Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 우경제 | * |
dc.contributor.author | 박진우 | * |
dc.date.accessioned | 2024-05-17T16:31:06Z | - |
dc.date.available | 2024-05-17T16:31:06Z | - |
dc.date.issued | 2024 | * |
dc.identifier.issn | 0364-216X | * |
dc.identifier.other | OAK-35103 | * |
dc.identifier.uri | https://dspace.ewha.ac.kr/handle/2015.oak/268257 | - |
dc.description.abstract | Background: Direct-to-implant (DTI) and deep inferior epigastric artery perforator (DIEP) flaps are the two most common methods of immediate breast reconstruction. This study aimed to compare patient-reported outcomes between the two methods and to evaluate whether outcomes change over time. Methods: The data of patients who underwent immediate breast reconstruction using DTI or DIEP flaps between July 2017 and October 2021 were retrospectively reviewed. Patients who completed the BREAST-Q Reconstruction Module at 6 months and > 12 months after reconstruction were analyzed. Mann–Whitney and Wilcoxon signed-rank test were used to compare outcome between DTI and DIEP groups, and serial comparisons were performed. Results: Of 375 patients included in the analysis, 146 patients completed questionnaires > 1 year of follow-up (20.79 ± 8.55 months). The DTI and DIEP groups had 102 (69.9%) and 44 (30.1%) patients, respectively. There were no intergroup differences in the mean scores representing any of the domains at 6 postoperative months. After > 1 year of follow-up, patients who underwent DIEP-flap reconstruction had greater satisfaction with their breast reconstructions (p < 0.001) and greater satisfaction with their overall outcomes (p < 0.001). In the DTI group, satisfaction scores did not change over time in any of the domains. In the DIEP group, however, the mean scores reflecting satisfaction with the breast (p = 0.001), overall outcome (p = 0.045), psychosocial well-being (p = 0.015), and sexual well-being (p = 0.042) significantly increased over long-term follow-up relative to the scores at 6 postoperative months. Conclusions: Patient-reported outcomes improved over time in association with DIEP reconstructions, reflecting higher satisfaction levels than those associated with DTI reconstruction. Level of Evidence IV: This journal requires that authors assign a level of evidence to each article. For a full description of these evidence-based medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266. © Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2023. | * |
dc.language | English | * |
dc.publisher | Springer | * |
dc.subject | Breast reconstruction | * |
dc.subject | BREAST-Q | * |
dc.subject | DIEP | * |
dc.subject | Direct-to-implant | * |
dc.subject | Patient-reported outcomes | * |
dc.title | Serial Comparison of Patient-Reported Outcomes of Immediate Breast Reconstruction: Direct-to-Implant Versus Deep Inferior Epigastric Perforator Flap | * |
dc.type | Article | * |
dc.relation.issue | 7 | * |
dc.relation.volume | 48 | * |
dc.relation.index | SCIE | * |
dc.relation.index | SCOPUS | * |
dc.relation.startpage | 1352 | * |
dc.relation.lastpage | 1361 | * |
dc.relation.journaltitle | Aesthetic Plastic Surgery | * |
dc.identifier.doi | 10.1007/s00266-023-03505-w | * |
dc.identifier.scopusid | 2-s2.0-85165000522 | * |
dc.author.google | Lee | * |
dc.author.google | Mi Kyung | * |
dc.author.google | Hwang | * |
dc.author.google | Ji Won | * |
dc.author.google | Park | * |
dc.author.google | Jin-Woo | * |
dc.author.google | Woo | * |
dc.author.google | Kyong-Je | * |
dc.contributor.scopusid | 우경제(35319271600) | * |
dc.date.modifydate | 20240607115721 | * |