Do the same clinicopathological risk factors affect outcome in terms of volume and shape symmetry as affect patient satisfaction after Breast Conserving Therapy?
Association of Breast Surgery ePoster Library. O'Connell R. 05/15/17; 166228; P018
Rachel O'Connell
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Abstract
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Introduction:
Patient satisfaction and quality of life after breast-conserving therapy (BCT) are correlated with aesthetic outcome. Identifying clinicopathological risk factors for poor outcome allows surgeons to plan their surgery and manage patient expectations. Volume and shape are important components of appearance and can be measured using 3D-SI.
Methods:
Ethical approval was obtained. Women who had unilateral BCT1-6 years ago were recruited. Participants underwent 3D-SI. Volume Symmetry (VS) (smaller breast/larger breastx100), Shape Symmetry (SS) (root mean squared distance between one breast reflected onto the other) were calculated and 'Satisfaction with Breasts was measured using the BREAST-Q BCT module (score 0-100). Clinical variables with p<0.1 on univariate analysis were entered into a multivariate model with a 5% significance.
Results:
200 women participated. Mean age was 60 years (SD11.1). Mean time from surgery was 35.5 months (SD17.8). Median VS was 87% (IQR78-93) and significant risk factors were specimen weight (g) and experience of operating surgeon. Median SS was 5.87mm (IQR4.23-7.95) and significant risk factors were specimen weight (g), pathological tumour size (mm), and BMI (kg/m2). Median Satisfaction with Breasts was 68 (55-80) and significant risk factors were BMI (kg/m2), delayed wound healing and type of axillary surgery.
Conclusion:
This is the first study to identify risk factors for poor volume and shape symmetry after BCT measured by 3D-SI. These were not always the same as those that affecting patient satisfaction. It is important to consider the factors that can affect objective aesthetic outcome as well as patient satisfaction in order to optimise patient care.
Patient satisfaction and quality of life after breast-conserving therapy (BCT) are correlated with aesthetic outcome. Identifying clinicopathological risk factors for poor outcome allows surgeons to plan their surgery and manage patient expectations. Volume and shape are important components of appearance and can be measured using 3D-SI.
Methods:
Ethical approval was obtained. Women who had unilateral BCT1-6 years ago were recruited. Participants underwent 3D-SI. Volume Symmetry (VS) (smaller breast/larger breastx100), Shape Symmetry (SS) (root mean squared distance between one breast reflected onto the other) were calculated and 'Satisfaction with Breasts was measured using the BREAST-Q BCT module (score 0-100). Clinical variables with p<0.1 on univariate analysis were entered into a multivariate model with a 5% significance.
Results:
200 women participated. Mean age was 60 years (SD11.1). Mean time from surgery was 35.5 months (SD17.8). Median VS was 87% (IQR78-93) and significant risk factors were specimen weight (g) and experience of operating surgeon. Median SS was 5.87mm (IQR4.23-7.95) and significant risk factors were specimen weight (g), pathological tumour size (mm), and BMI (kg/m2). Median Satisfaction with Breasts was 68 (55-80) and significant risk factors were BMI (kg/m2), delayed wound healing and type of axillary surgery.
Conclusion:
This is the first study to identify risk factors for poor volume and shape symmetry after BCT measured by 3D-SI. These were not always the same as those that affecting patient satisfaction. It is important to consider the factors that can affect objective aesthetic outcome as well as patient satisfaction in order to optimise patient care.
Introduction:
Patient satisfaction and quality of life after breast-conserving therapy (BCT) are correlated with aesthetic outcome. Identifying clinicopathological risk factors for poor outcome allows surgeons to plan their surgery and manage patient expectations. Volume and shape are important components of appearance and can be measured using 3D-SI.
Methods:
Ethical approval was obtained. Women who had unilateral BCT1-6 years ago were recruited. Participants underwent 3D-SI. Volume Symmetry (VS) (smaller breast/larger breastx100), Shape Symmetry (SS) (root mean squared distance between one breast reflected onto the other) were calculated and 'Satisfaction with Breasts was measured using the BREAST-Q BCT module (score 0-100). Clinical variables with p<0.1 on univariate analysis were entered into a multivariate model with a 5% significance.
Results:
200 women participated. Mean age was 60 years (SD11.1). Mean time from surgery was 35.5 months (SD17.8). Median VS was 87% (IQR78-93) and significant risk factors were specimen weight (g) and experience of operating surgeon. Median SS was 5.87mm (IQR4.23-7.95) and significant risk factors were specimen weight (g), pathological tumour size (mm), and BMI (kg/m2). Median Satisfaction with Breasts was 68 (55-80) and significant risk factors were BMI (kg/m2), delayed wound healing and type of axillary surgery.
Conclusion:
This is the first study to identify risk factors for poor volume and shape symmetry after BCT measured by 3D-SI. These were not always the same as those that affecting patient satisfaction. It is important to consider the factors that can affect objective aesthetic outcome as well as patient satisfaction in order to optimise patient care.
Patient satisfaction and quality of life after breast-conserving therapy (BCT) are correlated with aesthetic outcome. Identifying clinicopathological risk factors for poor outcome allows surgeons to plan their surgery and manage patient expectations. Volume and shape are important components of appearance and can be measured using 3D-SI.
Methods:
Ethical approval was obtained. Women who had unilateral BCT1-6 years ago were recruited. Participants underwent 3D-SI. Volume Symmetry (VS) (smaller breast/larger breastx100), Shape Symmetry (SS) (root mean squared distance between one breast reflected onto the other) were calculated and 'Satisfaction with Breasts was measured using the BREAST-Q BCT module (score 0-100). Clinical variables with p<0.1 on univariate analysis were entered into a multivariate model with a 5% significance.
Results:
200 women participated. Mean age was 60 years (SD11.1). Mean time from surgery was 35.5 months (SD17.8). Median VS was 87% (IQR78-93) and significant risk factors were specimen weight (g) and experience of operating surgeon. Median SS was 5.87mm (IQR4.23-7.95) and significant risk factors were specimen weight (g), pathological tumour size (mm), and BMI (kg/m2). Median Satisfaction with Breasts was 68 (55-80) and significant risk factors were BMI (kg/m2), delayed wound healing and type of axillary surgery.
Conclusion:
This is the first study to identify risk factors for poor volume and shape symmetry after BCT measured by 3D-SI. These were not always the same as those that affecting patient satisfaction. It is important to consider the factors that can affect objective aesthetic outcome as well as patient satisfaction in order to optimise patient care.
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