TY - JOUR
T1 - Breast-specific factors determine cosmetic outcome and patient satisfaction after breast-conserving therapy
T2 - Results from the randomized COBALT study
AU - Volders, José H.
AU - Negenborn, Vera L.
AU - Haloua, Max H.
AU - Krekel, Nicole M. A.
AU - Jóźwiak, Katarzyna
AU - Meijer, Sybren
AU - van den Tol, Petrousjka M.
PY - 2018
Y1 - 2018
N2 - 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.
AB - 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.
KW - Adult
KW - Aged
KW - Body Image
KW - Breast Neoplasms/surgery
KW - Cosmetic Techniques
KW - Female
KW - Follow-Up Studies
KW - Humans
KW - Mastectomy, Segmental
KW - Middle Aged
KW - Patient Satisfaction
KW - Prognosis
KW - Quality of Life
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85042370577&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/29473960
U2 - https://doi.org/10.1002/jso.25012
DO - https://doi.org/10.1002/jso.25012
M3 - Article
C2 - 29473960
SN - 0022-4790
VL - 117
SP - 1001
EP - 1008
JO - Journal of surgical oncology
JF - Journal of surgical oncology
IS - 5
ER -