Patient-reported outcomes in bilateral prophylactic mastectomy with breast reconstruction: A narrative review

In women at high risk of developing breast cancer, bilateral prophylactic mastectomy (BPM) 1 significantly reduces the risk; simultaneously, breast reconstruction preserves body integrity. Given the complex and personal nature of such surgical procedures, patient assessment of satisfaction and healt...

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Main Authors: Pavla Ticha, Andrej Sukop
Format: Article
Language:English
Published: Elsevier 2024-02-01
Series:Breast
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0960977623007282
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author Pavla Ticha
Andrej Sukop
author_facet Pavla Ticha
Andrej Sukop
author_sort Pavla Ticha
collection DOAJ
description In women at high risk of developing breast cancer, bilateral prophylactic mastectomy (BPM) 1 significantly reduces the risk; simultaneously, breast reconstruction preserves body integrity. Given the complex and personal nature of such surgical procedures, patient assessment of satisfaction and health-related quality of life (HRQoL) 2 is essential in evaluation of surgical outcomes.With this review, we aim to organize the current knowledge on patient-reported outcomes (PROs) 3 in bilateral prophylactic surgery. Literature search was conducted using the databases Google Scholar, PubMed, and Web of Science to address the following questions, which can help clinicians and women undergoing the procedures navigate their healthcare decision-making process: How does BPM with reconstruction influence cancer-related distress? How does the surgery impact patient satisfaction and HRQoL? How do preoperative PROs differ from postoperative outcomes? Does the type of BPM and the type of reconstruction impact patient satisfaction and HRQoL? Furthermore, we summarize available patient-reported outcome measures (PROMs) 4 that can be administered to women undergoing BPM with reconstruction. In addition, we discuss possible future directions for PRO research in prophylactic breast surgery.
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spelling doaj.art-b230c3aad2bc4115af0b98a28ad08ad72024-02-24T04:54:27ZengElsevierBreast1532-30802024-02-0173103602Patient-reported outcomes in bilateral prophylactic mastectomy with breast reconstruction: A narrative reviewPavla Ticha0Andrej Sukop1Corresponding author.; Department of Plastic Surgery, Kralovske Vinohrady University Hospital and Third Faculty of Medicine, Charles University, Srobarova 50, 10034, Praha 10, Czech RepublicDepartment of Plastic Surgery, Kralovske Vinohrady University Hospital and Third Faculty of Medicine, Charles University, Srobarova 50, 10034, Praha 10, Czech RepublicIn women at high risk of developing breast cancer, bilateral prophylactic mastectomy (BPM) 1 significantly reduces the risk; simultaneously, breast reconstruction preserves body integrity. Given the complex and personal nature of such surgical procedures, patient assessment of satisfaction and health-related quality of life (HRQoL) 2 is essential in evaluation of surgical outcomes.With this review, we aim to organize the current knowledge on patient-reported outcomes (PROs) 3 in bilateral prophylactic surgery. Literature search was conducted using the databases Google Scholar, PubMed, and Web of Science to address the following questions, which can help clinicians and women undergoing the procedures navigate their healthcare decision-making process: How does BPM with reconstruction influence cancer-related distress? How does the surgery impact patient satisfaction and HRQoL? How do preoperative PROs differ from postoperative outcomes? Does the type of BPM and the type of reconstruction impact patient satisfaction and HRQoL? Furthermore, we summarize available patient-reported outcome measures (PROMs) 4 that can be administered to women undergoing BPM with reconstruction. In addition, we discuss possible future directions for PRO research in prophylactic breast surgery.http://www.sciencedirect.com/science/article/pii/S0960977623007282Hereditary breast cancerBilateral prophylactic mastectomyBreast reconstructionHealth-related quality of lifePatient-reported outcomesSatisfaction
spellingShingle Pavla Ticha
Andrej Sukop
Patient-reported outcomes in bilateral prophylactic mastectomy with breast reconstruction: A narrative review
Breast
Hereditary breast cancer
Bilateral prophylactic mastectomy
Breast reconstruction
Health-related quality of life
Patient-reported outcomes
Satisfaction
title Patient-reported outcomes in bilateral prophylactic mastectomy with breast reconstruction: A narrative review
title_full Patient-reported outcomes in bilateral prophylactic mastectomy with breast reconstruction: A narrative review
title_fullStr Patient-reported outcomes in bilateral prophylactic mastectomy with breast reconstruction: A narrative review
title_full_unstemmed Patient-reported outcomes in bilateral prophylactic mastectomy with breast reconstruction: A narrative review
title_short Patient-reported outcomes in bilateral prophylactic mastectomy with breast reconstruction: A narrative review
title_sort patient reported outcomes in bilateral prophylactic mastectomy with breast reconstruction a narrative review
topic Hereditary breast cancer
Bilateral prophylactic mastectomy
Breast reconstruction
Health-related quality of life
Patient-reported outcomes
Satisfaction
url http://www.sciencedirect.com/science/article/pii/S0960977623007282
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