Aesthetic results following breast cancer surgery: A prospective study on 6515 cases from ten Italian Senonetwork breast centers.
Breast Implantation
/ methods
Breast Neoplasms
/ surgery
Cicatrix
Data Collection
Esthetics
Female
Humans
Italy
Mammaplasty
/ methods
Mastectomy
/ methods
Mastectomy, Segmental
/ methods
Nipples
Organ Sparing Treatments
Patient Outcome Assessment
Physical Appearance, Body
Quality Indicators, Health Care
Quality of Health Care
Skin Pigmentation
Surgical Flaps
Tissue Scaffolds
Aesthetic results
Breast cancer
Breast reconstruction
Breast units
Conservative surgery
Quality indicators
Journal
European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology
ISSN: 1532-2157
Titre abrégé: Eur J Surg Oncol
Pays: England
ID NLM: 8504356
Informations de publication
Date de publication:
10 2020
10 2020
Historique:
received:
05
07
2019
revised:
20
03
2020
accepted:
17
04
2020
pubmed:
30
7
2020
medline:
7
2
2021
entrez:
30
7
2020
Statut:
ppublish
Résumé
Breast cancer treatment has deeply changed in the last decades, since clinical and oncological cure cannot be achieved without patient's satisfaction in term of aesthetic outcomes. Several methods have been proposed to objectively assess these results. However, Italian breast centers have not yet agreed on measurable, reproducible and validated aesthetic outcome indicators to monitor their performance. The study was designed and conducted by Senonetwork, a not-for-profit association of Italian breast centers. Ten breast centers were selected based on specific eligibility criteria. This multicentre observational prospective study recruited 6515 patients with diagnosis of in situ or invasive breast cancer who underwent breast surgery in the years 2013-2016. Thirteen indicators of aesthetic results and of related quality of care were analyzed. Data collection and analysis were conducted using a common study database. On average, seven out of ten centers were able to collect data on the proposed indicators with a proportion of missing values < 25%. By expert consensus based on study results, some seven indicators have been defined as "mandatory" while the remaining six have been defined as "recommended" because they require further refinement before they can be proposed for monitoring aesthetic outcomes or because there are doubts on the feasibility of data collection. The minimum standard is reached for 5 of 13 indicators. This finding and the wide range between centers reveal that there is ample room for improvement. From the present study useful measurable aesthetic parameters have emerged, leading to the definition of target objectives that breast centers can use for benchmarking and improvement of quality of care.
Identifiants
pubmed: 32723610
pii: S0748-7983(20)30433-9
doi: 10.1016/j.ejso.2020.04.036
pii:
doi:
Types de publication
Journal Article
Multicenter Study
Observational Study
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1861-1866Investigateurs
E Barbieri
(E)
E Bissolotti
(E)
C Brando
(C)
C Cavarra
(C)
L Ciuffreda
(L)
L Colizzi
(L)
O Custodero
(O)
G Fasano
(G)
A Loreti
(A)
C Parlati
(C)
P Santi
(P)
S Santicchia
(S)
V L Troilo
(VL)
Informations de copyright
Copyright © 2020 Elsevier Ltd, BASO ~ The Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of competing interest The authors declare that they have no competing interests.