Breast Reconstruction: How do we Measure and Define Patient's Quality of Life and Satisfaction

Zoe E Winters, Anushka Chaudhry

Research output: Chapter in Book/Report/Conference proceedingChapter in a book


In the United Kingdom, 30–40% of the 44,000 women diagnosed annually
with breast cancer will undergo mastectomy.1 The UK National Mastectomy
and Breast Reconstruction Audit (NMBRA) surveyed 18,000 women
between 2008 and 2009, and although nearly half of women were offered
the option of immediate reconstruction,1 approximately 3,000 underwent
immediate breast reconstruction compared to delayed reconstructions
in 2,000 women.1 In 2002, the National Institute of Clinical Excellence
(NICE) issued guidelines stating that all women should be offered immediate
breast reconstruction following mastectomy.2 At that time, only 7% of
women underwent an immediate breast reconstruction.3 The current rate of
immediate procedures has risen to 21%, but with a large variation of 9–43% across the UK National Health Service (NHS), reflecting a wide variation in practice.1,3 The NICE issued a further statement in 2009 pertaining to breast
reconstruction that health care professionals should discuss reconstruction
with every woman recommended for mastectomy, and that women should
be made aware of all the possible reconstructive options.2 This approach is
subject to relevant considerations
such as co-morbidities and
the need for adjuvant therapy,
particularly post-mastectomy
radiotherapy (PMRT).
Original languageEnglish
Title of host publicationRecent Advances in Surgery 35
PublisherJaypee Brothers Medical Publishers
Number of pages13
Publication statusAccepted/In press - 2012


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