Tan Yan Yu, Chin Ye Ru, Bajaj Kuljyot, Thomas Sunil
Queen Elizabeth Hospital Birmingham, Mindelsohn Way, Birmingham B15 2TH, UK.
Queen Elizabeth Hospital Birmingham, Mindelsohn Way, Birmingham B15 2TH, UK.
Surgeon. 2021 Oct;19(5):e245-e255. doi: 10.1016/j.surge.2020.11.005. Epub 2021 Jan 8.
There is currently no validated patient-reported outcome measure (PROM) that is specific to nipple-areola complex (NAC) reconstruction. This paper evaluates all patient-reported outcomes for NAC reconstruction in the literature.
Systematic literature searches of The Cochrane Central Register of Controlled Trials, MEDLINE and World Health Organization International Clinical Trials Registry Platform were conducted to identify all primary studies with patient-reported outcomes for NAC reconstruction. The primary outcome measures were patient satisfaction rates for appearance and symmetry of NAC reconstruction.
Fifty-nine papers were included in this review. Reported patient satisfaction was generally high, with the pooled average satisfaction rate for appearance being 81.9% and symmetry 80.3%. 89.5% of respondents would do it again and 94.8% would recommend it to others. There is no standardised or validated PROM specific to NAC reconstruction and this contributes to a lack of conclusive findings from studies in this area.
There is a need for a validated PROM that is specific to NAC reconstruction, in order to serve as a standardised outcome assessment to guide further research and improve patient care.
目前尚无专门针对乳头乳晕复合体（NAC）重建的经过验证的患者报告结局指标（PROM）。本文评估了文献中所有关于NAC重建的患者报告结局。
对Cochrane对照试验中心注册库、MEDLINE和世界卫生组织国际临床试验注册平台进行系统文献检索，以识别所有具有NAC重建患者报告结局的原始研究。主要结局指标是NAC重建外观和对称性的患者满意率。
本综述纳入了59篇论文。报告的患者总体满意度较高，外观的合并平均满意率为81.9%，对称性为80.3%。89.5%的受访者表示愿意再次接受手术，94.8%的受访者会向他人推荐。目前尚无专门针对NAC重建的标准化或经过验证的PROM，这导致该领域研究缺乏确凿的结果。
需要一个专门针对NAC重建的经过验证的PROM，作为标准化结局评估，以指导进一步研究并改善患者护理。
