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FRIDAY, Jan. 15, 2021 (HealthDay News) – Most patients undergoing mastectomy alone, known as “going flat”, are satisfied with their surgical outcome, according to a study published online Jan. 3 in the Annals of Surgical Oncology.
Jennifer L. Baker, MD, of the University of California, Los Angeles, and colleagues conducted an online survey of 931 women who had a history of unilateral or bilateral mastectomy for treatment of breast cancer or at high risk. of breast cancer without current reconstruction of the mammary mound. Motivations and satisfaction were assessed.
The researchers found that mastectomy alone was the first choice for 73.7 percent of respondents, with 22 percent reporting a “categorical refusal,” or surgeons advising against or not offering the option of not reconstructing after surgery. mastectomy. The main reasons cited for going flat were the desire for faster recovery and to avoid foreign body placement. The mean overall satisfaction score scaled was 3.72 out of 5. A low level of surgeon support for the decision to go flat was the best predictor of a satisfaction score <3 (odds ratio [OR], 3.85). Respondents reporting a body mass index (BMI) ≥ 30 kg / m2 (OR, 2.74) and those who underwent a unilateral procedure (OR, 1.99) were more dissatisfied, while greater satisfaction was associated with receiving adequate information about surgical options (OR, 0.48) and to have a surgeon with a practice specializing in breast surgery (OR, 0.56).
“We have found that for a subset of women, ‘going flat’ is a desired and intentional option, which should be supported by the treatment team and should not imply that women who forgo reconstruction are not. not affected by their postoperative appearance, ”said a co-author. in a report.
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