina LU ; Olofsson, Pia and Lewin, Richard , et al. (2020) In European Journal of Surgical Oncology 46(10). p.1867-1873
Abstract

Objectives: The overall aim of the Swedish Breast Reconstruction Outcome Study was to investigate national long-term outcomes after mastectomy with or without breast reconstruction. The current report evaluates breast reconstruction (BR) patterns in Sweden over time. Materials and methods: This is a cross-sectional, registry-based study where all women operated with mastectomy 2000, 2005, 2010 were identified (N = 5853). Geographical differences in type of BR were investigated using heatmaps. Distribution of continuous variables were compared using the Mann-Whitney U test, categorical variables were compared using the chi-square test. Results: Mean age at survey was 69 years (SD=±11.4) and response rate was 50%, responders were on... (More)

Objectives: The overall aim of the Swedish Breast Reconstruction Outcome Study was to investigate national long-term outcomes after mastectomy with or without breast reconstruction. The current report evaluates breast reconstruction (BR) patterns in Sweden over time. Materials and methods: This is a cross-sectional, registry-based study where all women operated with mastectomy 2000, 2005, 2010 were identified (N = 5853). Geographical differences in type of BR were investigated using heatmaps. Distribution of continuous variables were compared using the Mann-Whitney U test, categorical variables were compared using the chi-square test. Results: Mean age at survey was 69 years (SD=±11.4) and response rate was 50%, responders were on average six years younger than the non-responders and had a more favourable tumor stage (both p < 0.01). Of the 2904 responders, 31% (895/2904) had received a BR: implant-based in 58% (516/895)autologous in 31% (281/895). BR was immediate in 20% (176/895) and delayed in 80% (719/895) women. Women with BR were on average one year older, more often had a normal BMI, reported to be married or had a partner, had a higher educational level and a higher annual income when compared to those without BR (all p < 0.001). The independent factors of not receiving BR were older age and given radiotherapy. Conclusions: To our knowledge, this is the first national long-term follow-up study on women undergoing mastectomy with and without BR. Around 30% of the survey responders have had a BR with a significant geographical variation highlighting the importance of information, availability and standardisation of indications for BR.

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publishing date
type
Contribution to journal
publication status
published
subject
keywords
Breast cancer, National, Outcomes, Quality of life, Reconstruction, Sweden
in
European Journal of Surgical Oncology
volume
46
issue
10
pages
1867 - 1873
publisher
Elsevier
external identifiers
  • scopus:85088121576
  • pmid:32698944
ISSN
0748-7983
DOI
10.1016/j.ejso.2020.04.030
language
English
LU publication?
no
id
fdd3958c-d6b2-4c36-89bf-8e63d1a721ee
date added to LUP
2020-07-30 13:16:42
date last changed
2024-04-03 12:20:47
@article{fdd3958c-d6b2-4c36-89bf-8e63d1a721ee,
  abstract     = {{<p>Objectives: The overall aim of the Swedish Breast Reconstruction Outcome Study was to investigate national long-term outcomes after mastectomy with or without breast reconstruction. The current report evaluates breast reconstruction (BR) patterns in Sweden over time. Materials and methods: This is a cross-sectional, registry-based study where all women operated with mastectomy 2000, 2005, 2010 were identified (N = 5853). Geographical differences in type of BR were investigated using heatmaps. Distribution of continuous variables were compared using the Mann-Whitney U test, categorical variables were compared using the chi-square test. Results: Mean age at survey was 69 years (SD=±11.4) and response rate was 50%, responders were on average six years younger than the non-responders and had a more favourable tumor stage (both p &lt; 0.01). Of the 2904 responders, 31% (895/2904) had received a BR: implant-based in 58% (516/895)autologous in 31% (281/895). BR was immediate in 20% (176/895) and delayed in 80% (719/895) women. Women with BR were on average one year older, more often had a normal BMI, reported to be married or had a partner, had a higher educational level and a higher annual income when compared to those without BR (all p &lt; 0.001). The independent factors of not receiving BR were older age and given radiotherapy. Conclusions: To our knowledge, this is the first national long-term follow-up study on women undergoing mastectomy with and without BR. Around 30% of the survey responders have had a BR with a significant geographical variation highlighting the importance of information, availability and standardisation of indications for BR.</p>}},
  author       = {{Unukovych, Dmytro and Gümüscü, Rojda and Wärnberg, Fredrik and de Boniface, Jana and Eriksen, Catharina and Sund, Malin and Nåsell, Petra and Åhsberg, Kristina and Olofsson, Pia and Lewin, Richard and Lambe, Mats and Brandberg, Yvonne and Folkvaljon, Folke and Mani, Maria}},
  issn         = {{0748-7983}},
  keywords     = {{Breast cancer; National; Outcomes; Quality of life; Reconstruction; Sweden}},
  language     = {{eng}},
  month        = {{05}},
  number       = {{10}},
  pages        = {{1867--1873}},
  publisher    = {{Elsevier}},
  series       = {{European Journal of Surgical Oncology}},
  title        = {{Breast reconstruction patterns from a Swedish nation-wide survey}},
  url          = {{http://dx.doi.org/10.1016/j.ejso.2020.04.030}},
  doi          = {{10.1016/j.ejso.2020.04.030}},
  volume       = {{46}},
  year         = {{2020}},
}