Ontology type: schema:ScholarlyArticle Open Access: True
2013-12
AUTHORSDelphine Héquet, Kevin Zarca, Sylvie Dolbeault, Benoît Couturaud, Charlotte Ngô, Virgine Fourchotte, Anne De La Rochefordière, Jean-Guillaume Féron, Alfred Fitoussi, Catherine Bélichard, Fabien Reyal, Fatima Laki, David Hajage, Brigitte Sigal, Bernard Asselain, Séverine Alran, Institut Curie Breast Cancer Group, Roman Rouzier
ABSTRACTBACKGROUND: The aims of the study were to investigate the factors associated with not having breast reconstruction following mastectomy and to assess patient satisfaction with information on reconstruction. PATIENTS AND METHODS: We analysed a historical cohort of 1937 consecutive patients who underwent mastectomy at Institut Curie between January 2004 and February 2007. Their sociodemographic and clinicobiological characteristics were recorded in a prospective database. A questionnaire was sent to 10% of nonreconstructed patients. RESULTS: The proportion of patients with invasive cancer was 82.7%. The rate of nonreconstruction in patients with in situ and invasive cancer was 34.6% and 74.9%, respectively. On multivariate analysis, only employment outside the home was associated with reconstruction in patients with in situ cancer (p < 0.001). In patients with invasive cancer, employment status (p < 0.001) and smoking (p = 0.045) were associated with reconstruction, while age > 50, ASA score >1, radiotherapy (p < 0.0001) and metastatic status (p = 0.018) were associated with nonreconstruction. For 80% of questionnaire responders, nonreconstruction was a personal choice, mainly for the following reasons: refusal of further surgery, acceptance of body asymmetry, risk of complications and advanced age. Information on reconstruction was entirely unsatisfactory or inadequate for 62% of patients. CONCLUSION: Better understanding the factors that influence decision of nonreconstruction can help us adapt the information to serve the patient's personal needs. More... »
PAGES325
http://scigraph.springernature.com/pub.10.1186/2193-1801-2-325
DOIhttp://dx.doi.org/10.1186/2193-1801-2-325
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