Department of Plastic Surgery, Okayama University Hospital, 2-5-1, Shikata-cho, Kita-ku, Okayama City, Okayama, 700-8558, Japan.
Department of Plastic Surgery, Okayama Rosai Hospital, Okayama, Japan.
Int J Clin Oncol. 2023 Jul;28(7):847-859. doi: 10.1007/s10147-023-02347-5. Epub 2023 May 9.
Breast reconstruction (BR) aims to improve the satisfaction and quality of life (QOL) of breast cancer survivors. Clinical studies using patient-reported outcomes (PROs) can therefore provide relevant information to the patients and support decision-making. This scoping review was conducted to analyze recent trends in world regions, methods used, and factors investigated. The literature search was conducted in August 2022. Databases of PubMed, MEDLINE, and CINAHL were searched for relevant English-language studies published from 2017 to 2022. Studies involving women with breast cancer who underwent BR after mastectomy and investigated PROs after BR using BR-specific scales were included. Data on the country, publication year, study design, PRO measures (PROMs) used, time points of surveys, and research themes were collected. In total, 147 articles met the inclusion criteria. BREAST-Q was the most widely used, contributing to the increase in the number and diversification of studies in this area. Such research has been conducted mainly in North America and Europe and is still developing in Asia and other regions. The research themes involved a wide range of clinical and patient factors in addition to surgery, which could be influenced by research methods, time since surgery, and even cultural differences. Recent BR-specific PROMs have led to a worldwide development of research on factors that affect satisfaction and QOL after BR. PRO after BR may be influenced by local cultural and social features, and it would be necessary to accumulate data in each region to draw clinically useful conclusion.
乳房重建(BR)旨在提高乳腺癌幸存者的满意度和生活质量(QOL)。因此,使用患者报告的结果(PROs)的临床研究可以为患者提供相关信息,并支持决策。本范围综述旨在分析世界各地区的近期趋势、使用的方法和研究的因素。文献检索于 2022 年 8 月进行。在 PubMed、MEDLINE 和 CINAHL 数据库中搜索了 2017 年至 2022 年发表的相关英文研究。纳入了接受乳房切除术并使用 BR 特异性量表调查 BR 后 PRO 的乳腺癌女性的研究。收集了有关国家、发表年份、研究设计、使用的 PRO 措施(PROMs)、调查时间点和研究主题的数据。共有 147 篇文章符合纳入标准。BREAST-Q 使用最广泛,这导致该领域的研究数量和多样化增加。此类研究主要在北美和欧洲进行,在亚洲和其他地区仍在发展。研究主题除了手术外,还涉及广泛的临床和患者因素,这些因素可能受到研究方法、手术时间甚至文化差异的影响。最近的 BR 特异性 PROM 导致了全球范围内对影响 BR 后满意度和 QOL 的因素的研究发展。BR 后的 PRO 可能受到当地文化和社会特征的影响,有必要在每个地区积累数据,以得出临床有用的结论。
Breast Care (Basel). 2022-6
J Plast Reconstr Aesthet Surg. 2022-9
Plast Reconstr Surg. 2022-9-1