Breast Cancer Female
Conditions
Keywords
Breast reconstruction, Plastic surgery, Psychology
Brief summary
Previous quality of life studies have suggested that long term satisfaction with breast reconstruction may be affected by postoperative complications. Complication frequencies, especially the risk for implant loss, is considerably higher in immediate than in delayed breast reconstruction. Knowledge about how implant loss affects the patient's experience of her breast reconstruction can guide us in the choice between immediate and delayed breast reconstruction in high risk patients and help us better prepare the patients for possible complications. This study will investigate patients' experiences with losing an implant in connection with immediate breast reconstruction.
Interventions
None listed
Sponsors
Vastra Gotaland Region
Study design
Observational model
CASE_CONTROL
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Biological women * Age \>18 years * Have lost an implant after a mastectomy and immediate breast reconstruction
Exclusion criteria
* Inability to give informed consent * inability to speak and understand Swedish * relapse of breast cancer after the reconstruction * metastatic disease * psychiatric co-morbidity.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Experiences and psychological effects of implant loss after immediate breast reconstruction | 10 years | Interviews |
| Effect on quality of life of implant loss: scale | 10 years | Breast-Q reconstruction post-operative. It includes different domains: health-related quality of life (HR-QOL; including physical, psychosocial, and sexual well-being) and patient satisfaction (including satisfaction with breasts, outcome, and care). Each scale produces an independent score from 0-100.a higher score means greater satisfaction or better QOL |
| Effect on body image of implant loss | 10 years | Body-Esteem Scale for Adolescents and Adults (BESAA). It consists of three subscales: BE-appearance, BE-weight and BE-attribution.The scale has 23 items and the respondents indicated their degree of agreement on a 5-point Likert scale ranging from 0 (never) to 4 (always).High score indicates higher dimensions of the Body Esteem. |
| Effect on depression and anxiety of implant loss | 10 years | Hospital Anxiety and Depression scale (HAD).The HADS is a fourteen item scale that generates: Seven of the items relate to anxiety and seven relate to depression.For both scales, scores of less than 7 indicate non-cases. 8-10 mild, 11-14 moderate, 15-21 severe. |
| Coping strategies | 10 years | Brief-cope, a 28 item self-report questionnaire designed to measure effective and ineffective ways to cope with a stressful life event.Scores are presented for the two overarching coping styles: avoidant and approach.The scale can determine someone's primary coping styles. |
Countries
Sweden
Outcome results
None listed