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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 (TM)

Artikel i vetenskaplig tidskrift
Författare C. Dahlback
Jenny Heiman Ullmark
M. Rehn
A. Ringberg
J. Manjer
Publicerad i Breast Cancer Research and Treatment
Volym 164
Nummer/häfte 3
Sidor 679-687
ISSN 0167-6806
Publiceringsår 2017
Publicerad vid Institutionen för kliniska vetenskaper, sektionen för kirurgi och kirurgisk gastroforskning, Avdelningen för kirurgi
Sidor 679-687
Språk English
Länkar doi.org/10.1007/s10549-017-4306-5
Ämnesord Breast-conserving therapy, BCCT.core, BREAST-Q, Aesthetic result, Health-related quality of life, cancer conservative treatment, no boost trial, patient satisfaction, eortc boost, surgery, reconstruction, outcomes, module, Oncology, ylor me, 1995, international journal of radiation oncology biology physics, v31, p753, rombeck jo, 1986, annals of plastic surgery, v17, p498
Ämneskategorier Plastikkirurgi, Cancer och onkologi

Sammanfattning

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 (TM), a validated questionnaire. 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 (TM) 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 (TM) questionnaires available. 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 (TM) 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)]. A statistically significant association between BCCT.core results one year after BCT and quality of life ratings using BREAST-Q (TM) 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.

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