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Single-Port Robotic-assisted Transaxillary Breast-conserving Surgery: A Prospective, Single-arm, Non-randomized Phase IIa Clinical Trial
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Initial experience of the BREAST-Q breast-conserving therapy module
Rachel L O'Connell1, Rosa DiMicco1, Komel Khabra2
1Department of Breast Surgery, The Royal Marsden NHS Foundation Trust, Royal Marsden Hospital, Orchard House, Downs Road, Sutton, Surrey, SM2 5PT, UK.
Breast Cancer Research and Treatment
|September 18, 2016
Summary
Patient satisfaction after breast-conserving therapy (BCT) is impacted by high BMI, delayed wound healing, and axillary surgery. This study provides key insights for improving patient outcomes following BCT.
Area of Science:
- Oncology
- Patient-Reported Outcomes
Background:
- The BREAST-Q is a validated measure for assessing patient outcomes.
- A specific module for breast-conserving therapy (BCT) has been developed.
Purpose of the Study:
- To evaluate patient satisfaction and quality of life after BCT using the BREAST-Q.
- To identify clinical risk factors associated with lower patient satisfaction.
- To explore the correlation between breast appearance satisfaction and other BREAST-Q domains.
Main Methods:
- 200 women who underwent unilateral BCT within 1-6 years participated.
- Clinicopathological data were collected from electronic records.
- Linear regression and Spearman's rho correlation were used for analysis.
Main Results:
- Mean age was 60 years; average time from surgery was 35.5 months.
- The 'Satisfaction with breasts' domain scored a median of 68, while 'sexual wellbeing' scored lowest (57).
- High BMI, delayed wound healing, and axillary surgery were independent risk factors for lower satisfaction.
Conclusions:
- High BMI, delayed wound healing, and axillary surgery negatively impact patient satisfaction after BCT.
- This study establishes a benchmark dataset for future research on patient satisfaction post-BCT.
