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Quality of Life and Complications after Nipple- versus Skin-Sparing Mastectomy followed by Immediate Breast Reconstruction: A Systematic Review and Meta-Analysis.
Clarijs, Marloes E; Peeters, Noelle J M C Vrancken; van Dongen, Sophie A F; Koppert, Linetta B; Pusic, Andrea L; Mureau, Marc A M; Rijken, Bianca F M.
Afiliación
  • Clarijs ME; From the Departments of Surgical Oncology and Gastrointestinal Surgery.
  • Peeters NJMCV; Erasmus University Rotterdam and Erasmus MC, University Medical Center Rotterdam.
  • van Dongen SAF; Erasmus University Rotterdam and Erasmus MC, University Medical Center Rotterdam.
  • Koppert LB; From the Departments of Surgical Oncology and Gastrointestinal Surgery.
  • Pusic AL; Division of Plastic and Reconstructive Surgery, Patient Reported Outcomes, Value and Experience (PROVE) Center, Brigham and Women's Hospital.
  • Mureau MAM; Plastic and Reconstructive Surgery, Erasmus MC Cancer Institut, University Medical Center Rotterdam.
  • Rijken BFM; Plastic and Reconstructive Surgery, Erasmus MC Cancer Institut, University Medical Center Rotterdam.
Plast Reconstr Surg ; 152(1): 12e-24e, 2023 07 01.
Article en En | MEDLINE | ID: mdl-36728484
BACKGROUND: Nipple-sparing mastectomy (NSM) has emerged as an alternative procedure for skin-sparing mastectomy (SSM), followed by immediate breast reconstruction. Because oncologic safety appears similar, patient-reported outcomes (PROs) and complication risks may guide decision-making in individual patients. Therefore, the aim of this systematic review was to compare PROs and complication rates after NSM and SSM. METHODS: A systematic literature review evaluating NSM versus SSM was performed using the Embase, MEDLINE, and Cochrane databases. Methodologic quality of the included studies was assessed using the Newcastle-Ottawa Quality Assessment Form for Cohort Studies. Primary outcomes were PROs and complications. Studies that evaluated BREAST-Q scores were used to perform meta-analyses on five BREAST-Q domains. RESULTS: Thirteen comparative studies including 3895 patients were selected from 1202 articles found. Meta-analyses of the BREAST-Q domains showed a significant mean difference of 7.64 in the Sexual Well-being domain ( P = 0.01) and 4.71 in the Psychosocial Well-being domain ( P = 0.03), both in favor of NSM. Using the specifically designed questionnaires, no differences in overall satisfaction scores were found. There were no differences in overall complication rates between the two groups. CONCLUSIONS: Patient satisfaction scores were high after both NSM and SSM; however, NSM led to a higher sexual and psychosocial well-being. No differences in complication rates were found. In combination with other factors, such as oncologic treatments, complication risk profile, and fear of cancer recurrence, the decision for NSM or SSM has to be made on an individual basis and only if NSM is considered to be oncologically safe.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias de la Mama / Mamoplastia Tipo de estudio: Observational_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies / Systematic_reviews Aspecto: Patient_preference Límite: Female / Humans Idioma: En Revista: Plast Reconstr Surg Año: 2023 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias de la Mama / Mamoplastia Tipo de estudio: Observational_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies / Systematic_reviews Aspecto: Patient_preference Límite: Female / Humans Idioma: En Revista: Plast Reconstr Surg Año: 2023 Tipo del documento: Article Pais de publicación: Estados Unidos