PMID- 37464217
OWN - NLM
STAT- In-Process
LR  - 20240424
IS  - 1432-5241 (Electronic)
IS  - 0364-216X (Linking)
VI  - 48
IP  - 7
DP  - 2024 Apr
TI  - Serial Comparison of Patient-Reported Outcomes of Immediate Breast 
      Reconstruction: Direct-to-Implant Versus Deep Inferior Epigastric Perforator 
      Flap.
PG  - 1352-1361
LID - 10.1007/s00266-023-03505-w [doi]
AB  - 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 .
CI  - (c) 2023. Springer Science+Business Media, LLC, part of Springer Nature and 
      International Society of Aesthetic Plastic Surgery.
FAU - Lee, Mi Kyung
AU  - Lee MK
AD  - Department of plastic and reconstructive surgery, College of Medicine, Samsung 
      Medical Center, Sungkyunkwan University, Seoul, Republic of Korea.
FAU - Hwang, Ji Won
AU  - Hwang JW
AD  - Department of Plastic and Reconstructive Surgery, College of Medicine, Ewha 
      Womans University Mokdong Hospital, 1071 Anyangcheon-ro, Yangcheon-gu, Seoul, 
      Republic of Korea.
FAU - Park, Jin-Woo
AU  - Park JW
AD  - Department of Plastic and Reconstructive Surgery, College of Medicine, Ewha 
      Womans University Mokdong Hospital, 1071 Anyangcheon-ro, Yangcheon-gu, Seoul, 
      Republic of Korea.
FAU - Woo, Kyong-Je
AU  - Woo KJ
AUID- ORCID: 0000-0002-7349-6743
AD  - Department of Plastic and Reconstructive Surgery, College of Medicine, Ewha 
      Womans University Mokdong Hospital, 1071 Anyangcheon-ro, Yangcheon-gu, Seoul, 
      Republic of Korea. economywoo@gmail.com.
LA  - eng
PT  - Journal Article
DEP - 20230718
PL  - United States
TA  - Aesthetic Plast Surg
JT  - Aesthetic plastic surgery
JID - 7701756
SB  - IM
OTO - NOTNLM
OT  - BREAST-Q
OT  - Breast reconstruction
OT  - DIEP
OT  - Direct-to-implant
OT  - Patient-reported outcomes
EDAT- 2023/07/19 01:06
MHDA- 2023/07/19 01:06
CRDT- 2023/07/18 23:34
PHST- 2023/05/03 00:00 [received]
PHST- 2023/06/30 00:00 [accepted]
PHST- 2023/07/19 01:06 [pubmed]
PHST- 2023/07/19 01:06 [medline]
PHST- 2023/07/18 23:34 [entrez]
AID - 10.1007/s00266-023-03505-w [pii]
AID - 10.1007/s00266-023-03505-w [doi]
PST - ppublish
SO  - Aesthetic Plast Surg. 2024 Apr;48(7):1352-1361. doi: 10.1007/s00266-023-03505-w. 
      Epub 2023 Jul 18.