Search: id:"swepub:oai:DiVA.org:uu-424571" >
Breast reconstructi...
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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 ...
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Elsevier BV,2020
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printrdacarrier
Numbers
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LIBRIS-ID:oai:DiVA.org:uu-424571
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-424571URI
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https://doi.org/10.1016/j.ejso.2020.04.030DOI
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https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-176181URI
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https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-170980URI
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http://kipublications.ki.se/Default.aspx?queryparsed=id:144847278URI
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Language:English
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Summary in:English
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
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Funding Agencies|Swedish Breast Cancer Organization; Uppsala University Hospital
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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
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Wärnberg, FredrikUppsala universitet,Endokrinkirurgi,Uppsala Univ, Sweden(Swepub:uu)fredwarn
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de Boniface, JanaKarolinska Institutet
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Eriksen, CatharinaSouthern Gen Hosp, Dept Clin Sci & Educ, Stockholm, Sweden
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Sund, MalinUmeå universitet,Kirurgi,Umeå Univ, Dept Surg & Perioperat Sci Surg, Umeå, Sweden(Swepub:umu)masu0021
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Nåsell, PetraCapio St Görans Hosp, Dept Surg, Stockholm, Sweden
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Åhsberg, KristinaSkåne Univ Hosp, Dept Breast & Melanoma Surg, Lund, Sweden
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Olofsson, PiaLinköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Region Östergötland, Hand- och plastikkirurgiska kliniken US(Swepub:liu)piaol21
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Lewin, RichardSahlgrenska Akad, Dept Plast Surg, Clin Sci, Gothenburg, Sweden
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Lambe, MatsKarolinska Institutet
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Brandberg, YvonneKarolinska Institutet
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Folkvaljon, FolkeUppsala universitet,Plastikkirurgi,Uppsala Univ, Sweden
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Mani, MariaUppsala universitet,Plastikkirurgi,Uppsala Univ, Sweden(Swepub:uu)maman192
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Uppsala universitetPlastikkirurgi
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In:European Journal of Surgical Oncology: Elsevier BV46:10, s. 1867-18730748-79831532-2157
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Gümüscü, Rojda
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Sund, Malin
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Nåsell, Petra
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