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American trends in oncoplastic breast surgery for 2006–2015: A retrospective analysis of NSQIP database

Published:August 20, 2020DOI:https://doi.org/10.1016/j.bjps.2020.08.028
      The practice of partial mastectomy (PM) in patients with breast cancer has gained momentum over total mastectomy since the results of randomized clinical trials that have provided evidence demonstrating equivalent survival.
      • Fisher B.
      • Bauer M.
      • Margolese R.
      et al. Five-year results of a randomized clinical trial comparing total mastectomy and segmental mastectomy with or without radiation in the treatment of breast cancer.
      But in recent years there has been a relative decline in PM compared to bilateral mastectomies, which has been attributed to inadequate esthetic outcomes after PM without reconstruction, which ultimately affects patient satisfaction and their health-related quality of life.
      • Hennigs A.
      • Biehl H.
      • Rauch G.
      et al. Change of patient-reported aesthetic outcome over time and identification of factors characterizing poor aesthetic outcome after breast-conserving therapy: long-term results of a prospective Cohort study.
      On the other hand, PM with immediate reconstruction – what we define as oncoplastic breast surgery (OPBS) – has been proven to be a safe and efficacious means of improving both aesthetics outcomes compared to PM alone without affecting oncological outcomes.
      • Losken A.
      • Dugal C.S.
      • Styblo T.M.
      • Carlson G.W.
      A meta-analysis comparing breast conservation therapy alone to the oncoplastic technique.
      Despite the benefits of OPBS, its nationwide utilization has never been precisely quantified. To facilitate future efforts to increase its availability to appropriate candidate patients, this study aims to establish the recent rate and temporal trends of national utilization of OPBS.
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