Sexual Well-Being After Nipple-Sparing Mastectomy: Does Preservation of the Nipple Matter?
Introduction The primary aim of this study was to evaluate patient-reported outcome measures in patients undergoing mastectomy with and without breast reconstruction (immediate or delayed) with and without nipple preservation. Methods All female patients undergoing mastectomy between 2011 and 2015 a...
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| Veröffentlicht in: | Annals of surgical oncology 2022-07, Vol.29 (7), p.4167-4179 |
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| creator | Racz, Jennifer M. Harless, Christin A. Hoskin, Tanya L. Day, Courtney N. Nguyen, Minh-Doan T. Harris, Ann M. Boughey, Judy C. Hieken, Tina J. Degnim, Amy C. |
| description | Introduction
The primary aim of this study was to evaluate patient-reported outcome measures in patients undergoing mastectomy with and without breast reconstruction (immediate or delayed) with and without nipple preservation.
Methods
All female patients undergoing mastectomy between 2011 and 2015 at Mayo Clinic Rochester were identified and were mailed the BREAST-Q survey. Breast satisfaction, psychosocial well-being, and sexual well-being were evaluated and compared by surgery type using Wilcoxon rank-sum tests for univariate analysis and linear regression for multivariable analysis adjusting for potential confounders.
Results
Of 1547 patients, 771 completed the BREAST-Q survey (response rate 50%). Of these 771 respondents, 237 (31%) did not have reconstruction, 198 (26%) had nipple-sparing mastectomy with reconstruction (NSM), and 336 (44%) had skin-sparing mastectomy with reconstruction (SSM) ± nipple–areolar complex (NAC) reconstruction (via surgery ± tattoo). Patients with breast reconstruction had consistently higher BREAST-Q scores versus those without. Comparing NSM with all SSMs, there was no difference in satisfaction with breasts (mean 71.8 vs. 70.2,
p
= 0.21) or psychosocial well-being (mean 81.9 vs. 81.3,
p
= 0.47); however, sexual well-being was significantly higher in the NSM group on univariate (mean 64.5 vs. 58.0,
p
= 0.002) and multivariable (
β
= −4.69,
p
= 0.03) analysis. Sexual well-being scores were similar for NSM and the SSM subgroups with any type of NAC reconstruction.
Conclusions
This study demonstrates that NSM positively impacts patient sexual well-being after breast reconstruction compared with SSM, particularly SSM without nipple reconstruction or tattoo. SSM with any type of NAC reconstruction achieved similar satisfaction and sexual well-being to those undergoing NSM. |
| doi_str_mv | 10.1245/s10434-022-11578-1 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2648065947</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2673711662</sourcerecordid><originalsourceid>FETCH-LOGICAL-c338t-46bfc9d8d65806a1c2ed36f9b2af6ccdd33b19f276df1ba379ec18c6dc732d3f3</originalsourceid><addsrcrecordid>eNp9kE1L7DAUhoNc8WP0D9yFFO7GTTUnadLWjfit4BeMItxNSJMTrXSmNWlF_70ZZ1S4i7tKODzvm5OHkN9Ad4BlYjcAzXiWUsZSAJEXKSyRNRBxlMkCfsU7lUVaMilWyXoIz5RCzqlYIatc8EKUpVwjf8f4NugmecCmSQ-xnj4mB65Hn1zXXddgOu60nw2vdOjR9O3kfS85bjEktx4D-lfd1-00aV3SP-EiE9k-NuxvkGWnm4Cbi3NE7k9P7o7O08ubs4ujg8vUcF70cdfKmdIWVoqCSg2GoeXSlRXTThpjLecVlI7l0jqoNM9LNFAYaU3OmeWOj8j2vLfz7cuAoVeTOpj4Hz3FdgiKySwWizLLI_rnH_S5Hfw0bhepnOcAUrJIsTllfBuCR6c6X0-0f1dA1cy8mptX0bz6NK8ghrYW1UM1Qfsd-VIdAT4HQjcziv7n7f_UfgCK_I5R</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2673711662</pqid></control><display><type>article</type><title>Sexual Well-Being After Nipple-Sparing Mastectomy: Does Preservation of the Nipple Matter?</title><source>SpringerLink Journals</source><creator>Racz, Jennifer M. ; Harless, Christin A. ; Hoskin, Tanya L. ; Day, Courtney N. ; Nguyen, Minh-Doan T. ; Harris, Ann M. ; Boughey, Judy C. ; Hieken, Tina J. ; Degnim, Amy C.</creator><creatorcontrib>Racz, Jennifer M. ; Harless, Christin A. ; Hoskin, Tanya L. ; Day, Courtney N. ; Nguyen, Minh-Doan T. ; Harris, Ann M. ; Boughey, Judy C. ; Hieken, Tina J. ; Degnim, Amy C.</creatorcontrib><description>Introduction
The primary aim of this study was to evaluate patient-reported outcome measures in patients undergoing mastectomy with and without breast reconstruction (immediate or delayed) with and without nipple preservation.
Methods
All female patients undergoing mastectomy between 2011 and 2015 at Mayo Clinic Rochester were identified and were mailed the BREAST-Q survey. Breast satisfaction, psychosocial well-being, and sexual well-being were evaluated and compared by surgery type using Wilcoxon rank-sum tests for univariate analysis and linear regression for multivariable analysis adjusting for potential confounders.
Results
Of 1547 patients, 771 completed the BREAST-Q survey (response rate 50%). Of these 771 respondents, 237 (31%) did not have reconstruction, 198 (26%) had nipple-sparing mastectomy with reconstruction (NSM), and 336 (44%) had skin-sparing mastectomy with reconstruction (SSM) ± nipple–areolar complex (NAC) reconstruction (via surgery ± tattoo). Patients with breast reconstruction had consistently higher BREAST-Q scores versus those without. Comparing NSM with all SSMs, there was no difference in satisfaction with breasts (mean 71.8 vs. 70.2,
p
= 0.21) or psychosocial well-being (mean 81.9 vs. 81.3,
p
= 0.47); however, sexual well-being was significantly higher in the NSM group on univariate (mean 64.5 vs. 58.0,
p
= 0.002) and multivariable (
β
= −4.69,
p
= 0.03) analysis. Sexual well-being scores were similar for NSM and the SSM subgroups with any type of NAC reconstruction.
Conclusions
This study demonstrates that NSM positively impacts patient sexual well-being after breast reconstruction compared with SSM, particularly SSM without nipple reconstruction or tattoo. SSM with any type of NAC reconstruction achieved similar satisfaction and sexual well-being to those undergoing NSM.</description><identifier>ISSN: 1068-9265</identifier><identifier>EISSN: 1534-4681</identifier><identifier>DOI: 10.1245/s10434-022-11578-1</identifier><identifier>PMID: 35385996</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Breast ; Breast Oncology ; Breasts ; Mastectomy ; Medicine ; Medicine & Public Health ; Oncology ; Patients ; Preservation ; Reconstructive surgery ; Surgery ; Surgical Oncology ; Well being</subject><ispartof>Annals of surgical oncology, 2022-07, Vol.29 (7), p.4167-4179</ispartof><rights>Society of Surgical Oncology 2022</rights><rights>2022. Society of Surgical Oncology.</rights><rights>Society of Surgical Oncology 2022.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c338t-46bfc9d8d65806a1c2ed36f9b2af6ccdd33b19f276df1ba379ec18c6dc732d3f3</citedby><cites>FETCH-LOGICAL-c338t-46bfc9d8d65806a1c2ed36f9b2af6ccdd33b19f276df1ba379ec18c6dc732d3f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1245/s10434-022-11578-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1245/s10434-022-11578-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35385996$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Racz, Jennifer M.</creatorcontrib><creatorcontrib>Harless, Christin A.</creatorcontrib><creatorcontrib>Hoskin, Tanya L.</creatorcontrib><creatorcontrib>Day, Courtney N.</creatorcontrib><creatorcontrib>Nguyen, Minh-Doan T.</creatorcontrib><creatorcontrib>Harris, Ann M.</creatorcontrib><creatorcontrib>Boughey, Judy C.</creatorcontrib><creatorcontrib>Hieken, Tina J.</creatorcontrib><creatorcontrib>Degnim, Amy C.</creatorcontrib><title>Sexual Well-Being After Nipple-Sparing Mastectomy: Does Preservation of the Nipple Matter?</title><title>Annals of surgical oncology</title><addtitle>Ann Surg Oncol</addtitle><addtitle>Ann Surg Oncol</addtitle><description>Introduction
The primary aim of this study was to evaluate patient-reported outcome measures in patients undergoing mastectomy with and without breast reconstruction (immediate or delayed) with and without nipple preservation.
Methods
All female patients undergoing mastectomy between 2011 and 2015 at Mayo Clinic Rochester were identified and were mailed the BREAST-Q survey. Breast satisfaction, psychosocial well-being, and sexual well-being were evaluated and compared by surgery type using Wilcoxon rank-sum tests for univariate analysis and linear regression for multivariable analysis adjusting for potential confounders.
Results
Of 1547 patients, 771 completed the BREAST-Q survey (response rate 50%). Of these 771 respondents, 237 (31%) did not have reconstruction, 198 (26%) had nipple-sparing mastectomy with reconstruction (NSM), and 336 (44%) had skin-sparing mastectomy with reconstruction (SSM) ± nipple–areolar complex (NAC) reconstruction (via surgery ± tattoo). Patients with breast reconstruction had consistently higher BREAST-Q scores versus those without. Comparing NSM with all SSMs, there was no difference in satisfaction with breasts (mean 71.8 vs. 70.2,
p
= 0.21) or psychosocial well-being (mean 81.9 vs. 81.3,
p
= 0.47); however, sexual well-being was significantly higher in the NSM group on univariate (mean 64.5 vs. 58.0,
p
= 0.002) and multivariable (
β
= −4.69,
p
= 0.03) analysis. Sexual well-being scores were similar for NSM and the SSM subgroups with any type of NAC reconstruction.
Conclusions
This study demonstrates that NSM positively impacts patient sexual well-being after breast reconstruction compared with SSM, particularly SSM without nipple reconstruction or tattoo. SSM with any type of NAC reconstruction achieved similar satisfaction and sexual well-being to those undergoing NSM.</description><subject>Breast</subject><subject>Breast Oncology</subject><subject>Breasts</subject><subject>Mastectomy</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Oncology</subject><subject>Patients</subject><subject>Preservation</subject><subject>Reconstructive surgery</subject><subject>Surgery</subject><subject>Surgical Oncology</subject><subject>Well being</subject><issn>1068-9265</issn><issn>1534-4681</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNp9kE1L7DAUhoNc8WP0D9yFFO7GTTUnadLWjfit4BeMItxNSJMTrXSmNWlF_70ZZ1S4i7tKODzvm5OHkN9Ad4BlYjcAzXiWUsZSAJEXKSyRNRBxlMkCfsU7lUVaMilWyXoIz5RCzqlYIatc8EKUpVwjf8f4NugmecCmSQ-xnj4mB65Hn1zXXddgOu60nw2vdOjR9O3kfS85bjEktx4D-lfd1-00aV3SP-EiE9k-NuxvkGWnm4Cbi3NE7k9P7o7O08ubs4ujg8vUcF70cdfKmdIWVoqCSg2GoeXSlRXTThpjLecVlI7l0jqoNM9LNFAYaU3OmeWOj8j2vLfz7cuAoVeTOpj4Hz3FdgiKySwWizLLI_rnH_S5Hfw0bhepnOcAUrJIsTllfBuCR6c6X0-0f1dA1cy8mptX0bz6NK8ghrYW1UM1Qfsd-VIdAT4HQjcziv7n7f_UfgCK_I5R</recordid><startdate>20220701</startdate><enddate>20220701</enddate><creator>Racz, Jennifer M.</creator><creator>Harless, Christin A.</creator><creator>Hoskin, Tanya L.</creator><creator>Day, Courtney N.</creator><creator>Nguyen, Minh-Doan T.</creator><creator>Harris, Ann M.</creator><creator>Boughey, Judy C.</creator><creator>Hieken, Tina J.</creator><creator>Degnim, Amy C.</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20220701</creationdate><title>Sexual Well-Being After Nipple-Sparing Mastectomy: Does Preservation of the Nipple Matter?</title><author>Racz, Jennifer M. ; Harless, Christin A. ; Hoskin, Tanya L. ; Day, Courtney N. ; Nguyen, Minh-Doan T. ; Harris, Ann M. ; Boughey, Judy C. ; Hieken, Tina J. ; Degnim, Amy C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c338t-46bfc9d8d65806a1c2ed36f9b2af6ccdd33b19f276df1ba379ec18c6dc732d3f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Breast</topic><topic>Breast Oncology</topic><topic>Breasts</topic><topic>Mastectomy</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Oncology</topic><topic>Patients</topic><topic>Preservation</topic><topic>Reconstructive surgery</topic><topic>Surgery</topic><topic>Surgical Oncology</topic><topic>Well being</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Racz, Jennifer M.</creatorcontrib><creatorcontrib>Harless, Christin A.</creatorcontrib><creatorcontrib>Hoskin, Tanya L.</creatorcontrib><creatorcontrib>Day, Courtney N.</creatorcontrib><creatorcontrib>Nguyen, Minh-Doan T.</creatorcontrib><creatorcontrib>Harris, Ann M.</creatorcontrib><creatorcontrib>Boughey, Judy C.</creatorcontrib><creatorcontrib>Hieken, Tina J.</creatorcontrib><creatorcontrib>Degnim, Amy C.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Annals of surgical oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Racz, Jennifer M.</au><au>Harless, Christin A.</au><au>Hoskin, Tanya L.</au><au>Day, Courtney N.</au><au>Nguyen, Minh-Doan T.</au><au>Harris, Ann M.</au><au>Boughey, Judy C.</au><au>Hieken, Tina J.</au><au>Degnim, Amy C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sexual Well-Being After Nipple-Sparing Mastectomy: Does Preservation of the Nipple Matter?</atitle><jtitle>Annals of surgical oncology</jtitle><stitle>Ann Surg Oncol</stitle><addtitle>Ann Surg Oncol</addtitle><date>2022-07-01</date><risdate>2022</risdate><volume>29</volume><issue>7</issue><spage>4167</spage><epage>4179</epage><pages>4167-4179</pages><issn>1068-9265</issn><eissn>1534-4681</eissn><abstract>Introduction
The primary aim of this study was to evaluate patient-reported outcome measures in patients undergoing mastectomy with and without breast reconstruction (immediate or delayed) with and without nipple preservation.
Methods
All female patients undergoing mastectomy between 2011 and 2015 at Mayo Clinic Rochester were identified and were mailed the BREAST-Q survey. Breast satisfaction, psychosocial well-being, and sexual well-being were evaluated and compared by surgery type using Wilcoxon rank-sum tests for univariate analysis and linear regression for multivariable analysis adjusting for potential confounders.
Results
Of 1547 patients, 771 completed the BREAST-Q survey (response rate 50%). Of these 771 respondents, 237 (31%) did not have reconstruction, 198 (26%) had nipple-sparing mastectomy with reconstruction (NSM), and 336 (44%) had skin-sparing mastectomy with reconstruction (SSM) ± nipple–areolar complex (NAC) reconstruction (via surgery ± tattoo). Patients with breast reconstruction had consistently higher BREAST-Q scores versus those without. Comparing NSM with all SSMs, there was no difference in satisfaction with breasts (mean 71.8 vs. 70.2,
p
= 0.21) or psychosocial well-being (mean 81.9 vs. 81.3,
p
= 0.47); however, sexual well-being was significantly higher in the NSM group on univariate (mean 64.5 vs. 58.0,
p
= 0.002) and multivariable (
β
= −4.69,
p
= 0.03) analysis. Sexual well-being scores were similar for NSM and the SSM subgroups with any type of NAC reconstruction.
Conclusions
This study demonstrates that NSM positively impacts patient sexual well-being after breast reconstruction compared with SSM, particularly SSM without nipple reconstruction or tattoo. SSM with any type of NAC reconstruction achieved similar satisfaction and sexual well-being to those undergoing NSM.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>35385996</pmid><doi>10.1245/s10434-022-11578-1</doi><tpages>13</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1068-9265 |
| ispartof | Annals of surgical oncology, 2022-07, Vol.29 (7), p.4167-4179 |
| issn | 1068-9265 1534-4681 |
| language | eng |
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| source | SpringerLink Journals |
| subjects | Breast Breast Oncology Breasts Mastectomy Medicine Medicine & Public Health Oncology Patients Preservation Reconstructive surgery Surgery Surgical Oncology Well being |
| title | Sexual Well-Being After Nipple-Sparing Mastectomy: Does Preservation of the Nipple Matter? |
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