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Conference Paper: Patient-reported satisfaction with cosmetic outcome and decision regret after breast conservation and mastectomy in older Chinese breast cancer patient
Title | Patient-reported satisfaction with cosmetic outcome and decision regret after breast conservation and mastectomy in older Chinese breast cancer patient |
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Authors | |
Issue Date | 2021 |
Citation | The 5th Annual Scientific Meeting of the Hong Kong Society of Breast Surgeons, Online Meeting, Hong Kong, 19 September 2021 How to Cite? |
Abstract | Introduction: Few studies have investigated the optimal surgical management in older breast cancer patients with many elderly patients opting for a mastectomy for simplicity's
sake. The aim of this study was to compare the patient-reported satisfaction in cosmetic outcomes and decision regret between breast conserving surgery and mastectomy in older Chinese patients.
Methodology: Female Chinese patients equal or older than 70 years of age at the time of
breast cancer diagnosis were recruited prospectively between September 2019 to December 2020. A questionnaire was administered to patients who were eligible for a breast conserving surgery (BCS) and mastectomy. Satisfaction with outcomes were measured pre-operatively and post-operatively at six months with the Chinese version of the BREAST-Qsurvey. Decision regret was characterized by the Decision Regret Scale at six months after the operation.
Results: Forty-nine patients were recruited and forty-four patients completed the questionnaires (participation rate 90%). Thirty-four patients had mastectomy {77.3%) and ten patients had BCS (22.7%). Patients who received a mastectomy were found to be less satisfied with the cosmetic outcome of their breasts at six months after the operation (BREAST-Q mean scores pre-op 70.7 vs. post-op 58.3, p=0.011). Satisfaction of breast cosmesis remained similar in the group of patients who received a BCS (p=0.13). Neither group demonstrated regret in their decision making of operation option (p=0.612).
Conclusion: Elderly patients can show significant dissatisfaction with the cosmetic outcome after a mastectomy. It is crucial to engage the patients in discussion of surgical
options to make an informed decision. |
Description | Oral Presentation |
Persistent Identifier | http://hdl.handle.net/10722/305565 |
DC Field | Value | Language |
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dc.contributor.author | Suen, TKD | - |
dc.contributor.author | Mak, CKJ | - |
dc.contributor.author | Kwong, A | - |
dc.date.accessioned | 2021-10-20T10:11:12Z | - |
dc.date.available | 2021-10-20T10:11:12Z | - |
dc.date.issued | 2021 | - |
dc.identifier.citation | The 5th Annual Scientific Meeting of the Hong Kong Society of Breast Surgeons, Online Meeting, Hong Kong, 19 September 2021 | - |
dc.identifier.uri | http://hdl.handle.net/10722/305565 | - |
dc.description | Oral Presentation | - |
dc.description.abstract | Introduction: Few studies have investigated the optimal surgical management in older breast cancer patients with many elderly patients opting for a mastectomy for simplicity's sake. The aim of this study was to compare the patient-reported satisfaction in cosmetic outcomes and decision regret between breast conserving surgery and mastectomy in older Chinese patients. Methodology: Female Chinese patients equal or older than 70 years of age at the time of breast cancer diagnosis were recruited prospectively between September 2019 to December 2020. A questionnaire was administered to patients who were eligible for a breast conserving surgery (BCS) and mastectomy. Satisfaction with outcomes were measured pre-operatively and post-operatively at six months with the Chinese version of the BREAST-Qsurvey. Decision regret was characterized by the Decision Regret Scale at six months after the operation. Results: Forty-nine patients were recruited and forty-four patients completed the questionnaires (participation rate 90%). Thirty-four patients had mastectomy {77.3%) and ten patients had BCS (22.7%). Patients who received a mastectomy were found to be less satisfied with the cosmetic outcome of their breasts at six months after the operation (BREAST-Q mean scores pre-op 70.7 vs. post-op 58.3, p=0.011). Satisfaction of breast cosmesis remained similar in the group of patients who received a BCS (p=0.13). Neither group demonstrated regret in their decision making of operation option (p=0.612). Conclusion: Elderly patients can show significant dissatisfaction with the cosmetic outcome after a mastectomy. It is crucial to engage the patients in discussion of surgical options to make an informed decision. | - |
dc.language | eng | - |
dc.relation.ispartof | The 5th Annual Scientific Meeting, Hong Kong Society of Breast Surgeons | - |
dc.title | Patient-reported satisfaction with cosmetic outcome and decision regret after breast conservation and mastectomy in older Chinese breast cancer patient | - |
dc.type | Conference_Paper | - |
dc.identifier.email | Suen, TKD: suentkd@hku.hk | - |
dc.identifier.email | Kwong, A: avakwong@hku.hk | - |
dc.identifier.authority | Kwong, A=rp01734 | - |
dc.identifier.hkuros | 326677 | - |