Oncoplastic Surgery: Does Patient and Medical Specialty Influences the Evaluation of Cosmetic Results?

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MetadadosDescriçãoIdioma
Autor(es): dc.contributorUniversidade Estadual Paulista (Unesp)-
Autor(es): dc.contributorBarretos Cancer Hospital-
Autor(es): dc.contributorLondrina Cancer Hospital-
Autor(es): dc.contributorSanta Casa de Misericórdia de Itapeva-
Autor(es): dc.contributorOswaldo Cruz German Hospital-
Autor(es): dc.contributorFACISB School of Medicine-
Autor(es): dc.creatorde Oliveira-Junior, Idam [UNESP]-
Autor(es): dc.creatorBrandini da Silva, Fabíola Cristina-
Autor(es): dc.creatorNazima, Flávio-
Autor(es): dc.creatorRibeiro, José Carlos-
Autor(es): dc.creatorCastellani, Laurinda-
Autor(es): dc.creatorZucca-Matthes, Gustavo-
Autor(es): dc.creatorMaciel, Maria do Socorro-
Autor(es): dc.creatorBiller, Gabriele-
Autor(es): dc.creatorJosé da Silva, Jonathas-
Autor(es): dc.creatorSarri, Almir José-
Autor(es): dc.creatorAloísio da Costa Vieira, René [UNESP]-
Data de aceite: dc.date.accessioned2022-02-22T00:48:02Z-
Data de disponibilização: dc.date.available2022-02-22T00:48:02Z-
Data de envio: dc.date.issued2021-06-25-
Data de envio: dc.date.issued2021-06-25-
Data de envio: dc.date.issued2019-12-31-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1016/j.clbc.2020.09.012-
Fonte completa do material: dc.identifierhttp://hdl.handle.net/11449/206755-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/206755-
Descrição: dc.descriptionBackground: Oncoplastic surgery (OS) has added plastic surgery concepts and techniques to the breast cancer surgery. However, reports of the impact of OS on cosmesis after breast-conserving surgery (BCS) are limited in the literature. Patients and Methods: This cross-sectional prospective study included patients who underwent BCS. The patients self-evaluated the cosmetic outcome of the breasts and had them photographed. The photos were evaluated by BCCT.core software and by 6 breast surgeons (mastologists and plastic surgeons) using the Harvard, Garbay, and Fitoussi scales. Kappa and weighted kappa tests were used to analyze agreement for categorical variables; for continuous variables, the interclass correlation index and the chi-square test to analyze the association between the OS and the symmetrization. Results: A total of 300 patients were evaluated: 228 (76.0%) underwent traditional BCS and 72 (24.0%) underwent OS, and of these, 37 (51.4%) underwent contralateral symmetrization surgery. In the evaluation of the cosmetic result, the correlation between patients and observers (BCCT.core and surgeons) was weak; between the 2 groups of surgeons, the correlation was moderate (Fitoussi scale) and excellent (Garbay scale). Plastic surgeons are more critical for evaluating cosmetic results; they considered it good or excellent in 30.0% whereas patients, mastologists, and BCCT.core results considered it so in 78.8%, 34.0%, and 30.0%, respectively. In terms of cosmesis, OS and symmetrization did not influence the results in this study with long follow-up. Conclusion: Patients’ self-evaluation reported better cosmesis than surgeons’ analyses. Plastic surgeons were the most critical. OS and symmetrization did not influence the results.-
Descrição: dc.descriptionOncoplastic surgery (OS) has established itself as a safe treatment for breast cancer; however, its cosmetic evaluation remains little explored. After evaluating 300 patients undergoing breast-conserving treatment, with or without OS, we found that patients are more satisfied with the cosmetic outcome compared to observers (software and surgeons), and OS did not affect these results.-
Descrição: dc.descriptionFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)-
Descrição: dc.descriptionPostgraduate Program of Tocogynecology Botucatu Medical School Sao Paulo State University UNESP-
Descrição: dc.descriptionNucleous of Mastology Barretos Cancer Hospital-
Descrição: dc.descriptionPostgraduate Program of Oncology Barretos Cancer Hospital-
Descrição: dc.descriptionLondrina Cancer Hospital-
Descrição: dc.descriptionCancer Unit Santa Casa de Misericórdia de Itapeva-
Descrição: dc.descriptionOswaldo Cruz German Hospital-
Descrição: dc.descriptionFACISB School of Medicine-
Descrição: dc.descriptionPostgraduate Program of Tocogynecology Botucatu Medical School Sao Paulo State University UNESP-
Descrição: dc.descriptionFAPESP: 2014/08197-0-
Idioma: dc.languageen-
Relação: dc.relationClinical Breast Cancer-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectBreast cancer-
Palavras-chave: dc.subjectConserving surgery-
Palavras-chave: dc.subjectConserving treatment-
Palavras-chave: dc.subjectCosmetic techniques-
Palavras-chave: dc.subjectOncoplastic-
Título: dc.titleOncoplastic Surgery: Does Patient and Medical Specialty Influences the Evaluation of Cosmetic Results?-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

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