Mrad Mohamed Amir, Alharthi Sawsan A, Alyousef Loujain A, Kattan Abdullah E, Shah Mardan Qutaiba N M
Plastic and Reconstructive Surgery Section, Department of Surgery, King Faisal Specialist Hospital & Research Centre, Riyadh, Saudi Arabia.
College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
Plast Reconstr Surg Glob Open. 2021 Nov 22;9(11):e3953. doi: 10.1097/GOX.0000000000003953. eCollection 2021 Nov.
Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) was first reported in 1997. Since then, the number of reported cases has been increasing, and patients' knowledge and perceptions about this condition are unclear. This study aimed to evaluate the public knowledge and perceptions toward BIA-ALCL and its association with cosmetic/reconstructive breast implants in Saudi Arabia.
In this cross-sectional, online survey-based study, women aged 18-60 years in Saudi Arabia were the target population on social media platforms. Questions included data on demographics, experience of implants, and knowledge and concerns regarding BIA-ALCL.
A total of 543 women participated in this study, with a mean age of 34 years. Only 1.9% had breast implants due to cosmetic or reconstructive reasons, whereas 9.8% expressed their desire of having implants in the future. More than half (57.3%) of the respondents had never heard of BIA-ALCL in comparison with 21.7% who had an established background. After reading the highlights on BIA-ALCL, 60% of the women with breast implants still wanted to keep their implants and 42.5% of the ones who desired breast implants would still aim to have them. Almost all the sample stated that BIA-ALCL should be included in the written consent.
Nearly half of Saudi women have not heard of BIA-ALCL, and report that it is an important part of the surgical consultation and informed consent. Our role as plastic surgeons is to raise the awareness of BIA-ALCL through social media and health care settings to maximize the safety of women with breast implants.
乳房植入物相关间变性大细胞淋巴瘤(BIA-ALCL)于1997年首次被报道。从那时起,报告的病例数量一直在增加,而患者对这种疾病的了解和认知尚不清楚。本研究旨在评估沙特阿拉伯公众对BIA-ALCL及其与美容/重建性乳房植入物之间关系的了解和认知。
在这项基于在线调查的横断面研究中,沙特阿拉伯18至60岁的女性是社交媒体平台上的目标人群。问题包括人口统计学数据、植入物经历以及对BIA-ALCL的了解和担忧。
共有543名女性参与了本研究,平均年龄为34岁。只有1.9%的女性因美容或重建原因植入了乳房假体,而9.8%的女性表示未来有植入假体的意愿。超过一半(57.3%)的受访者从未听说过BIA-ALCL,相比之下,21.7%的受访者有一定的了解。在阅读了关于BIA-ALCL的要点后,60%植入乳房假体的女性仍希望保留假体,42.5%希望植入乳房假体的女性仍打算进行植入。几乎所有样本都表示,BIA-ALCL应包含在书面同意书中。
近一半的沙特女性从未听说过BIA-ALCL,并报告称这是手术咨询和知情同意的重要组成部分。我们整形外科医生的职责是通过社交媒体和医疗保健机构提高对BIA-ALCL的认识,以最大限度地保障植入乳房假体女性的安全。