Skip to main content
Mijn bibliotheek
Shop
Nieuws Boeken Tijdschriften E-learning Web-tv Video Audio
Tips voor Mijn BSL
UITGEBREID ZOEKEN
Inloggen
Top
Quality of Life Research
Gepubliceerd in: Quality of Life Research 9/2017

10-04-2017

Making decisions about breast reconstruction: A systematic review of patient-reported factors influencing choice

Auteurs: Kathy Flitcroft, Meagan Brennan, Andrew Spillane

Gepubliceerd in: Quality of Life Research | Uitgave 9/2017

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail
    Link delen
publish
Publiceer nu

Abstract

Purpose

Many studies have explored women’s reasons for choosing or declining a particular type of breast reconstruction (BR) following mastectomy for breast cancer. This systematic review synthesises women’s reasons for choosing a range of BR options, including no BR, in different settings and across time.

Methods

Thirteen databases were systematically searched, with 30 studies (4269 participants), meeting the selection criteria. Information on study aim and time frame, participation rate, design/methods, limitations/bias, reasons and conclusions, as well as participant clinical and demographic information, was reported. An overall quality score was generated for each study. Reasons were grouped into eight domains.

Results

While study methodology and results were heterogeneous, all reported reasons were covered by the eight domains: Feeling/looking normal; Feeling/looking good; Being practical; Influence of others; Relationship expectations; Fear; Timing; and Unnecessary. We found a strong consistency in reasons across studies, ranging from 52% of relevant publications citing relationship expectations as a reason for choosing BR, up to 91% citing fear as a reason for delaying or declining BR. Major thematic findings were a lack of adequate information about BR, lack of genuine choice for women and additional access limitations due to health system barriers.

Conclusions

Understanding women’s reasons for wanting or not wanting BR can assist clinicians to help women make choices most aligned with their individual values and needs. Our thematic findings have equity implications and illustrate the need for surgeons to discuss all clinically appropriate BR options with mastectomy patients, even if some options are not available locally.
vorige artikel The patient’s experience of primary ciliary dyskinesia: a systematic review
volgende artikel RETRACTED ARTICLE: The efficacy of Guolin-Qigong on the body-mind health of Chinese women with breast cancer: a randomized controlled trial
Bijlagen
Alleen toegankelijk voor geautoriseerde gebruikers
Literatuur
1.
Australian Institute of Health and Welfare & Cancer Australia (2012). Breast cancer in Australia: An overview. Cancer series no. 71. Cat. no. CAN 67. Canberra: AIHW.
2.
National Clinical Audit Support Programme (2009). National Mastectomy and Breast Reconstruction Audit (Report 2). London: The Information Centre (NHS).
3.
Musgrave, K. J., Bochner, M., & Kollias, J. (2010). Surgical decision-making in immediate breast reconstruction. World Journal of Surgery, 34, 3029–3035.PubMed
4.
Cordeiro, P. G. (2008). Breast reconstruction after surgery for breast cancer. New England Journal of Medicine, 359, 1590–1601.PubMed
5.
Fang, S. Y., Shu, B. C., & Chang, Y. J. (2013). The effect of breast reconstruction surgery on body image among women after mastectomy: A meta-analysis. Breast Cancer Research and Treatment, 137, 13–21.PubMed
6.
Al-Ghazal, S. K., Fallowfield, L., & Blamey, R. W. (2000). Comparison of psychological aspects and patient satisfaction following breast conserving surgery, simple mastectomy and breast reconstruction. European Journal of Cancer, 36(15), 1938–1943.PubMed
7.
Atisha, D., Alderman, A. K., Lowery, J. C., Kuhn, L. E., Davis, J., & Wilkins, E. G. (2008). Prospective analysis of long-term psychosocial outcomes in breast reconstruction: Two-year postoperative results from the Michigan Breast Reconstruction Outcomes Study. Annals of Surgery, 247(6), 1019–1028. doi:10.​1097/​SLA.​0b013e3181728a5c​.CrossRefPubMed
8.
Manganiello, A., Hoga, L. A., Reberte, L. M., Miranda, C. M., & Rocha, C. A. (2011). Sexuality and quality of life of breast cancer patients post mastectomy. European Journal of Oncology Nursing, 15(2), 167–172.PubMed
9.
Neto, M. S., de Aguiar Menezes MV, Moreira, J. R., Garcia, E. B., Abla, L. E., & Ferreira, L. M. (2013). Sexuality after breast reconstruction post mastectomy. Aesthetic and Plastic Surgery, 37(3), 643–647.
10.
Harcourt, D. M., Rumsey, N. J., Ambler, N. R., Cawthorn, S. J., Reid, C. D., Maddox, P. R., et al. (2003). The psychological effect of mastectomy with or without breast reconstruction: A prospective, multicenter study. Plastic and Reconstructive Surgery, 111, 1060–1068.PubMed
11.
Metcalfe, K. A., Semple, J., Quan, M.-L., Vadaparampil, S. T., Holloway, C., Brown, M., et al. (2012). Changes in psychosocial functioning one year after mastectomy alone, delayed breast reconstruction, or immediate breast reconstruction. Annals of Surgical Oncology, 19(1), 233–241.PubMed
12.
Colakoglu, S., Khansa, I., Curtis, M. S., Yueh, J. H., Ogunleye, A., Haewyon, C., et al. (2011). Impact of complications on patient satisfaction in breast reconstruction. Plastic and Reconstructive Surgery, 127(4), 1428–1436.PubMed
13.
Brennan ME & Spillane AJ. (2013) Uptake and predictors of post-mastectomy reconstruction in women with breast malignancy—a systematic review. European Journal of Surgical Oncology, 39(6), 527–541.PubMed
14.
Azzopardi, J., Walsh, D., Chong, C., & Taylor, C. (2014). Impact of geographic location on surgical outcomes of women with breast cancer. Australia and New Zealand Journal of Surgery, 84, 735–739.
15.
Azzopardi, J., Walsh, D., Chong, C., & Taylor, C. (2014). Surgical treatment for women with breast cancer in relation to socioeconomic and insurance status. The Breast, 20(1), 3–8.
16.
Hall, S. E., & Holman CDJ. (2003). Inequalities in breast cancer reconstructive surgery according to social and locational status in Western Australia. European Journal of Surgical Oncology, 29, S19–S25.
17.
Bell, R. J., Robinson, P. J., Fradkin, P., Schwarz, M., & Davis, S. R. (2012). Breast reconstruction following mastectomy for invasive breast cancer is strongly influenced by demographic factors in women in Victoria, Australia. The Breast, 21, 394–400.PubMed
18.
Flitcroft, K., Brennan, M., Costa, D., & Spillane, A. (2016). Documenting patterns of access to breast reconstruction in Australia: The national picture. The Breast, 30, 47–53.PubMed
19.
Ananian, P., Houvenaeghel, G., Protière, C., Rouanet, P., Arnaud, S., Moatti, J. P., et al. (2004). Determinants of patients’ choice of reconstruction with mastectomy for primary breast cancer. Annals of Surgical Oncology, 11(8), 762–771.PubMed
20.
Lardi, A. M., Myrick, M. E., Haug, M., Schaefer, D. J., Bitzer, J., Simmen, U., et al. (2013). The option of delayed reconstructive surgery following mastectomy for invasive breast cancer: Why do so few patients embrace this offer? European Journal of Surgical Oncology, 39, 36–43.PubMed
21.
Lam WWT, Fielding, R., Ho EYY, Chan, M., & Or, A. (2005). Surgeon’s recommendation, perceived operative efficacy and age dictate treatment choice by Chinese women facing breast cancer surgery. Psycho-Oncology, 14, 585–593.PubMed
22.
Handel, N., Silverstein, M. J., Waisman, E., & Waisman, J. R. (1990). Reasons why mastectomy patients do not have breast reconstruction. Plastic and Reconstructive Surgery, 86(6), 1118–1122.PubMed
23.
Keith DJW, Walker, M. B., Walker, L. G., Heys, S. D., Sarkar, T. K., Hutcheon, A. W., et al. (2003). Women who wish breast reconstruction: Characteristics, fears, and hopes. Plastic and Reconstructive Surgery, 111, 1051–1056.PubMed
24.
Adachi, K., Ueno, T., Fujioka, T., Fujitomi, Y., & Ueo, H. (2007). Psychosocial factors affecting the therapeutic decision-making and postoperative mood states in Japanese breast cancer patients who underwent various types of surgery: Body image and sexuality. Japanese Journal of Clinical Oncology, 37(6), 412–418.PubMed
25.
Begum, S., Grunfeld, E. A., Ho-Asjoe, M., & Farhadi, J. (2011). An exploration of patient decision-making for autologous breast reconstructive surgery following a mastectomy. Patient Education and Counseling, 84, 105–110.PubMed
26.
Morrow, M., Li, Y., Alderman, A. K., Jagsi, R., Hamilton, A. S., Graff, J. J., et al. (2014). Access to breast reconstruction after mastectomy and patient perspectives on reconstruction decision making. JAMA Surgery, 149(10), 1015–1021.PubMedPubMedCentral
27.
Alderman, A. K., Hawley, S. T., Janz, N. K., Majahid, M. S., Morrow, M., Hamilton, A. S., et al. (2009). Racial and ethnic disparities in the use of postmastectomy breast reconstruction: Results from a population-based study. Journal of Clinical Oncology, 27, 5325–5330.PubMedPubMedCentral
28.
Tseng, J. F., Kronowitz, S. J., Sun, C. C., Perry, A. C., Hunt, K. K., Babiera, G. V., et al. (2004). The effect of ethnicity on immediate reconstruction rates after mastectomy for breast cancer. Cancer, 101, 1514–1523.PubMed
29.
Shameem, H., Yip, C. H., & Fong, E. (2008). Immediate breast reconstruction after mastectomy—why do women choose this option? Asian Pacific Journal of Cancer Prevention, 9, 409–412.PubMed
30.
Sheehan, J., Sherman, K. A., Lam, T., & Boyages, J. (2008). Regret associated with the decision for breast reconstruction: The association of negative body image, distress and surgery characteristics with decision regret. Psychology & Health, 23(2), 207–219.
31.
Neill, K. M., Armstrong, N., & Burnett, C. B. (1988). Choosing reconstruction after mastectomy: A qualitative analysis. Oncology Nursing Forum, 25(4), 743–750.
32.
Lee, C. N., Hultman, C. S., & Sepucha, K. (2010). What are patients’ goals and concerns about breast reconstruction after mastectomy? Annals of Plastic Surgery, 64(5), 567–569.PubMed
33.
Nelson, J. A., Fischer, J. P., Radecki, M. A., Pasick, C., McGrath, J., Serletti, J. M., et al. (2013). Delayed autologous breast reconstruction: Factors which influence patient decision making. Journal of Plastic, Reconstructive & Aesthetic Surgery, 66, 1513–1520.
34.
Reaby, L. L. (1998). Reasons why women who have mastectomy decide to have or not to have breast reconstruction. Plastic & Reconstructive Surgery, 101, 1810–1818.
35.
36.
Snell, L., McCarthy, C., Klassen, A., Cano, S., Rubin, L., Hurley, K., et al. (2010). Clarifying the expectations of patients undergoing implant breast reconstruction: A qualitative study. Plastic & Reconstructive Surgery, 126, 1825–1830.
37.
Flitcroft, K., Brennan, M., Costa, D., Wong, A., Snook, K., & Spillane, A. (2016). An evaluation of factors affecting preference for immediate, delayed or no breast reconstruction in women with high-risk breast cancer. Psycho-Oncology. doi:10.​1002/​pon.​4087.CrossRefPubMed
38.
Kmet, L. M., Lee, R. C., & Cook, L. S. (2004). Standard quality assessment criteria for evaluating primary research papers from a variety of fields. Health Technology Assessment Initiative No. 13. February 2004. Alberta: Alberta Heritage Foundation for Medical Research.
39.
Daly, J., Willis, K., Small, R., Green, J., Welch, N., Kealy, M., et al. (2007). A hierarchy of evidence for assessing qualitative health research. Journal of Clinical Epidemiology, 60, 43–49.PubMed
40.
Alderman, A. K., Hawley, S. T., Morrow, M., Salem, B., Hamilton, A., Graff, J. J., et al. (2011). Receipt of delayed breast reconstruction after mastectomy: Do women revisit the decision? Annals of Surgical Oncology, 18(6), 1748–1756.PubMedPubMedCentral
41.
Breast Cancer Network Australia (BCNA) (2013). Issue of concern. Breast reconstruction. The Beacon, 63, 3.
42.
43.
Clifford E. (1979). The reconstruction experience: The search for restitution. In NG Georgiade (Ed.), Breast reconstruction following mastectomy (pp. 22–34). St Louis,MO: CV Mosby.
44.
Contant CME, van Wersch AMEA, Wiggers, T., Wai RTJ, & van Geel, A. N. (2000). Motivations, satisfaction and information of immediate breast reconstruction following mastectomy. Patient Education and Counseling, 40, 201–208.PubMed
45.
Duggal, C. S., Metcalfe, D., Sackeyfio, R., Carlson, G. W., & Losken, A. (2013). Patient motivations for choosing postmastectomy breast reconstruction. Annals of Plastic Surgery, 70(5), 574–580.PubMed
46.
Elder, E. E., Brandberg, Y., Björklund, T., Rylander, R., Lagergren, J., & Jurell, G. (2005). Quality of life and patient satisfaction in breast cancer patients after immediate breast reconstruction: A prospective study. The Breast, 14, 201–208.PubMed
47.
Gopie, J. P., Hilhorst, M. T., Kleijne, A., Timman, R., Menke-Pluymers MBE, Hofer SOP, et al. (2011). Women’s motives to opt for either implant or DIEP-flap breast reconstruction. Journal of Plastic, Reconstructive & Aesthetic Surgery, 64, 1062–1067.
48.
Héquet D, Zarca K, Dolbeault S, Couturaud B, Ngô C, Fourchotte V, et al. (2013). Reasons of not having breast reconstruction: A historical cohort of 1937 breast cancer patients undergoing mastectomy. Springer 2, 325–334.
49.
Meretoja, T., & Suominen, E. (2005). Demand for plastic surgical operations after primary breast cancer surgery. Scandinavian Journal of Surgery, 94, 211–215.PubMed
50.
Nozawa, K., Ichimura, M., Oshima, A., Tokunaga, E., Masuda, N., Kitano, A., et al. (2015). The present state and perception of young women with breast cancer towards breast reconstructive surgery. International Journal of Clinical Oncology, 20, 324–331.PubMed
51.
Panieri, E., Lazarus, D., Dent, D. M., Hudson, D. A., Murray, E., & Werner, D. (2003). A study of patient factors affecting reconstruction after mastectomy for breast carcinoma. American Surgeon, 69(2), 95–97.PubMed
52.
Rowland, J. H., Holland, J. C., Chaglassian, T., & Kinne, D. (1993). Psychological response to breast reconstruction: Expectations for and impact on postmastectomy functioning. Psychosomatics, 34(3), 241–250.PubMed
53.
Schain, W. S., Wellisch, D. K., Pasnau, R. O., & Landsverk, J. (1985). The sooner the better: A study of psychological factors in women undergoing immediate versus delayed breast reconstruction. American Journal of Psychiatry, 142(1), 40–46.PubMed
54.
Somogyi, R. B., Webb, A., Baghdikian, N., Stephenson, J., Edward, K., & Morrison, W. (2015). Understanding the factors that influence breast reconstruction decision making in Australian women. The Breast, 24, 124–130.PubMed
55.
Zieliński T, Lorenc-Podgórska K, Antoszewski B. (2014). Why women who have mastectomy decide not to have breast reconstruction? Polski Przegląd Chirurgiczny, 86 (10), 451–455.
56.
Mátrai, Z., Kenessey, I., Sávolt Á, Újhelyi, M., Bartal, A., & Kásler, M. (2014). Evaluation of patient knowledge, desire, and psychosocial background regarding postmastectomy breast reconstruction in Hungary: A questionnaire study of 500 cases. Medical Science Monitor, 20, 2633–2642.PubMedPubMedCentral
57.
58.
59.
60.
61.
Wong, A., Snook, K., Brennan, M., Flitcroft, K., Tucker, M., Hiercz, D., et al. (2014). Increasing breast reconstruction rates by offering more women a choice. Australia and New Zealand Journal of Surgery, 84, 31–36.
62.
63.
National Breast and Ovarian Cancer Centre (NBOCC) and the Royal Australasian College of Surgeons (RACS) (2009). National Breast Cancer Audit—Public Health Monitoring Report on 2007 Data. Sydney: NBOCC and RACS.
64.
Rococo, E., Mazouni, C., Or, Z., Mobillion, V., Koon Sun Pat, M., & Bonastre, J. (2016). Variation in rates of breast cancer surgery: A national analysis based on French Hospital Episode Statistics. European Journal of Surgical Oncology, 42(1), 51–58.PubMed
65.
Takahashi, M., Kai, I., Hisata, M., & Higashi, Y. (2006). The association between breast surgeons’ attitudes toward breast reconstruction and their reconstruction-related information-giving behaviors: A nationwide survey in Japan. Plastic & Reconstructive Surgery, 118(7), 1507–1514.
66.
Alderman, A. K., Hawley, S. T., Waljee, J., Mujahid, M., Morrow, M., & Katz, S. J. (2008). Understanding the impact of breast reconstruction on the surgical decision-making process for breast cancer. Cancer, 112, 489–494.PubMed
67.
Lee, C. N., Belkora, J., Change, Y., Moy, B., Partridge, A., & Sepucha, K. (2011). Are patients making high-quality decisions about breast reconstruction after mastectomy? Plastic & Reconstructive Surgery, 127(1), 18–26.
68.
Weenk, M., Wunschel, P., Heine, E., & Strobbe, L. (2016). Factors influencing the decision to pursue immediate breast reconstruction after mastectomy for breast cancer. European Journal of Cancer, 57, S23
69.
Lam, T. C., Hsieh, F., & Boyages, J. (2013). The effects of postmastectomy adjuvant radiotherapy on immediate two-stage prosthetic breast reconstruction: A systematic review. Plastic & Reconstructive Surgery, 132, 511–518.
70.
Barry M, Kell MR. (2011). Radiotherapy and breast reconstruction: A meta-analysis. Breast Cancer Research & Treatment, 127, 15–22.
71.
Lee, C. N., Hultman, C. S., & Sepucha, K. (2010). Do patients and providers agree about the most important facts and goals for breast reconstruction decisions? Annals of Plastic Surgery, 64(5), 563–566.PubMed
72.
Brennan, M. E., Flitcroft, K., Warrier, S., Snook, K., & Spillane, A. (2016). Immediate expander/implant breast reconstruction followed by post-mastectomy radiotherapy for breast cancer: Aesthetic, surgical, satisfaction and quality of life outcomes in women with high-risk breast cancer. The Breast, 30, 59–65.PubMed
Metagegevens
Titel
Making decisions about breast reconstruction: A systematic review of patient-reported factors influencing choice
Auteurs
Kathy Flitcroft
Meagan Brennan
Andrew Spillane
Publicatiedatum
10-04-2017
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 9/2017
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-017-1555-z

Andere artikelen Uitgave 9/2017

Quality of Life Research 9/2017 Naar de uitgave

OriginalPaper

Gratitude mediates quality of life differences between fibromyalgia patients and healthy controls

OriginalPaper

Screening for depression in arthritis populations: an assessment of differential item functioning in three self-reported questionnaires

OriginalPaper

Use of large-scale HRQoL datasets to generate individualised predictions and inform patients about the likely benefit of surgery

OriginalPaper

The association between fear of cancer recurrence and quality of life among Chinese cancer survivors: main effect hypothesis and buffering hypothesis

OriginalPaper

Clinical setting-based smoking cessation programme and the quality of life in people living with HIV in Austria and Germany

OriginalPaper

Quality of life among perinatally HIV-affected and HIV-unaffected school-aged and adolescent Ugandan children: a multi-dimensional assessment of wellbeing in the post-HAART era