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Patient reported outcomes of autologous fat grafting after breast cancer surgery

Brown, A.W.W. ; Kabir, M. ; Sherman, K.A. ; Meybodi, F. ; French, J.R. ; Elder, E.B.

The Breast, 10/2017, Vol.35, C, pp.14-20 [Tạp chí có phản biện]

ISSN: 09609776 ; DOI: http://dx.doi.org/10.1016/j.breast.2017.06.006

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  • Nhan đề:
    Patient reported outcomes of autologous fat grafting after breast cancer surgery
  • Tác giả: Brown, A.W.W. ; Kabir, M. ; Sherman, K.A. ; Meybodi, F. ; French, J.R. ; Elder, E.B.
  • Chủ đề: Breast Cancer – Patient Outcomes
  • Là 1 phần của: The Breast, 10/2017, Vol.35, C, pp.14-20
  • Mô tả: To access, purchase, authenticate, or subscribe to the full-text of this article, please visit this link: http://dx.doi.org/10.1016/j.breast.2017.06.006 Byline: A.W.W. Brown [alexbrown79@me.com] (*), M. Kabir, K.A. Sherman, F. Meybodi, J.R. French, E.B. Elder Keywords Patient reported outcome measures; Breast cancer; Breast reconstruction; Lipofilling; Fat grafting Highlights * First study to use BREAST-Q for fat grafting after BCS or immediate reconstruction. * Good patient satisfaction even with low volumes of fat transferred. * No difference observed in irradiated patients. * Higher number of fat grafting sessions correlated with greater patient satisfaction. Abstract Introduction Autologous fat grafting (AFG) can be used as an adjunct in breast cancer surgery to improve contour defects. Few previous studies have assessed patient reported outcomes (PROs) for AFG. This study analysed AFG use and assessed PROs in terms of physical and psychosocial well-being. Materials and methods All patients undergoing AFG were identified from a prospective database and asked to complete the validated BREAST-Q questionnaire and a tool to assess patient-perceived change after AFG (5-point Likert-type scale). Descriptive statistics were computed for all BREAST-Q and perceived change subscales. Independent sample t-tests were conducted to compare scores on each of the BREAST-Q and perceived change subscales by type of breast cancer surgery and radiotherapy status. Results 156 AFG sessions were performed over 4 years on 119 breasts in 88 patients. Fifty-seven patients received AFG after reconstruction and 19 after breast conserving surgery. Forty-six patients (52%) completed the questionnaire. BREAST-Q scores (out of 100) and patient-perceived change after AFG (out of 5) were respectively: 54 and 4.0 for Breast satisfaction, 69 and 3.3 for Physical well-being and 60 and 3.6 for Psychosocial well-being. Radiotherapy status and type of surgery made little difference. Number of AFG procedures positively correlated with perceived improvement. Discussion Autologous fat grafting was associated with improved patient satisfaction despite small volumes transferred. BREAST-Q scores were comparable with previously published series on reconstructive breast surgery. Perceived change after AFG was no different in patients receiving radiotherapy. Abbreviations AFG, Autologous fat grafting; PROs, Patient reported outcomes; BCS, Breast conservation surgery; DTI, Direct to implant Author Affiliation: Westmead Breast Cancer Institute, Sydney, Australia * Corresponding author. Article History: Received 22 December 2016; Revised 7 May 2017; Accepted 10 June 2017
  • Ngôn ngữ: English
  • Số nhận dạng: ISSN: 09609776 ; DOI: http://dx.doi.org/10.1016/j.breast.2017.06.006

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