Abstract
A clinical decision report appraising Negenborn VL, Young-Afat DA, Dikmans REG, et al. Quality of life and patient satisfaction after one-stage implant-based breast reconstruction with an acellular dermal matrix versus two-stage breast reconstruction (BRIOS): primary outcome of a randomised, controlled trial. Lancet Oncology. 2018;19(9):1205-14. https://doi.org/10.1016/s1470-2045(18)30378-4.
Highlights
Grace Smith is a 56-year-old African American woman with a history of Ductal Carcinoma In Situ with a planned bilateral mastectomy who presented to breast clinic requesting a possible immediate breast reconstruction to improve the appearance, shape, and contour of her chest following mastectomy
Ms Smith had discovered one-stage breast reconstruction along with two-stage breast reconstruction, prompting her to ask the team whether a one-stage procedure would be suitable to attain the best quality of life
One-stage and two-stage breast reconstruction have no meaningful difference in patient quality of life
Summary
Grace Smith (pseudonym) is a 56-year-old African American woman with a history of Ductal Carcinoma In Situ with a planned bilateral mastectomy who presented to breast clinic requesting a possible immediate breast reconstruction to improve the appearance, shape, and contour of her chest following mastectomy. At this visit, Ms Smith expressed thoughts of being “less of a woman” after surgery, with loss of confidence in her appearance, and even symptoms of depression. Her daughter drives her to and from her health appointments and will be caring for her after the surgery
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