Gunness Preeya, Hamilton Sam, Capstick Robert, Masters John, Toma Robert
Plastic and Reconstrutive Surgery, Warrnambool Plastic and Reconstructive Surgery, Warrnambool, Victoria, Australia.
ANZ J Surg. 2023 Jul-Aug;93(7-8):1935-1937. doi: 10.1111/ans.18389. Epub 2023 Mar 21.
In 2021, breast cancer was one of the most commonly diagnosed cancer in Australia. While a mastectomy remains a treatment of choice, only a small percentage of women have access to a breast reconstruction after. Women living in a rural area are less likely to have a breast reconstruction; compared to their metropolitan counterparts. This study analyses the impact of single breast reconstruction service on a Modified Monash 3 (MM3) region and informs consumers and providers of the importance of a breast reconstruction unit embedded in a rural health network. [Corrections added on 2 May 2023, after online publication. Expanded reference citations have been deleted from Abstract section.] METHODS: Following ethics approval, all 64 patients who had undergone a breast reconstruction with this service between 2017 and 2021 were contacted. Patient reported outcomes were recorded through phone interviews, using a standardized questionnaire. For each patient that presented to the rural centre, cost of travel and productivity loss were also calculated, and compared to the closest metropolitan centre.
Ninety-seven percent of the 38 participants strongly valued having a breast reconstruction service within their community. Eighty percent of participants were satisfied with their result. Patients were estimated to save on average $8478, by attending the rural breast reconstruction service.
Access to a breast reconstruction is significantly impacted by geographical barriers. A rural breast reconstruction service can improve patient access and satisfaction, while also reducing the financial burden on patients.
2021年，乳腺癌是澳大利亚最常被诊断出的癌症之一。虽然乳房切除术仍然是首选治疗方法，但只有一小部分女性术后能够接受乳房重建。与大城市的女性相比，农村地区的女性进行乳房重建的可能性较小。本研究分析了单一乳房重建服务对莫纳什改良3区（MM3）的影响，并让消费者和提供者了解农村卫生网络中设立乳房重建单元的重要性。[2023年5月2日在线发表后添加了更正内容。摘要部分已删除扩展的参考文献引用。]
在获得伦理批准后，联系了2017年至2021年间接受该服务进行乳房重建的所有64名患者。通过电话访谈，使用标准化问卷记录患者报告的结果。对于每一位到农村中心就诊的患者，还计算了出行成本和生产力损失，并与距离最近的大城市中心进行比较。
38名参与者中有97%强烈重视在其社区内提供乳房重建服务。80%的参与者对结果感到满意。据估计，患者通过接受农村乳房重建服务平均可节省8478美元。
地理障碍对乳房重建的可及性有显著影响。农村乳房重建服务可以改善患者的可及性和满意度，同时减轻患者的经济负担。
