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Knowledge gaps in oncoplastic breast surgery.

Walter P Weber1, Monica Morrow2, Jana de Boniface3

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Summary
This summary is machine-generated.

This study identified key research priorities in oncoplastic breast surgery and reconstruction. International collaboration is recommended for prospective studies on quality of life and reconstruction outcomes.

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Area of Science:

  • Oncoplastic surgery
  • Breast reconstruction
  • Surgical oncology

Background:

  • Knowledge gaps exist in oncoplastic breast-conserving surgery and mastectomy with reconstruction.
  • The Oncoplastic Breast Consortium initiative aimed to address these gaps.

Purpose of the Study:

  • Identify and prioritize knowledge gaps in oncoplastic breast surgery.
  • Recommend research strategies to address identified gaps.
  • Establish research priorities for future studies.

Main Methods:

  • Two electronic Delphi rounds involving 212 surgeons and 26 patient advocates from 55 countries.
  • An interdisciplinary panel of 63 stakeholders from 20 countries reached consensus on research priorities.
  • Prioritization of 15 knowledge gaps from an initial list of 38.

Main Results:

  • Seven key knowledge gaps were selected as research priorities.
  • Recommendations include international prospective cohort studies on quality of life and reconstruction.
  • Randomized controlled trials are suggested for investigating mesh use and implant positioning in reconstruction.

Conclusions:

  • Prospective international studies are needed to evaluate oncoplastic breast-conserving surgery's impact on quality of life.
  • Further research should focus on optimal reconstruction techniques after mastectomy.
  • The BREAST-Q questionnaire is suitable for outcome assessment, but other patient-reported outcome metrics require evaluation.