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  • Unukovych, DmytroKarolinska Institutet,Uppsala universitet,Plastikkirurgi,Capio St Görans Hosp, Dept Surg, Stockholm, Sweden,Uppsala Univ, Sweden; Capio St Gorans Hosp, Sweden (author)

Breast reconstruction patterns from a Swedish nation-wide survey

  • Article/chapterEnglish2020

Publisher, publication year, extent ...

  • Elsevier BV,2020
  • printrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:uu-424571
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-424571URI
  • https://doi.org/10.1016/j.ejso.2020.04.030DOI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-176181URI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-170980URI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:144847278URI

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  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • Funding Agencies|Swedish Breast Cancer Organization; Uppsala University Hospital
  • ObjectivesThe overall aim of the Swedish Breast Reconstruction Outcome Study was to investigate national long-term outcomes after mastectomy with or without breast reconstruction. The current report evaluates breast reconstruction (BR) patterns in Sweden over time.Materials and methodsThis is a cross-sectional, registry-based study where all women operated with mastectomy 2000, 2005, 2010 were identified (N = 5853). Geographical differences in type of BR were investigated using heatmaps. Distribution of continuous variables were compared using the Mann-Whitney U test, categorical variables were compared using the chi-square test.ResultsMean age at survey was 69 years (SD=±11.4) and response rate was 50%, responders were on average six years younger than the non-responders and had a more favourable tumor stage (both p < 0.01). Of the 2904 responders, 31% (895/2904) had received a BR: implant-based in 58% (516/895)autologous in 31% (281/895). BR was immediate in 20% (176/895) and delayed in 80% (719/895) women.Women with BR were on average one year older, more often had a normal BMI, reported to be married or had a partner, had a higher educational level and a higher annual income when compared to those without BR (all p < 0.001). The independent factors of not receiving BR were older age and given radiotherapy.ConclusionsTo our knowledge, this is the first national long-term follow-up study on women undergoing mastectomy with and without BR. Around 30% of the survey responders have had a BR with a significant geographical variation highlighting the importance of information, availability and standardisation of indications for BR.

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  • Gümüscü, RojdaUppsala universitet,Plastikkirurgi,Uppsala Univ, Sweden(Swepub:uu)rojgu356 (author)
  • Wärnberg, FredrikUppsala universitet,Endokrinkirurgi,Uppsala Univ, Sweden(Swepub:uu)fredwarn (author)
  • de Boniface, JanaKarolinska Institutet (author)
  • Eriksen, CatharinaSouthern Gen Hosp, Dept Clin Sci & Educ, Stockholm, Sweden (author)
  • Sund, MalinUmeå universitet,Kirurgi,Umeå Univ, Dept Surg & Perioperat Sci Surg, Umeå, Sweden(Swepub:umu)masu0021 (author)
  • Nåsell, PetraCapio St Görans Hosp, Dept Surg, Stockholm, Sweden (author)
  • Åhsberg, KristinaSkåne Univ Hosp, Dept Breast & Melanoma Surg, Lund, Sweden (author)
  • Olofsson, PiaLinköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Region Östergötland, Hand- och plastikkirurgiska kliniken US(Swepub:liu)piaol21 (author)
  • Lewin, RichardSahlgrenska Akad, Dept Plast Surg, Clin Sci, Gothenburg, Sweden (author)
  • Lambe, MatsKarolinska Institutet (author)
  • Brandberg, YvonneKarolinska Institutet (author)
  • Folkvaljon, FolkeUppsala universitet,Plastikkirurgi,Uppsala Univ, Sweden (author)
  • Mani, MariaUppsala universitet,Plastikkirurgi,Uppsala Univ, Sweden(Swepub:uu)maman192 (author)
  • Uppsala universitetPlastikkirurgi (creator_code:org_t)

Related titles

  • In:European Journal of Surgical Oncology: Elsevier BV46:10, s. 1867-18730748-79831532-2157

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