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基于健康相关生活质量证据的以患者为中心的乳房重建

Patient-Centered Breast Reconstruction Based on Health-Related Quality-of-Life Evidence.

作者信息

Platt Jennica, Zhong Toni

机构信息

Division of Plastic Surgery, Humber River Hospital, Plastic Surgery Clinic, 1235 Wilson Avenue, Toronto, Ontario M3M 0B2, Canada.

Department of Surgery, University of Toronto, University Health Network, Toronto General Hospital, 200 Elizabeth Street, 8N-871, Toronto, Ontario M5G 2C4, Canada; Department of Surgical Oncology, University of Toronto, University Health Network, Toronto General Hospital, 200 Elizabeth Street, 8N-871, Toronto, Ontario M5G 2C4, Canada.

出版信息

Clin Plast Surg. 2018 Jan;45(1):137-143. doi: 10.1016/j.cps.2017.08.011. Epub 2017 Sep 29.

Abstract

The article summarizes the available evidence regarding clinical decision making in breast reconstruction from the patient perspective of satisfaction and health-related quality of life. A review of generic and specific patient reported outcome measures is provided. Important components of breast reconstruction care are compared, such as timing of reconstruction, autologous and implant-based reconstruction, and the use of nipple-sparing and skin-sparing mastectomy. This evidence-based summary will be useful to guide clinicians when discussing breast reconstruction with their patients.

摘要

本文从患者满意度和健康相关生活质量的角度,总结了有关乳房重建临床决策的现有证据。提供了对一般和特定患者报告结局指标的综述。比较了乳房重建护理的重要组成部分,如重建时机、自体和植入物乳房重建,以及保留乳头和保留皮肤的乳房切除术的使用。这一基于证据的总结将有助于临床医生在与患者讨论乳房重建时提供指导。

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