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Quality of life and sexual well‐being after nipple sparing mastectomy: A matched comparison of patients using the breast Q
Author(s) -
YoonFlannery Kahyun,
DeStefano Lauren M.,
De La Cruz Lucy M.,
Fisher Carla S.,
Lin Lisa Y.,
Coffua Lauren S.,
Mustafa Rose E.,
Sataloff Dahlia M.,
Tchou Julia C.,
Brooks Ari D.
Publication year - 2018
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.25107
Subject(s) - medicine , psychosocial , quality of life (healthcare) , mastectomy , patient satisfaction , body mass index , breast reconstruction , gynecology , breast cancer , surgery , cancer , nursing , psychiatry
Background Nipple sparing mastectomy (NSM) is considered safe for select patients. Our objective was to examine quality of life (QOL) and satisfaction for NSM compared with skin sparing mastectomy (SSM). We aimed to evaluate these using the BREAST‐Q. Methods After IRB approval, we analyzed patients who underwent NSM and reconstruction between July 2010‐June 2015. NSM patients were matched with those after SSM based on age, race, and body mass index. Telephone interviews were prospectively conducted using the BREAST‐Q Mastectomy Postoperative Module. Bivariate analysis and a paired samples t ‐test were performed. Results We identified 43 patients meeting our inclusion criteria with a response rate 60% ( N = 26). NSM and SSM patients were matched well in age ( P = 1.00), race ( P = 1.00), and Body Mass Index ( P = 0.99). There were no significant differences in stage, estrogen and progesterone status, HER2 expression, reconstruction type and radiation. Mean BREAST‐Q scores did not vary between NSM and SSM in regards to satisfaction with breasts ( P = 0.604), psychosocial well‐being ( P = 0.146), physical well‐being ( P = 0.121), and satisfaction with surgeon ( P = 0.170). Sexual well‐being was significantly higher in NSM patients ( P = 0.011). Conclusion NSM provides patients with favorable results in psychosocial, sexual, and physical well‐being and overall satisfaction. Sexual well‐being showed significant improvement for NSM.