Patient-reported outcomes for nipple reconstruction: Review of literature
Tan, Yan Yu Chin, Ye Ru Bajaj, Kuljyot Thomas, Sunil
Tan, Yan Yu
Chin, Ye Ru
Bajaj, Kuljyot
Thomas, Sunil
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Queen Elizabeth Hospital Birmingham, University Hospitals Birmingham NHS Foundation Trust
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Publication date
2021-01-08
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Abstract
Background: There is currently no validated patient-reported outcome measure (PROM) that is specific to nipple-areola complex (NAC) reconstruction. This paper evaluates all patient-reported outcomes for NAC reconstruction in the literature.
Methods: Systematic literature searches of The Cochrane Central Register of Controlled Trials, MEDLINE and World Health Organization International Clinical Trials Registry Platform were conducted to identify all primary studies with patient-reported outcomes for NAC reconstruction. The primary outcome measures were patient satisfaction rates for appearance and symmetry of NAC reconstruction.
Results: Fifty-nine papers were included in this review. Reported patient satisfaction was generally high, with the pooled average satisfaction rate for appearance being 81.9% and symmetry 80.3%. 89.5% of respondents would do it again and 94.8% would recommend it to others. There is no standardised or validated PROM specific to NAC reconstruction and this contributes to a lack of conclusive findings from studies in this area.
Conclusion: There is a need for a validated PROM that is specific to NAC reconstruction, in order to serve as a standardised outcome assessment to guide further research and improve patient care.
Citation
Tan YY, Chin YR, Bajaj K, Thomas S. Patient-reported outcomes for nipple reconstruction: Review of literature. Surgeon. 2021 Oct;19(5):e245-e255. doi: 10.1016/j.surge.2020.11.005. Epub 2021 Jan 8.
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Article