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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004086naa a2200349 4500
001oai:lup.lub.lu.se:5636995a-5839-485c-ae10-a96981acf43e
003SwePub
008190724s2019 | |||||||||||000 ||eng|
024a https://lup.lub.lu.se/record/5636995a-5839-485c-ae10-a96981acf43e2 URI
024a https://doi.org/10.1186/s12957-019-1640-62 DOI
040 a (SwePub)lu
041 a engb eng
042 9 SwePub
072 7a art2 swepub-publicationtype
072 7a ref2 swepub-contenttype
100a Gardfjell, Annau Blekinge Hospital4 aut0 (Swepub:lu)an0004ga
2451 0a Patient satisfaction after unilateral oncoplastic volume displacement surgery for breast cancer, evaluated with the BREAST-Q™
264 c 2019-06-05
264 1b Springer Science and Business Media LLC,c 2019
520 a Background: Oncoplastic breast-conserving surgery allows larger resections in unfavorable locations, with an improved chance of preserving esthetics. Indications and timing for potential contralateral surgery to obtain symmetry are not clear. The aim of this study was to evaluate patient satisfaction after unilateral oncoplastic volume displacement surgery, to investigate potential risk factors for lower patient satisfaction and to assess patient wish for contralateral surgery. Method: A cohort of 144 women, consecutively treated for breast cancer with unilateral breast-conserving oncoplastic volume displacement surgery, followed by radiotherapy and with an unoperated contralateral breast, was sent the BREAST-Q™ breast-conserving therapy (BCT) and a study-specific questionnaire. In all, 120 women (83%) responded. For these women, the median value for resected specimen weight was 92 g (range 14-345) and for the estimated percentage of the breast volume excised 15% (range 3-35%). Results: The median patient-reported score for "Satisfaction with breast" (BREAST-Q™ BCT) was 74/100. Factors associated with a score below median value in a simple logistic regression model adjusted for age and BMI were axillary clearance (OR 2.46, 95% CI 1.09-5.56), neoadjuvant chemotherapy (OR 3.26, 95% CI 1.15-9.24), and low breast density (OR 2.32 95% CI 1.02-5.29). Thirteen women (11%) were interested in contralateral surgery. Conclusion: Most patients in this study cohort, who had undergone breast-conserving therapy with oncoplastic volume displacement techniques, were satisfied with their breasts without surgery to the contralateral breast. This indicates that contralateral surgery to achieve symmetry only should be performed after individual evaluation and as a delayed procedure.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kirurgi0 (SwePub)302122 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Surgery0 (SwePub)302122 hsv//eng
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Cancer och onkologi0 (SwePub)302032 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Cancer and Oncology0 (SwePub)302032 hsv//eng
700a Dahlbäck, Ceciliau Lund University,Lunds universitet,Kirurgi,Forskargrupper vid Lunds universitet,Surgery,Lund University Research Groups,Skåne University Hospital4 aut0 (Swepub:lu)med-cdk
700a Åhsberg, Kristinau Lund University,Lunds universitet,Kirurgi, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Bröstcancerkirurgi,Forskargrupper vid Lunds universitet,Surgery (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine,Breast Cancer Surgery,Lund University Research Groups,Skåne University Hospital4 aut0 (Swepub:lu)kir-kaj
710a Blekinge Hospitalb Kirurgi4 org
773t World Journal of Surgical Oncologyd : Springer Science and Business Media LLCg 17:1q 17:1x 1477-7819
856u http://dx.doi.org/10.1186/s12957-019-1640-6x freey FULLTEXT
856u https://wjso.biomedcentral.com/track/pdf/10.1186/s12957-019-1640-6
8564 8u https://lup.lub.lu.se/record/5636995a-5839-485c-ae10-a96981acf43e
8564 8u https://doi.org/10.1186/s12957-019-1640-6

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