Improved Immediate Breast Reconstruction as a Result of Onco-Plastic Multidisciplinary Meeting
Association of Breast Surgery ePoster Library. Lim M. 05/15/17; 166247; P123
Mrs. Maria Lim
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Abstract
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Introduction:
NICE guidelines recommend that breast reconstruction should be available to all women undergoing mastectomy and discussed at the initial surgical consultation. The National Mastectomy Audit showed that 21% of mastectomy patients underwent immediate reconstruction and 11% had delayed reconstruction. Breast reconstruction has also been shown to have a positive effect on quality of life post mastectomy.
This audit was done to investigate the impact of the introduction of a dedicated onco-plastic multidisciplinary meeting (O-P MDT) on our breast reconstruction rate at the Parapet, Windsor.
Methods
A retrospective analysis of all mastectomies and breast reconstruction between April 2014 and March 2016 was performed. Data analysis was made before and after introduction of O-P MDT.
Results
Between April 2015 and March 2016, 41% of patients underwent breast reconstruction, with the majority (78%) having this immediately. Between April 2014 and March-2015, 28% of patients underwent breast reconstruction leaving 72% of patients having mastectomy alone.
45% of mastectomy alone patients were not suitable for breast reconstruction or had declined it.
Conclusions
There has been an increased uptake of breast reconstruction surgery, especially the immediate option. O-P MDT has significantly contributed to this increase rate of reconstruction.
NICE guidelines recommend that breast reconstruction should be available to all women undergoing mastectomy and discussed at the initial surgical consultation. The National Mastectomy Audit showed that 21% of mastectomy patients underwent immediate reconstruction and 11% had delayed reconstruction. Breast reconstruction has also been shown to have a positive effect on quality of life post mastectomy.
This audit was done to investigate the impact of the introduction of a dedicated onco-plastic multidisciplinary meeting (O-P MDT) on our breast reconstruction rate at the Parapet, Windsor.
Methods
A retrospective analysis of all mastectomies and breast reconstruction between April 2014 and March 2016 was performed. Data analysis was made before and after introduction of O-P MDT.
Results
Between April 2015 and March 2016, 41% of patients underwent breast reconstruction, with the majority (78%) having this immediately. Between April 2014 and March-2015, 28% of patients underwent breast reconstruction leaving 72% of patients having mastectomy alone.
45% of mastectomy alone patients were not suitable for breast reconstruction or had declined it.
Conclusions
There has been an increased uptake of breast reconstruction surgery, especially the immediate option. O-P MDT has significantly contributed to this increase rate of reconstruction.
Introduction:
NICE guidelines recommend that breast reconstruction should be available to all women undergoing mastectomy and discussed at the initial surgical consultation. The National Mastectomy Audit showed that 21% of mastectomy patients underwent immediate reconstruction and 11% had delayed reconstruction. Breast reconstruction has also been shown to have a positive effect on quality of life post mastectomy.
This audit was done to investigate the impact of the introduction of a dedicated onco-plastic multidisciplinary meeting (O-P MDT) on our breast reconstruction rate at the Parapet, Windsor.
Methods
A retrospective analysis of all mastectomies and breast reconstruction between April 2014 and March 2016 was performed. Data analysis was made before and after introduction of O-P MDT.
Results
Between April 2015 and March 2016, 41% of patients underwent breast reconstruction, with the majority (78%) having this immediately. Between April 2014 and March-2015, 28% of patients underwent breast reconstruction leaving 72% of patients having mastectomy alone.
45% of mastectomy alone patients were not suitable for breast reconstruction or had declined it.
Conclusions
There has been an increased uptake of breast reconstruction surgery, especially the immediate option. O-P MDT has significantly contributed to this increase rate of reconstruction.
NICE guidelines recommend that breast reconstruction should be available to all women undergoing mastectomy and discussed at the initial surgical consultation. The National Mastectomy Audit showed that 21% of mastectomy patients underwent immediate reconstruction and 11% had delayed reconstruction. Breast reconstruction has also been shown to have a positive effect on quality of life post mastectomy.
This audit was done to investigate the impact of the introduction of a dedicated onco-plastic multidisciplinary meeting (O-P MDT) on our breast reconstruction rate at the Parapet, Windsor.
Methods
A retrospective analysis of all mastectomies and breast reconstruction between April 2014 and March 2016 was performed. Data analysis was made before and after introduction of O-P MDT.
Results
Between April 2015 and March 2016, 41% of patients underwent breast reconstruction, with the majority (78%) having this immediately. Between April 2014 and March-2015, 28% of patients underwent breast reconstruction leaving 72% of patients having mastectomy alone.
45% of mastectomy alone patients were not suitable for breast reconstruction or had declined it.
Conclusions
There has been an increased uptake of breast reconstruction surgery, especially the immediate option. O-P MDT has significantly contributed to this increase rate of reconstruction.
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