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Conference Paper: Patient-reported cosmetic satisfaction and decision regret after breast conservation or mastectomy in older Chinese breast cancer patients
Title | Patient-reported cosmetic satisfaction and decision regret after breast conservation or mastectomy in older Chinese breast cancer patients |
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Authors | |
Issue Date | 2022 |
Publisher | Korean Breast Cancer Society. |
Citation | Global Breast Cancer Conference (GBCC) 2022, Virtual Conference, Seoul, Korea, 28-30 April 2022 How to Cite? |
Abstract | Background: Few studies have investigated the optimal surgical management in older breast cancer
patients, with many older patients opting for a mastectomy for simplicity’s sake. The aim of this study
was to compare the patient-reported cosmetic satisfaction and decision regret between breastconserving surgery (BCS) and mastectomy in older Chinese patients.
Methods: Female Chinese patients equal to or older than 70 years of age at breast cancer diagnosis were recruited prospectively between September 2019 to June 2021. A questionnaire was administered to patients who were eligible for a BCS or mastectomy. Satisfaction of breast cosmesis was measured
preoperatively and postoperatively at six months with the Chinese version of the BREAST-Q survey.
Decision regret was characterized by the Decision Regret Scale at six months after the operation.
Result: Six-four patients were recruited, and fifty-six patients completed the questionnaires
(participation rate 87.5%). Forty-three patients had a mastectomy (76.8%) and thirteen patients had
BCS (23.2%). 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 71.61 vs.
post-op 56.63, p= 0.041). Satisfaction of breast cosmesis remained similar in the group of patients who
received a BCS (p= 0.746). Neither group demonstrated regret in their decision-making of the
operation option (p= 0.487).
Conclusions: 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 | Poster Presentation - Breast Surgery - no. PO049 |
Persistent Identifier | http://hdl.handle.net/10722/313462 |
DC Field | Value | Language |
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dc.contributor.author | Suen, TKD | - |
dc.contributor.author | Wong, L | - |
dc.contributor.author | Li, WY | - |
dc.contributor.author | Mak, CKJ | - |
dc.contributor.author | Kwong, A | - |
dc.date.accessioned | 2022-06-17T06:46:46Z | - |
dc.date.available | 2022-06-17T06:46:46Z | - |
dc.date.issued | 2022 | - |
dc.identifier.citation | Global Breast Cancer Conference (GBCC) 2022, Virtual Conference, Seoul, Korea, 28-30 April 2022 | - |
dc.identifier.uri | http://hdl.handle.net/10722/313462 | - |
dc.description | Poster Presentation - Breast Surgery - no. PO049 | - |
dc.description.abstract | Background: Few studies have investigated the optimal surgical management in older breast cancer patients, with many older patients opting for a mastectomy for simplicity’s sake. The aim of this study was to compare the patient-reported cosmetic satisfaction and decision regret between breastconserving surgery (BCS) and mastectomy in older Chinese patients. Methods: Female Chinese patients equal to or older than 70 years of age at breast cancer diagnosis were recruited prospectively between September 2019 to June 2021. A questionnaire was administered to patients who were eligible for a BCS or mastectomy. Satisfaction of breast cosmesis was measured preoperatively and postoperatively at six months with the Chinese version of the BREAST-Q survey. Decision regret was characterized by the Decision Regret Scale at six months after the operation. Result: Six-four patients were recruited, and fifty-six patients completed the questionnaires (participation rate 87.5%). Forty-three patients had a mastectomy (76.8%) and thirteen patients had BCS (23.2%). 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 71.61 vs. post-op 56.63, p= 0.041). Satisfaction of breast cosmesis remained similar in the group of patients who received a BCS (p= 0.746). Neither group demonstrated regret in their decision-making of the operation option (p= 0.487). Conclusions: 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.publisher | Korean Breast Cancer Society. | - |
dc.relation.ispartof | Global Breast Cancer Conference (GBCC) 2022 | - |
dc.title | Patient-reported cosmetic satisfaction and decision regret after breast conservation or mastectomy in older Chinese breast cancer patients | - |
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 | 333534 | - |
dc.publisher.place | Korea | - |