Annelotte van Bommel

157 Quality of life after immediate breast reconstruction Understanding health-related quality of life and the effects of breast cancer surgery by longitudinally using PROMs is essential to guide patients in the future, since outcomes may alter over years. 27,30 Recommendations for future practice should involve implementation of these outcome measures in every day practice in the complete care path for breast cancer patients, as advocated by Michael Porter and the International Consortium for Health Outcomes Measurement 31,32 who defined an international standard set of outcomes to track for all breast cancer patients. 33 Fortunately, first implementation efforts are on their way. 34 CONCLUSION A significantly better health-related quality of life on various outcome domains including psychosocial, sexual and physical well-being was reported by patients with IBR compared to patient without IBR. It is therefore justified to discuss the possibility of IBR with all patients with an indication for mastectomy. More importantly, this enables shared decision-making in an era where the patient herself, after having received all relevant information including advantages and risks, decides whether or not she wants to undergo IBR. 8