BACKGROUND AND OBJECTIVES: To identify breast-specific factors and the role of tumor, treatment, and patient-related items in influencing patient opinion on cosmesis and satisfaction after breast-conserving therapy (BCT). METHODS: Data from the randomized COBALT study was used. At 3, 12, and 36 months, 128 patients with T1-T2 breast cancer completed a questionnaire on breast-specific factors and overall cosmetic outcome and patient satisfaction, using a 4-point Likert scale. RESULTS: There was a strong positive correlation between breast-specific factors, overall cosmetic outcome,and satisfaction at all time-points. Excellent/good cosmetic outcomes and satisfaction decreased during follow-up. A shift was noted in the degree of influence of the various breast-specific factors. At 3 years, symmetry factors such as size, shape, and nipple position largely determined a patient's opinion on the final cosmesis, followed by firmness. The risk of an unacceptable outcome was associated with young age and large excision volumes. CONCLUSION: A questionnaire including breast-specific questions provides important information on final cosmetic results and satisfaction after BCT. These outcomes can also be of great value as quality indicators and pre-operative counseling. The major influence of breast-specific factors on asymmetry underlines the importance of achieving an optimal excision volume at the initial procedure.
RCT Entities:
BACKGROUND AND OBJECTIVES: To identify breast-specific factors and the role of tumor, treatment, and patient-related items in influencing patient opinion on cosmesis and satisfaction after breast-conserving therapy (BCT). METHODS: Data from the randomized COBALT study was used. At 3, 12, and 36 months, 128 patients with T1-T2 breast cancer completed a questionnaire on breast-specific factors and overall cosmetic outcome and patient satisfaction, using a 4-point Likert scale. RESULTS: There was a strong positive correlation between breast-specific factors, overall cosmetic outcome,and satisfaction at all time-points. Excellent/good cosmetic outcomes and satisfaction decreased during follow-up. A shift was noted in the degree of influence of the various breast-specific factors. At 3 years, symmetry factors such as size, shape, and nipple position largely determined a patient's opinion on the final cosmesis, followed by firmness. The risk of an unacceptable outcome was associated with young age and large excision volumes. CONCLUSION: A questionnaire including breast-specific questions provides important information on final cosmetic results and satisfaction after BCT. These outcomes can also be of great value as quality indicators and pre-operative counseling. The major influence of breast-specific factors on asymmetry underlines the importance of achieving an optimal excision volume at the initial procedure.
Authors: Julie B Siegel; Rupak Mukherjee; Yeonhee Park; Abbie R Cluver; Catherine Chung; David J Cole; Mark A Lockett; Nancy Klauber-DeMore; Andrea M Abbott Journal: Breast Cancer Res Treat Date: 2021-06-16 Impact factor: 4.872
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Authors: Cary S Kaufman; Michael J Cross; Julie L Barone; Nayana S Dekhne; Kiran Devisetty; Joshua T Dilworth; David A Edmonson; Firas G Eladoumikdachi; Jennifer S Gass; William H Hall; Robert L Hong; Robert R Kuske; Brandon J Patton; Carol Perelson; Rogsbert F Phillips; Arnold B Smith; Linda A Smith; Lorraine Tafra; Gail S Lebovic Journal: Ann Surg Oncol Date: 2020-11-21 Impact factor: 5.344
Authors: Lisanne L de Boer; Esther Kho; Koen K Van de Vijver; Marie-Jeanne T F D Vranken Peeters; Frederieke van Duijnhoven; Benno H W Hendriks; Henricus J C M Sterenborg; Theo J M Ruers Journal: Breast Cancer Res Date: 2021-05-22 Impact factor: 6.466
Authors: A T P M Brands-Appeldoorn; A J G Maaskant-Braat; L Janssen; L A D M van Osch; V C G Tjan-Heijnen; R M H Roumen Journal: Breast Cancer Date: 2021-08-26 Impact factor: 4.239
Authors: Benedikt Schaefgen; Annika Funk; H-P Sinn; Thomas Bruckner; Christina Gomez; Aba Harcos; Anne Stieber; Annabelle Haller; Juliane Nees; Riku Togawa; André Pfob; André Hennigs; Johanna Hederer; Fabian Riedel; Sarah Fastner; Christof Sohn; Jörg Heil; Michael Golatta Journal: Breast Cancer Res Treat Date: 2021-12-08 Impact factor: 4.872