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Quality-of-Life Outcomes Improve with Nipple-Sparing Mastectomy and Breast Reconstruction.

Publication ,  Conference
Bailey, CR; Ogbuagu, O; Baltodano, PA; Simjee, UF; Manahan, MA; Cooney, DS; Jacobs, LK; Tsangaris, TN; Cooney, CM; Rosson, GD
Published in: Plast Reconstr Surg
August 2017

BACKGROUND: Loss of the nipple-areola complex can be psychologically and sexually devastating. Nipple-sparing mastectomy provides robust cosmetic results, but few studies have investigated the quality-of-life outcomes associated with it. METHODS: The authors performed an institutional review board-approved retrospective study of 32 patients who underwent nipple-sparing mastectomy with implant-based or autologous reconstruction and 32 control patients who underwent non-nipple-sparing mastectomy with reconstruction matched by reconstruction type and operative period. They then compared premastectomy and postreconstruction responses to the BREAST-Q, a validated and breast reconstruction-specific quality-of-life questionnaire, within and between their study and control populations. RESULTS: The nipple-sparing and non-nipple-sparing mastectomy groups were statistically similar in terms of mean age [49.9 ± 8.5 years (range, 36 to 69 years) and 47.7 ± 10.3 years (range, 26 to 68 years) (p = 0.29), respectively] and mean body mass index [24.3 ± 3.5 kg/m (range, 17.9 to 33.7 kg/m) and 25.5 ± 5.4 kg/m (range, 19.2 to 39.2 kg/m) (p = 0.29), respectively]. There were no significant between-group differences in occurrence of postreconstruction complications. The authors found significantly higher mean postreconstruction scores in the nipple-sparing mastectomy group within the Satisfaction with Breasts (p = 0.039) and the Satisfaction with Outcome (p = 0.017) domains. Finally, they noted higher median postreconstruction scores in the nipple-sparing mastectomy group within the Psychosocial Well-being (p = 0.043) and Satisfaction with Breasts (p = 0.004) domains. CONCLUSIONS: Psychological concerns regarding malignancy may negatively impact premastectomy patient quality of life. Reconstructive surgery improves patients' postmastectomy quality of life. Nipple-sparing mastectomy appears to provide significantly better improvement in postreconstruction quality of life, specifically in the Satisfaction with Breasts and Satisfaction with Outcome domains of the BREAST-Q, compared with non-nipple-sparing mastectomies. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, III.

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Published In

Plast Reconstr Surg

DOI

EISSN

1529-4242

Publication Date

August 2017

Volume

140

Issue

2

Start / End Page

219 / 226

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Surgery
  • Retrospective Studies
  • Quality of Life
  • Quality Improvement
  • Postoperative Complications
  • Organ Sparing Treatments
  • Nipples
  • Middle Aged
  • Mastectomy
 

Citation

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Bailey, C. R., Ogbuagu, O., Baltodano, P. A., Simjee, U. F., Manahan, M. A., Cooney, D. S., … Rosson, G. D. (2017). Quality-of-Life Outcomes Improve with Nipple-Sparing Mastectomy and Breast Reconstruction. In Plast Reconstr Surg (Vol. 140, pp. 219–226). United States. https://doi.org/10.1097/PRS.0000000000003505
Bailey, Christopher R., Onyebuchi Ogbuagu, Pablo A. Baltodano, Usamah F. Simjee, Michele A. Manahan, Damon S. Cooney, Lisa K. Jacobs, Theodore N. Tsangaris, Carisa M. Cooney, and Gedge D. Rosson. “Quality-of-Life Outcomes Improve with Nipple-Sparing Mastectomy and Breast Reconstruction.” In Plast Reconstr Surg, 140:219–26, 2017. https://doi.org/10.1097/PRS.0000000000003505.
Bailey CR, Ogbuagu O, Baltodano PA, Simjee UF, Manahan MA, Cooney DS, et al. Quality-of-Life Outcomes Improve with Nipple-Sparing Mastectomy and Breast Reconstruction. In: Plast Reconstr Surg. 2017. p. 219–26.
Bailey, Christopher R., et al. “Quality-of-Life Outcomes Improve with Nipple-Sparing Mastectomy and Breast Reconstruction.Plast Reconstr Surg, vol. 140, no. 2, 2017, pp. 219–26. Pubmed, doi:10.1097/PRS.0000000000003505.
Bailey CR, Ogbuagu O, Baltodano PA, Simjee UF, Manahan MA, Cooney DS, Jacobs LK, Tsangaris TN, Cooney CM, Rosson GD. Quality-of-Life Outcomes Improve with Nipple-Sparing Mastectomy and Breast Reconstruction. Plast Reconstr Surg. 2017. p. 219–226.

Published In

Plast Reconstr Surg

DOI

EISSN

1529-4242

Publication Date

August 2017

Volume

140

Issue

2

Start / End Page

219 / 226

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Surgery
  • Retrospective Studies
  • Quality of Life
  • Quality Improvement
  • Postoperative Complications
  • Organ Sparing Treatments
  • Nipples
  • Middle Aged
  • Mastectomy