Surgeon motivations behind the timing of breast reconstruction in patients requiring postmastectomy radiation therapy

Summary Objectives Although postmastectomy radiation therapy (PMRT) has been shown to reduce breast cancer burden and improve survival, PMRT may negatively influence outcomes after reconstruction. The goal of this study was to compare current opinions of plastic and reconstructive surgeons (PRS) and...

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Bibliographic Details
Published in:Journal of plastic, reconstructive & aesthetic surgery reconstructive & aesthetic surgery, 2015-11, Vol.68 (11), p.1536-1542
Main Authors: Lee, Ming, Reinertsen, Erik, McClure, Evan, Liu, Shuling, Kruper, Laura, Tanna, Neil, Brian Boyd, J, Granzow, Jay W
Format: Article
Language:English
Subjects:
Breast Neoplasms - radiotherapy
Breast Neoplasms - surgery
Breast reconstruction
Current practices
Decision Making
Delayed breast reconstruction
Delayed–immediate breast reconstruction
Female
Follow-Up Studies
Humans
Immediate breast reconstruction
Mammaplasty - psychology
Mastectomy
Medical Oncology
Motivation
Plastic Surgery
Postmastectomy radiation therapy
Postoperative Care - methods
Postoperative Care - psychology
Radiotherapy, Adjuvant
Societies, Medical
Surgeons - psychology
Surgery, Plastic
Time Factors
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Summary:Summary Objectives Although postmastectomy radiation therapy (PMRT) has been shown to reduce breast cancer burden and improve survival, PMRT may negatively influence outcomes after reconstruction. The goal of this study was to compare current opinions of plastic and reconstructive surgeons (PRS) and surgical oncologists (SO) regarding the optimal timing of breast reconstruction for patients requiring PMRT. Methods Members of the American Society of Plastic Surgeons (ASPS), the American Society of Breast Surgeons (ASBS), and the Society of Surgical Oncology (SSO) were asked to participate in an anonymous web-based survey. Responses were solicited in accordance to the Dillman method, and they were analyzed using standard descriptive statistics. Results A total of 330 members of the ASPS and 348 members of the ASBS and SSO participated in our survey. PRS and SO differed in patient–payor mix ( p  
ISSN:1748-6815
1878-0539
DOI:10.1016/j.bjps.2015.06.026