Breast reconstruction patterns from a Swedish nation-wide survey. Issue 10 (October 2020)

• Record Type: Journal Article
• Authors: Unukovych, Dmytro; Gümüscü, Rojda; Wärnberg, Fredrik; de Boniface, Jana; Eriksen, Catharina; Sund, Malin; Nåsell, Petra; Åhsberg, Kristina; Olofsson, Pia; Lewin, Richard; Lambe, Mats; Brandberg, Yvonne; Folkvaljon, Folke; Mani, Maria
• Is Part Of: European journal of surgical oncology. Volume 46:Issue 10(2020)Part A
• Page Start: 1867
• Page End: 1873
• Publication Date: 2020-10
• Subjects: Breast cancer -- Reconstruction -- Quality of life -- Outcomes -- Sweden -- National; Oncology -- Periodicals; Cancer -- Surgery -- Periodicals; Medical Oncology -- Periodicals; Neoplasms -- surgery -- Periodicals; Cancer -- Chirurgie -- Périodiques; Cancérologie -- Périodiques; Oncologie; Chirurgie (geneeskunde); Electronic journals; Electronic journals -- Sciences; Electronic journals -- Medicine; Electronic journals; 616.994059005
• DOI: 10.1016/j.ejso.2020.04.030
• Languages: English
• ISSNs: 0748-7983

Abstract

Abstract: Objectives: The overall aim of the Swedish Breast Reconstruction Outcome Study was to investigate national long-term outcomes after mastectomy with or without breast reconstruction. The current report evaluates breast reconstruction (BR) patterns in Sweden over time. Materials and methods: This is a cross-sectional, registry-based study where all women operated with mastectomy 2000, 2005, 2010 were identified (N = 5853). Geographical differences in type of BR were investigated using heatmaps. Distribution of continuous variables were compared using the Mann-Whitney U test, categorical variables were compared using the chi-square test. Results: Mean age at survey was 69 years (SD=±11.4) and response rate was 50%, responders were on average six years younger than the non-responders and had a more favourable tumor stage (both p < 0.01). Of the 2904 responders, 31% (895/2904) had received a BR: implant-based in 58% (516/895)autologous in 31% (281/895). BR was immediate in 20% (176/895) and delayed in 80% (719/895) women. Women with BR were on average one year older, more often had a normal BMI, reported to be married or had a partner, had a higher educational level and a higher annual income when compared to those without BR (all p < 0.001). The independent factors of not receiving BR were older age and given radiotherapy. Conclusions: To our knowledge, this is the first national long-term follow-up study on women undergoing mastectomy with and without BR. Around 30% of the survey responders have had a BR with a significant geographical variation highlighting the importance of information, availability and standardisation of indications for BR.