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Titolo:
Clinical determinants of patient satisfaction with breast reconstruction
Autore:
Andrade, WN; Baxter, N; Semple, JL;
Indirizzi:
Univ Toronto, Hlth Sci Ctr, Sunnybrook & Womens Coll, Div Plast Surg, Toronto, ON M4N 3M5, Canada Univ Toronto Toronto ON Canada M4N 3M5 Surg, Toronto, ON M4N 3M5, Canada
Titolo Testata:
PLASTIC AND RECONSTRUCTIVE SURGERY
fascicolo: 1, volume: 107, anno: 2001,
pagine: 46 - 54
SICI:
0032-1052(200101)107:1<46:CDOPSW>2.0.ZU;2-1
Fonte:
ISI
Lingua:
ENG
Soggetto:
TRAM FLAP SURGERY; POSTMASTECTOMY RECONSTRUCTION; MUSCULOCUTANEOUS FLAP; ABDOMINAL-WALL; BODY-IMAGE; IMMEDIATE; MASTECTOMY; WOMEN; CANCER; IMPACT;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
36
Recensione:
Indirizzi per estratti:
Indirizzo: Semple, JL Univ Toronto, Hlth Sci Ctr, Sunnybrook & Womens Coll, Div PlastSurg, 2075Bayview Ave,Room M1,522, Toronto, ON M4N 3M5, Canada Univ Toronto 2075 Bayview Ave,Room M1,522 Toronto ON Canada M4N 3M5
Citazione:
W.N. Andrade et al., "Clinical determinants of patient satisfaction with breast reconstruction", PLAS R SURG, 107(1), 2001, pp. 46-54

Abstract

The main objective of this study was to examine the relationship between specific treatment variables and patient satisfaction with breast reconstruction. A questionnaire was developed that included questions on population demographics and satisfaction with the reconstruction. Of 206 women who completed the questionnaire, 23 (11.2 percent) responded that they were not satisfied, whereas 183 (88.8 percent) indicated that they were satisfied overall. A detailed retrospective chart review permitted a comparison of the treatment received by these two groups. Variables analyzed included patient age, time since surgery, reason for surgery, method and timing of reconstruction, additional surgical procedures received (mound revisions and nipple-areola complex reconstruction), and postoperative complications. Data analysis showed that the treatment received by the two groups was similar in many respects. There was no statistical association between the method or timingof reconstruction and a patient's satisfaction with the results. Furthermore, there was no difference in the number of mound revisions or nipple reconstructions performed on satisfied versus dissatisfied patients. However, the latter group experienced a substantially higher incidence of postsurgical complications (27 percent versus 61 percent, p = 0.0015). Patients were also asked to provide a written response explaining their feelings on breastreconstruction. Satisfied patients described benefits from reconstruction such as improved appearance or feelings of normalcy and wholeness. Conversely, unsatisfied patients were displeased because of poor cosmetic results, complications with the reconstructed breast, or abdominal problems. Although overall satisfaction with breast reconstruction is undoubtedly determinedby multiple and complex clinical, emotional, and psychological factors, this study suggests that postoperative complications are a particularly important indicator of dissatisfaction with reconstruction.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 12/08/20 alle ore 20:27:07