Effect of standardised surgical assessment and shared decision-making on morbidity and patient satisfaction after breast conserving therapy: A cross-sectional study

↓ Direkt till sidans innehåll
↓ Direkt till sidans sekundära innehåll (sidomenyn)

Sökning: WFRF:(Öberg Johanna) > Effect of standardi...

Aristokleous, IlianaUppsala universitet,Plastikkirurgi,Uppsala Univ Hosp, Dept Surg, Endocrine and Breast Unit, S-75237 Uppsala, Sweden. (författare)

Effect of standardised surgical assessment and shared decision-making on morbidity and patient satisfaction after breast conserving therapy : A cross-sectional study

Artikel/kapitelEngelska2023

Förlag, utgivningsår, omfång ...

Elsevier,2023
electronicrdacarrier

Nummerbeteckningar

LIBRIS-ID:oai:DiVA.org:uu-507908
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-507908URI
https://doi.org/10.1016/j.ejso.2022.08.021DOI

Kompletterande språkuppgifter

Språk:engelska
Sammanfattning på:engelska

Ingår i deldatabas

SwePubSwePub

Klassifikation

Ämneskategori:ref swepub-contenttype
Ämneskategori:art swepub-publicationtype

Anmärkningar

De två första författarna delar förstaförfattarskapet.
Background: The role of oncoplastic breast conserving therapy (OPBCT) on physical function, morbidity and patient satisfaction has yet to be defined. Additionally, technique selection should be individualised and incorporate patient preference. The study aim was to investigate differences between "standard" (sBCT) and oncoplastic breast conservation (OPBCT) in patient-reported outcomes (PROs) when patients have been assessed in a standardised manner and technique selection has been reached through shared decision-making (SDM).Methods: This is a cross-sectional study of 215 women treated at a tertiary referral centre. Standardised surgical assessment included breast and lesion volumetry, definition of resection ratio, patient-related risk factors and patient preference. Postoperative morbidity and patient satisfaction were assessed by validated PROs tools (Diseases of the Arm, Shoulder and Hand-DASH and Breast-Q). Patient experience was assessed by semi-structured interviews.Results: There was no difference of the median values between OPBCT and sBCT in postoperative morbidity of the upper extremity (DASH 3.3 vs 5, p = 0.656) or the function of the chest wall (Breast-Q 82 vs 82, p = 0.758). Postoperative satisfaction with breasts did not differ either (Breast-Q 65 vs 61, p = 0.702). On the individual level, women that opted for OPBCT after SDM had improved satisfaction when compared to baseline (+3 vs -1, p = 0.001). Shared decision-making changed patient attitude in 69.8% of patients, leading most often to de-escalation from mastectomy.Conclusions: These findings support that a combination of standardised surgical assessment and SDM allows for tailored treatment and de-escalation of oncoplastic surgery without negatively affecting patient satisfaction and morbidity.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kirurgi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Surgery hsv//eng
Breast cancer
Breast conservation
Upper -extremity morbidity
Patient -reported outcomes
Patient experience
Shared decision -making
Oncoplastic surgery

Biuppslag (personer, institutioner, konferenser, titlar ...)

Öberg, JohannaUppsala Univ Hosp, Dept Surg, Endocrine and Breast Unit, S-75237 Uppsala, Sweden.;Uppsala Univ, Fac Med, Dept Surg Sci, S-75236 Uppsala, Sweden. (författare)
Pantiora, EiriniUppsala universitet,Endokrinkirurgi,Uppsala Univ Hosp, Dept Surg, Endocrine and Breast Unit, S-75237 Uppsala, Sweden.(Swepub:uu)eirpa377 (författare)
Sjökvist, OliviaUppsala universitet,Plastikkirurgi,Uppsala Univ Hosp, Dept Plast & Maxillofacial Surg, S-75237 Uppsala, Sweden.(Swepub:uu)olisj248 (författare)
Navia, Jaime E.Uppsala universitet,Institutionen för kirurgiska vetenskaper,Uppsala Univ Hosp, Dept Surg, Endocrine and Breast Unit, S-75237 Uppsala, Sweden. (författare)
Mani, MariaUppsala universitet,Plastikkirurgi,Uppsala Univ Hosp, Dept Plast & Maxillofacial Surg, S-75237 Uppsala, Sweden.(Swepub:uu)maman192 (författare)
Karakatsanis, AndreasUppsala universitet,Endokrinkirurgi,Uppsala Univ Hosp, Dept Surg, Endocrine and Breast Unit, S-75237 Uppsala, Sweden.(Swepub:uu)andka774 (författare)
Uppsala universitetPlastikkirurgi (creator_code:org_t)

Sammanhörande titlar

Ingår i:European Journal of Surgical Oncology: Elsevier49:1, s. 60-670748-79831532-2157

Internetlänk

Hitta via bibliotek

European Journal of Surgical Oncology (Sök värdpublikationen i LIBRIS)

Till lärosätets databas

Hitta mer i SwePub

Av författaren/redakt...: Aristokleous, Il ...; Öberg, Johanna; Pantiora, Eirini; Sjökvist, Olivia; Navia, Jaime E.; Mani, Maria; visa fler...; Karakatsanis, An ...; visa färre...

Om ämnet

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Kirurgi

Artiklar i publikationen: European Journal ...

Av lärosätet: Uppsala universitet

Sök utanför SwePub

Sök vidare i:: Google; Google Book Search; Google Scholar

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

LIBRIS.kb.se