Annelotte van Bommel

127 Information provision of immediate breast reconstruction Figure 1. Patient-reported reasons for the choice for immediate breast reconstruction (IBR), pa- tients with IBR (n=229) versus no IBR (n=281). IBR: immediate breast reconstruction. No IBR: mastectomy without IBR. Factors affecting receiving IBR The following variables were significantly related to having undergone IBR in univariate analyses and were therefore included in the multivariate analysis: informed about IBR, age, BMI 25, highest completed education, two or more comorbidities, stage II or III tumor, multifocal tumor, bilateral mastectomy, neo- adjuvant chemotherapy, radiotherapy, and IBR hospital volume. In the multivariate logistic regression analyses, receiving IBR was significantly and positively affected by preoperatively being informed about IBR: these women had a 14-fold higher chance of receiving IBR (OR 13.87, CI: 3.75–51.30). Other significant factors were age over 60, BMI over 25, stage II and III, multifocality, bilateral mastectomy, radiotherapy, and IBR hospital volume ( Table 3 ). This was adviced to the patient by her physician Patient stated she preferred this option Patient did not know/remember Patient specifically stated that the decision was shared Final choice based on second opinion (after adverse event/advices by third party) Patient stated she did not know other options were available This was the only option available at this hospital Other 10% 41% 68% 53% 16% 1% 0% 3% 0% 2% 0% 1% 0% 0% 0% 5% 0% 10% 20% 30% 40% 50% 60% 70% %No IBR % IBR 7