Annelotte van Bommel

112 CONCLUSIONS Reasons whether or not to perform IBR are multifactorial, with patient and tumor factors as most examined causes. The results of the current study gained insight into personal opinions of surgical oncologists and plastic surgeons towards IBR. The final decision to offer postmastectomy IBR was affected by multiple factors weighed differently by surgical oncologists and plastic surgeons involved. Oncological characteristics (tumor size and nodal status) were reported more frequently as contra-indication by surgical oncologists, while plastic surgeons mentioned risk factors and wound-associated problems (age >75, smoking in implant reconstructions, large breast size, BMI and comorbidities) more frequently. Reaching consensus between surgical oncologists and plastic surgeons regarding contra-indications for IBR helps improving patient counseling and optimizing shared decision-making.