Patients’ satisfaction with the reconstructive options provided to them measured 18 months after mastectomy surgery for breast cancer
Introduction Mastectomy patients’ satisfaction with reconstructive options has not been examined. Methods A national study measured 18‐month satisfaction with reconstructive options and collected case‐mix and reconstructive offer and uptake data on breast cancer patients having mastectomy with or wi...
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| Veröffentlicht in: | European journal of cancer care 2021-03, Vol.30 (2), p.e13362-n/a |
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| container_title | European journal of cancer care |
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| creator | Jeevan, Ranjeet Browne, John P. Gulliver‐Clarke, Carmel Pereira, Jerome Caddy, Christopher M. Meulen, Jan H. P. Cromwell, David A. |
| description | Introduction
Mastectomy patients’ satisfaction with reconstructive options has not been examined.
Methods
A national study measured 18‐month satisfaction with reconstructive options and collected case‐mix and reconstructive offer and uptake data on breast cancer patients having mastectomy with or without immediate reconstruction (IR) in England between January 2008 and March 2009. Multivariable logistic regression examined the relationship between satisfaction, age, IR offer and uptake, and clinical suitability.
Results
Of 4796 patients, 1889 were not offered IR, 1489 declined an offer and 1418 underwent it. Women not offered IR were more likely older, obese or smokers and had higher ASA grades, ECOG scores, tumour burdens and adjuvant chemotherapy and radiotherapy likelihoods (9% of lowest suitability group offered IR; 81% in highest suitability group). 83.7% were satisfied with their reconstructive options, varying significantly by IR offer and uptake (76.1% for those not offered IR; 85.8% for those who declined IR; 91.7% following IR). Older women and women deemed more suitable for IR were more often satisfied (p‐values |
| doi_str_mv | 10.1111/ecc.13362 |
| format | Article |
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Mastectomy patients’ satisfaction with reconstructive options has not been examined.
Methods
A national study measured 18‐month satisfaction with reconstructive options and collected case‐mix and reconstructive offer and uptake data on breast cancer patients having mastectomy with or without immediate reconstruction (IR) in England between January 2008 and March 2009. Multivariable logistic regression examined the relationship between satisfaction, age, IR offer and uptake, and clinical suitability.
Results
Of 4796 patients, 1889 were not offered IR, 1489 declined an offer and 1418 underwent it. Women not offered IR were more likely older, obese or smokers and had higher ASA grades, ECOG scores, tumour burdens and adjuvant chemotherapy and radiotherapy likelihoods (9% of lowest suitability group offered IR; 81% in highest suitability group). 83.7% were satisfied with their reconstructive options, varying significantly by IR offer and uptake (76.1% for those not offered IR; 85.8% for those who declined IR; 91.7% following IR). Older women and women deemed more suitable for IR were more often satisfied (p‐values <0.001).
Conclusions
Satisfaction varied by offer and uptake status, age and suitability score. Clinicians should target equity for women deemed unsuitable by exploring their needs and desired outcomes, standardising operative fitness assessments and utilising shared decision‐making aids.</description><identifier>ISSN: 0961-5423</identifier><identifier>EISSN: 1365-2354</identifier><identifier>DOI: 10.1111/ecc.13362</identifier><identifier>PMID: 33171000</identifier><language>eng</language><publisher>England: Hindawi Limited</publisher><subject>Breast cancer ; breast neoplasms ; breast reconstruction ; Chemotherapy ; Clinical decision making ; Decision making ; England ; Mastectomy ; Nursing ; Patient satisfaction ; Patients ; Radiation therapy ; Smoking ; Surgery ; Tumors</subject><ispartof>European journal of cancer care, 2021-03, Vol.30 (2), p.e13362-n/a</ispartof><rights>2020 John Wiley & Sons Ltd</rights><rights>2020 John Wiley & Sons Ltd.</rights><rights>Copyright © 2021 John Wiley & Sons Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3482-dfc01c52c61af5f6234e6deb414ea872b2340ef580f06e6788a216f4b8b622513</cites><orcidid>0000-0002-4093-3118</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fecc.13362$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fecc.13362$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33171000$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jeevan, Ranjeet</creatorcontrib><creatorcontrib>Browne, John P.</creatorcontrib><creatorcontrib>Gulliver‐Clarke, Carmel</creatorcontrib><creatorcontrib>Pereira, Jerome</creatorcontrib><creatorcontrib>Caddy, Christopher M.</creatorcontrib><creatorcontrib>Meulen, Jan H. P.</creatorcontrib><creatorcontrib>Cromwell, David A.</creatorcontrib><title>Patients’ satisfaction with the reconstructive options provided to them measured 18 months after mastectomy surgery for breast cancer</title><title>European journal of cancer care</title><addtitle>Eur J Cancer Care (Engl)</addtitle><description>Introduction
Mastectomy patients’ satisfaction with reconstructive options has not been examined.
Methods
A national study measured 18‐month satisfaction with reconstructive options and collected case‐mix and reconstructive offer and uptake data on breast cancer patients having mastectomy with or without immediate reconstruction (IR) in England between January 2008 and March 2009. Multivariable logistic regression examined the relationship between satisfaction, age, IR offer and uptake, and clinical suitability.
Results
Of 4796 patients, 1889 were not offered IR, 1489 declined an offer and 1418 underwent it. Women not offered IR were more likely older, obese or smokers and had higher ASA grades, ECOG scores, tumour burdens and adjuvant chemotherapy and radiotherapy likelihoods (9% of lowest suitability group offered IR; 81% in highest suitability group). 83.7% were satisfied with their reconstructive options, varying significantly by IR offer and uptake (76.1% for those not offered IR; 85.8% for those who declined IR; 91.7% following IR). Older women and women deemed more suitable for IR were more often satisfied (p‐values <0.001).
Conclusions
Satisfaction varied by offer and uptake status, age and suitability score. Clinicians should target equity for women deemed unsuitable by exploring their needs and desired outcomes, standardising operative fitness assessments and utilising shared decision‐making aids.</description><subject>Breast cancer</subject><subject>breast neoplasms</subject><subject>breast reconstruction</subject><subject>Chemotherapy</subject><subject>Clinical decision making</subject><subject>Decision making</subject><subject>England</subject><subject>Mastectomy</subject><subject>Nursing</subject><subject>Patient satisfaction</subject><subject>Patients</subject><subject>Radiation therapy</subject><subject>Smoking</subject><subject>Surgery</subject><subject>Tumors</subject><issn>0961-5423</issn><issn>1365-2354</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp1kc1qGzEUhUVJaBy3i75AEGTTLCbWv2eWwbhJIZAs2rXQaK7qMZ6RI2lsvMuuz9DXy5NUrp0uAtHiSpz73aMLB6EvlFzTfCZg7TXlXLEPaES5kgXjUpygEakULaRg_Aydx7gkhHJaiY_ojHM6pYSQEfr9aFILfYovz39wzO_ojE2t7_G2TQucFoADWN_HFIasbwD79b4d8Tr4TdtAg5PfYx3uwMQhZIGWuPN9WkRsXIKAOxMT2OS7Hc7ALwg77HzAdcgDCVvTWwif0Kkzqwifj_cY_fw2_zG7K-4fbr_Pbu4Ly0XJisZZQq1kVlHjpFOMC1AN1IIKMOWU1Vkg4GRJHFGgpmVpGFVO1GWtGJOUj9HXg29e_2mAmHTXRgurlenBD1EzISu1Lzyjl2_QpR9Cn7fTTJIq_zStSKauDpQNPsYATq9D25mw05TofTo6p6P_pZPZi6PjUHfQ_Cdf48jA5ABs2xXs3nfS89nsYPkXwSubZA</recordid><startdate>202103</startdate><enddate>202103</enddate><creator>Jeevan, Ranjeet</creator><creator>Browne, John P.</creator><creator>Gulliver‐Clarke, Carmel</creator><creator>Pereira, Jerome</creator><creator>Caddy, Christopher M.</creator><creator>Meulen, Jan H. P.</creator><creator>Cromwell, David A.</creator><general>Hindawi Limited</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8FD</scope><scope>ASE</scope><scope>FPQ</scope><scope>FR3</scope><scope>K6X</scope><scope>K9.</scope><scope>M7Z</scope><scope>NAPCQ</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-4093-3118</orcidid></search><sort><creationdate>202103</creationdate><title>Patients’ satisfaction with the reconstructive options provided to them measured 18 months after mastectomy surgery for breast cancer</title><author>Jeevan, Ranjeet ; Browne, John P. ; Gulliver‐Clarke, Carmel ; Pereira, Jerome ; Caddy, Christopher M. ; Meulen, Jan H. P. ; Cromwell, David A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3482-dfc01c52c61af5f6234e6deb414ea872b2340ef580f06e6788a216f4b8b622513</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Breast cancer</topic><topic>breast neoplasms</topic><topic>breast reconstruction</topic><topic>Chemotherapy</topic><topic>Clinical decision making</topic><topic>Decision making</topic><topic>England</topic><topic>Mastectomy</topic><topic>Nursing</topic><topic>Patient satisfaction</topic><topic>Patients</topic><topic>Radiation therapy</topic><topic>Smoking</topic><topic>Surgery</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jeevan, Ranjeet</creatorcontrib><creatorcontrib>Browne, John P.</creatorcontrib><creatorcontrib>Gulliver‐Clarke, Carmel</creatorcontrib><creatorcontrib>Pereira, Jerome</creatorcontrib><creatorcontrib>Caddy, Christopher M.</creatorcontrib><creatorcontrib>Meulen, Jan H. P.</creatorcontrib><creatorcontrib>Cromwell, David A.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Technology Research Database</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Engineering Research Database</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biochemistry Abstracts 1</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of cancer care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jeevan, Ranjeet</au><au>Browne, John P.</au><au>Gulliver‐Clarke, Carmel</au><au>Pereira, Jerome</au><au>Caddy, Christopher M.</au><au>Meulen, Jan H. P.</au><au>Cromwell, David A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patients’ satisfaction with the reconstructive options provided to them measured 18 months after mastectomy surgery for breast cancer</atitle><jtitle>European journal of cancer care</jtitle><addtitle>Eur J Cancer Care (Engl)</addtitle><date>2021-03</date><risdate>2021</risdate><volume>30</volume><issue>2</issue><spage>e13362</spage><epage>n/a</epage><pages>e13362-n/a</pages><issn>0961-5423</issn><eissn>1365-2354</eissn><abstract>Introduction
Mastectomy patients’ satisfaction with reconstructive options has not been examined.
Methods
A national study measured 18‐month satisfaction with reconstructive options and collected case‐mix and reconstructive offer and uptake data on breast cancer patients having mastectomy with or without immediate reconstruction (IR) in England between January 2008 and March 2009. Multivariable logistic regression examined the relationship between satisfaction, age, IR offer and uptake, and clinical suitability.
Results
Of 4796 patients, 1889 were not offered IR, 1489 declined an offer and 1418 underwent it. Women not offered IR were more likely older, obese or smokers and had higher ASA grades, ECOG scores, tumour burdens and adjuvant chemotherapy and radiotherapy likelihoods (9% of lowest suitability group offered IR; 81% in highest suitability group). 83.7% were satisfied with their reconstructive options, varying significantly by IR offer and uptake (76.1% for those not offered IR; 85.8% for those who declined IR; 91.7% following IR). Older women and women deemed more suitable for IR were more often satisfied (p‐values <0.001).
Conclusions
Satisfaction varied by offer and uptake status, age and suitability score. Clinicians should target equity for women deemed unsuitable by exploring their needs and desired outcomes, standardising operative fitness assessments and utilising shared decision‐making aids.</abstract><cop>England</cop><pub>Hindawi Limited</pub><pmid>33171000</pmid><doi>10.1111/ecc.13362</doi><tpages>0</tpages><orcidid>https://orcid.org/0000-0002-4093-3118</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Breast cancer breast neoplasms breast reconstruction Chemotherapy Clinical decision making Decision making England Mastectomy Nursing Patient satisfaction Patients Radiation therapy Smoking Surgery Tumors |
| title | Patients’ satisfaction with the reconstructive options provided to them measured 18 months after mastectomy surgery for breast cancer |
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