Improved immediate breast reconstruction as a result of oncoplastic multidisciplinary meeting

Mohsen M El Gammal,1 Maria Lim,1 Rajan Uppal,2 Richard Sainsbury1 1Department of Breast Surgery, Parapet Breast Centre, Frimley Health Foundation Trust, Windsor, 2Department of Plastic and Reconstructive Surgery, Wexham and Heatherwood Hospital, Frimley Health Foundation Trust, Slough, UK Introducti...

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Autores principales:	El Gammal MM, Lim M, Uppal R, Sainsbury R
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	Breast cancer Delayed Reconstruction Uptake Rate Mastectomy Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
Acceso en línea:	https://doaj.org/article/c4e5686011ba4ee5b87a2041879703c6
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spelling	oai:doaj.org-article:c4e5686011ba4ee5b87a2041879703c62021-12-02T06:51:17ZImproved immediate breast reconstruction as a result of oncoplastic multidisciplinary meeting1179-1314https://doaj.org/article/c4e5686011ba4ee5b87a2041879703c62017-04-01T00:00:00Zhttps://www.dovepress.com/improved-immediate-breast-reconstruction-as-a-result-of-oncoplastic-mu-peer-reviewed-article-BCTThttps://doaj.org/toc/1179-1314Mohsen M El Gammal,1 Maria Lim,1 Rajan Uppal,2 Richard Sainsbury1 1Department of Breast Surgery, Parapet Breast Centre, Frimley Health Foundation Trust, Windsor, 2Department of Plastic and Reconstructive Surgery, Wexham and Heatherwood Hospital, Frimley Health Foundation Trust, Slough, UK Introduction: The National Institute for Health and Clinical Excellence guidelines recommend that breast reconstruction should be available to all women undergoing mastectomy and discussed at the initial surgical consultation (2002, and updated 2009). The National Mastectomy and Breast Reconstruction Audit (2009) showed that 21% of mastectomy patients underwent immediate breast reconstruction (IBR) and 11% had delayed breast reconstruction (DBR). Breast reconstruction has been shown to have a positive effect on quality of life postmastectomy. This retrospective study investigated the impact of the introduction of a dedicated oncoplastic multidisciplinary meeting (OP MDM) on our unit’s breast reconstruction rate.Patients and methods: A retrospective analysis of 229 women who underwent mastectomy, of whom 81 (35%) underwent breast reconstruction between April 2014 and March 2016. Data were analyzed before and after introduction of OP MDM in April 2015. Data on patient age, type of surgery (mastectomy only, mastectomy and reconstruction), timing of reconstruction (IBR, DBR), and type of reconstruction (implant, autologous) were collected.Results: Between April 2015 and March 2016, following establishment of OP multidisciplinary team in April 2015, of the 120 patients who had mastectomy, 50 (42%) underwent breast reconstruction with 78% (39/50) choosing IBR (56% implant reconstruction and 22% autologous). Compared to the period between April 2014 and March 2015 preceding the OP MDM, of 109 patients who underwent mastectomy, only 31 (28%) had breast reconstruction with 64% (20/31) choosing IBR (45% implant reconstruction and 19% autologous). The rate of DBR was lower, 22% (11/50), following OP MDM compared to 35% (11/31) before OP MDM.Conclusion: There has been an increased uptake of breast reconstruction surgery from 28% to 42%. The biggest impact was on those opting for the immediate type reconstruction option (78%). The OP MDM has significantly contributed to this increased rate of reconstruction. Keywords: breast cancer, delayed reconstruction, uptake rate, mastectomyEl Gammal MMLim MUppal RSainsbury RDove Medical PressarticleBreast cancerDelayed ReconstructionUptakeRateMastectomyNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENBreast Cancer: Targets and Therapy, Vol Volume 9, Pp 293-296 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Breast cancer Delayed Reconstruction Uptake Rate Mastectomy Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
spellingShingle	Breast cancer Delayed Reconstruction Uptake Rate Mastectomy Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 El Gammal MM Lim M Uppal R Sainsbury R Improved immediate breast reconstruction as a result of oncoplastic multidisciplinary meeting
description	Mohsen M El Gammal,1 Maria Lim,1 Rajan Uppal,2 Richard Sainsbury1 1Department of Breast Surgery, Parapet Breast Centre, Frimley Health Foundation Trust, Windsor, 2Department of Plastic and Reconstructive Surgery, Wexham and Heatherwood Hospital, Frimley Health Foundation Trust, Slough, UK Introduction: The National Institute for Health and Clinical Excellence guidelines recommend that breast reconstruction should be available to all women undergoing mastectomy and discussed at the initial surgical consultation (2002, and updated 2009). The National Mastectomy and Breast Reconstruction Audit (2009) showed that 21% of mastectomy patients underwent immediate breast reconstruction (IBR) and 11% had delayed breast reconstruction (DBR). Breast reconstruction has been shown to have a positive effect on quality of life postmastectomy. This retrospective study investigated the impact of the introduction of a dedicated oncoplastic multidisciplinary meeting (OP MDM) on our unit’s breast reconstruction rate.Patients and methods: A retrospective analysis of 229 women who underwent mastectomy, of whom 81 (35%) underwent breast reconstruction between April 2014 and March 2016. Data were analyzed before and after introduction of OP MDM in April 2015. Data on patient age, type of surgery (mastectomy only, mastectomy and reconstruction), timing of reconstruction (IBR, DBR), and type of reconstruction (implant, autologous) were collected.Results: Between April 2015 and March 2016, following establishment of OP multidisciplinary team in April 2015, of the 120 patients who had mastectomy, 50 (42%) underwent breast reconstruction with 78% (39/50) choosing IBR (56% implant reconstruction and 22% autologous). Compared to the period between April 2014 and March 2015 preceding the OP MDM, of 109 patients who underwent mastectomy, only 31 (28%) had breast reconstruction with 64% (20/31) choosing IBR (45% implant reconstruction and 19% autologous). The rate of DBR was lower, 22% (11/50), following OP MDM compared to 35% (11/31) before OP MDM.Conclusion: There has been an increased uptake of breast reconstruction surgery from 28% to 42%. The biggest impact was on those opting for the immediate type reconstruction option (78%). The OP MDM has significantly contributed to this increased rate of reconstruction. Keywords: breast cancer, delayed reconstruction, uptake rate, mastectomy
format	article
author	El Gammal MM Lim M Uppal R Sainsbury R
author_facet	El Gammal MM Lim M Uppal R Sainsbury R
author_sort	El Gammal MM
title	Improved immediate breast reconstruction as a result of oncoplastic multidisciplinary meeting
title_short	Improved immediate breast reconstruction as a result of oncoplastic multidisciplinary meeting
title_full	Improved immediate breast reconstruction as a result of oncoplastic multidisciplinary meeting
title_fullStr	Improved immediate breast reconstruction as a result of oncoplastic multidisciplinary meeting
title_full_unstemmed	Improved immediate breast reconstruction as a result of oncoplastic multidisciplinary meeting
title_sort	improved immediate breast reconstruction as a result of oncoplastic multidisciplinary meeting
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/c4e5686011ba4ee5b87a2041879703c6
work_keys_str_mv	AT elgammalmm improvedimmediatebreastreconstructionasaresultofoncoplasticmultidisciplinarymeeting AT limm improvedimmediatebreastreconstructionasaresultofoncoplasticmultidisciplinarymeeting AT uppalr improvedimmediatebreastreconstructionasaresultofoncoplasticmultidisciplinarymeeting AT sainsburyr improvedimmediatebreastreconstructionasaresultofoncoplasticmultidisciplinarymeeting
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Improved immediate breast reconstruction as a result of oncoplastic multidisciplinary meeting

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