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Outcomes of Different Quality of Life Assessment Modalities After Breast Cancer Therapy : A Network Meta-analysis

Kastora, Stavroula Lila (författare)
University College London, UCL EGA Institute for Women's Health, London, United Kingdom; School of Medicine, Medical Sciences and Nutrition, University of Aberdeen, Aberdeen, United Kingdom,UCL, UCL EGA Inst forWomens Hlth, London, England.;Univ Aberdeen, Sch Med Med Sci & Nutr, Aberdeen, Scotland.
Holmquist, Alexander (författare)
Uppsala universitet,Institutionen för kirurgiska vetenskaper
Valachis, Antonios, 1984- (författare)
Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Oncology,Örebro Univ, Fac Med & Hlth, Örebro, Sweden.
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Rocco, Nicola (författare)
Department of Advanced Biomedical Sciences, University of Naples Federico II, Naples, Italy; G.RE.T.A. Group for Reconstructive and Therapeutic Advancements, Milan, Naples, and Catania, Italy,Univ Naples Federico II, Dept Adv Biomed Sci, Naples, Italy.;GRETA Grp Reconstruct & Therapeut Adv, Milan, Italy.;GRETA Grp Reconstruct & Therapeut Adv, Naples, Italy.;GRETA Grp Reconstruct & Therapeut Adv, Catania, Italy.
Meattini, Icro (författare)
Department of Experimental and Clinical Biomedical Sciences M. Serio, University of Florence, Florence, Italy; Radiation Oncology Unit, Oncology Department, Florence University Hospital, Florence, Italy,Univ Florence, Dept Expt & Clin Biomed Sci M Serio, Florence, Italy.;Florence Univ Hosp, Oncol Dept, Radiat Oncol Unit, Florence, Italy.
Somaiah, Navita (författare)
Division of Radiotherapy and Imaging, Institute of Cancer Research, London, United Kingdom,Inst Canc Res, Div Radiotherapy & Imaging, London, England.
Peled, Anne (författare)
Sutter Health California Pacific Medical Center, San Francisco, USA,Sutter Hlth Calif Pacific Med Ctr, San Francisco, CA USA.
Chatterjee, Abhishek (författare)
Division of Surgical Oncology and Plastic Surgery, Tufts Medical Center, Boston, Massachusetts, USA,Tufts Med Ctr, Div Surg Oncol & Plast Surg, Boston, MA USA.
Catanuto, Giuseppe (författare)
G.RE.T.A. Group for Reconstructive and Therapeutic Advancements, Milan, Naples, and Catania, Italy; Humanitas, Institute Clinico Catanese-Misterbianco, Catania, Italy,GRETA Grp Reconstruct & Therapeut Adv, Milan, Italy.;GRETA Grp Reconstruct & Therapeut Adv, Naples, Italy.;GRETA Grp Reconstruct & Therapeut Adv, Catania, Italy.;Inst Clin Catanese Misterbianco, Humanitas, Misterbianco, Catania, Italy.
Tasoulis, Marios Konstantinos (författare)
Division of Radiotherapy and Imaging, Institute of Cancer Research, London, United Kingdom; Breast Unit, Royal Marsden NHS Foundation Trust, London, United Kingdom,Inst Canc Res, Div Radiotherapy & Imaging, London, England.;Royal Marsden NHS Fdn Trust, Breast Unit, London, England.
Nava, Maurizio Bruno (författare)
Department of Radiation Oncology, Iridium Netwerk, Wilrijk-Antwerpen, Belgium; Faculty of Medicine and Health Sciences, University of Antwerp, Wilrijk-Antwerpen, Belgium
Poortmans, Philip (författare)
Department of Radiation Oncology, Iridium Netwerk, Wilrijk-Antwerpen, Belgium; Faculty of Medicine and Health Sciences, University of Antwerp, Wilrijk-Antwerpen, Belgium,Iridium Netwerk, Dept Radiat Oncol, Wilrijk Antwerpen, Belgium.;Univ Antwerp, Fac Med & Hlth Sci, Wilrijk Antwerpen, Belgium.
Pusic, Andrea (författare)
Division of Plastic and Reconstructive Surgery, Brigham and Women's Hospital, Boston, Massachusetts,Brigham & Womens Hosp, Div Plast & Reconstruct Surg, Boston, MA USA.
Masannat, Yazan (författare)
School of Medicine, Medical Sciences and Nutrition, University of Aberdeen, Aberdeen, United Kingdom; Aberdeen Royal Infirmary, Breast Surgery, NHS Grampian, Aberdeen, United Kingdom,Univ Aberdeen, Sch Med Med Sci & Nutr, Aberdeen, Scotland.;NHS Grampian, Aberdeen Royal Infirm, Breast Surg, Aberdeen, Scotland.
Karakatsanis, Andreas (författare)
Uppsala universitet,Endokrinkirurgi,Section for Breast Surgery, Department of Surgery, Uppsala University Hospital (Akademiska), Uppsala, Sweden
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University College London, UCL EGA Institute for Women's Health, London, United Kingdom; School of Medicine, Medical Sciences and Nutrition, University of Aberdeen, Aberdeen, United Kingdom UCL, UCL EGA Inst forWomens Hlth, London, England;Univ Aberdeen, Sch Med Med Sci & Nutr, Aberdeen, Scotland. (creator_code:org_t)
American Medical Association (AMA), 2023
2023
Engelska.
Ingår i: JAMA Network Open. - : American Medical Association (AMA). - 2574-3805. ; 6:6
Relaterad länk:
https://doi.org/10.1...
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https://uu.diva-port... (primary) (Raw object)
https://urn.kb.se/re...
https://doi.org/10.1...
https://urn.kb.se/re...
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  • Forskningsöversikt (refereegranskat)
Abstract Ämnesord
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  • IMPORTANCE: Improvement in clinical understanding of the priorities of patients with breast cancer (BC) regarding postoperative aesthetic outcomes (AOs) is needed.OBJECTIVE: To assess expert panel and computerized evaluation modalities against patient-reported outcome measures (PROMs), the gold standard of AO assessment, in patients after surgical management of BC.DATA SOURCES: Embase, MEDLINE, PsycINFO, PubMed, the Cochrane Central Register of Controlled Trials, the World Health Organization International Clinical Trials Registry Platform, and ClinicalTrials.gov were interrogated from inception through August 5, 2022. Search terms included breast conserving AND aesthetic outcome AND breast cancer. Ten observational studies were eligible for inclusion, with the earliest date of database collection on December 15, 2022.STUDY SELECTION: Studies with at least 1 pairwise comparison (PROM vs expert panel or PROM vs computerized evaluation with Breast Cancer Conservation Treatment cosmetic results [BCCT.core] software) were considered eligible if they included patients who received BC treatment with curative intent. Studies reporting solely on risk reduction or benign surgical procedures were excluded to ensure transitivity.DATA EXTRACTION AND SYNTHESIS: Two independent reviewers extracted study data with an independent cross-check from a third reviewer. The quality of included observational studies was assessed using the Newcastle-Ottawa Scale, and the level of evidence quality was assessed using the Grading of Recommendations Assessment, Development and Evaluation tool. Confidence in network meta-analysis results was analyzed with the Confidence in Network Meta-analysis semiautomated tool. Effect size was reported using random-effects odds ratios (ORs) and cumulative ratios of ORs with 95% credibility intervals (CrIs).MAIN OUTCOMES AND MEASURES: The primary outcome of this network meta-analysis was modality (expert panel or computer software) discordance from PROMs. Four-point Likert responses across PROMs, expert panel assessment, and BCCT.core evaluation of AOs were assessed.RESULTS: A total of 10 observational studies including 3083 patients (median [IQR] age, 59 [50-60] years; median [range] follow-up, 39.0 [22.5-80.5] months) with reported AOs were assessed and homogenized in 4 distinct Likert response groups (excellent, very good, satisfactory, and bad). Overall network incoherence was low (χ22 = 0.35; P = .83). Overall, panel and software modalities graded AO outcomes worse than PROMs. Specifically, for excellent vs all other responses, the panel to PROM ratio of ORs was 0.30 (95% CrI, 0.17-0.53; I2 = 86%) and the BCCT.core to PROM ratio of ORs was 0.28 (95% CrI, 0.13-0.59; I2 = 95%), while the BCCT.core to panel ratio of ORs was 0.93 (95% CrI, 0.46-1.88; I2 = 88%).CONCLUSIONS AND RELEVANCE: In this study, patients scored AOs higher than both expert panels and computer software. Standardization and supplementation of expert panel and software AO tools with racially, ethnically, and culturally inclusive PROMs is needed to improve clinical evaluation of the journey of patients with BC and to prioritize components of therapeutic outcomes.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Kirurgi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Surgery (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Cancer and Oncology (hsv//eng)

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