法国的乳房重建：乳腺癌乳房切除术 140904 例的观察性研究。
Breast reconstruction in France, observational study of 140,904 cases of mastectomy for breast cancer.
机构信息
Department of plastic reconstructive and aesthetic surgery, Amiens University Hospital, 80080 Amiens, France; Department of plastic reconstructive and aesthetic surgery, Saint-Quentin Hospital, 02321 Saint-Quentin, France.
CERIM EA2694, Lille University, 59000 Lille, France; Public Health Department, Lille University Hospital, 59000 Lille, France; Medical Information Department, Saint-Quentin Hospital, 02321 Saint-Quentin, France.
出版信息
Ann Chir Plast Esthet. 2020 Feb;65(1):36-43. doi: 10.1016/j.anplas.2019.07.014. Epub 2019 Aug 2.
OBJECTIVES
In France, there are few up-to-date epidemiological data on breast reconstruction after mastectomy for breast cancer. The objective of the present study was to measure immediate and delayed breast reconstruction (IBR and DBR, respectively) rates and thus the proportion of patients not benefiting from any reconstruction.
METHODS
We performed an observational study by assessing data from the French nationwide discharge summary database (Programme de Médicalisation des Systèmes d'Information) for the period 2008-2014. All women having undergone a total mastectomy for breast cancer during this period were included. We then searched for reconstructive surgery during the initial or subsequent hospital stays, and recorded the time interval between mastectomy and reconstruction.
RESULTS
Among the 140,904 mastectomies included, the IBR rate was 16.1% on average, and increased over the study period. The time interval between mastectomy and DBR was≤3 years in 92% of cases. For patients included in 2008 and 2009, the DBR rate was 17.8%, and the non-reconstruction rate was 66.4%.
CONCLUSION
The high proportion of women not undergoing breast reconstruction after mastectomy suggests that access to this procedure should be improved.
目的
在法国，关于乳腺癌乳房切除术后乳房重建的最新流行病学数据较少。本研究的目的是测量即刻乳房重建（IBR）和延迟乳房重建（DBR）的发生率，从而确定未行任何重建的患者比例。
方法
我们通过评估 2008 年至 2014 年期间法国全国出院小结数据库（Programme de Médicalisation des Systèmes d'Information）的数据，进行了一项观察性研究。所有在此期间因乳腺癌行全乳房切除术的女性均纳入研究。然后，我们搜索初始或后续住院期间的重建手术，并记录乳房切除术和重建之间的时间间隔。
结果
在纳入的 140904 例乳房切除术患者中，IBR 率平均为 16.1%，并在研究期间呈上升趋势。92%的患者在乳房切除术后 3 年内接受了 DBR。对于 2008 年和 2009 年纳入的患者，DBR 率为 17.8%，未重建率为 66.4%。
结论
乳房切除术后行乳房重建的女性比例较高，表明应改善该手术的可及性。
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