Annelotte van Bommel

153 Quality of life after immediate breast reconstruction Patient-reported outcomes (BREAST-Q scores) BREAST-Q outcomes per domain are presented in Table 2 . Patients who had received IBR reported significantly better mean “psychosocial well-being” scores (mean, 75 versus 67, p<0.001) and “sexual well-being” scores (mean, 62 versus 52, p<0.001) than patients who had not undergone IBR. Similar results were found for “physical well-being” scores (mean, 77 versus 74, p=0.021). On the domain “satisfaction with breasts” patients with IBR reported similar mean scores compared to patients without IBR (mean, 64 versus 62, respectively, p=0.21). Due to small numbers of autologous reconstruction (n=9) and latissimus dorsi combined with implant reconstruction (n=9), no meaningful comparisons between these breast reconstruction techniques could be made. Patients with direct-to-implant breast reconstruction had similar BREAST-Q subscale scores compared to patients with two-stage tissue expander-implant reconstruction (data not shown). Table 2. Mean BREAST-Q domain scores categorized by surgical treatment (Mastectomy without immediate breast reconstruction, n=281; Mastectomy with immediate breast reconstruction, n=164). Mastectomy (n=281) Mastectomy with IBR (n=164) BREAST-Q DOMAINS Mean SD Mean SD P-value Satisfaction with breasts 62 18.46 64 18.08 0.21 Psychosocial well-being 67 18.97 75 18.76 <0.001 Sexual well-being 52 24.28 62 20.70 <0.001 Physical well-being: chest 74 16.44 77 16.08 0.021 Satisfaction with outcome 71 21.15 Satisfaction with nipples* 67 22.51 Physical well-being: Abdominal Region** 62 30.46 IBR, Immediate Breast Reconstruction; SD, Standard Deviation. * Patients with a nipple reconstruction, either by tattooing of the nipple-areola complex, a nipple reconstruction or a combination of the two techniques. **Only patients who had a reconstruction with tissue from the abdomen such as Transverse Rectus Abdominis Myocutaneous (TRAM)-flap or Deep Inferior Epigastric Artery Perforator (DIEP)-flap or Superficial Inferior Epigastric Artery Perforator (SIEA)-flap. 8