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Re: The impact of delayed wound healing on patient-reported outcomes after breast cancer surgery

Published:August 28, 2022DOI:https://doi.org/10.1016/j.bjps.2022.08.027
      We read with interest the above article by Zehnpfennig et al.

      Zehnpfennig L, Ritter M, Montagna G, et al. The impact of delayed wound healing on patient-reported outcomes after breast cancer surgery. J Plast Reconstruct Aesthet Surg.

      While we admire the efforts by Zehnpfennig and colleagues in evaluating the impact of delayed wound healing in patients who underwent breast cancer surgery, we question whether BREAST-Q was the most appropriate tool in this situation. Although the validity and reliability of BREAST-Q have been repeatedly demonstrated, and it is undeniable that delayed wound healing can have an impact on patients’ quality of life (QoL), perhaps it is worth to take a step back to contemplate the fundamental question being asked here - “the impact of delayed wound healing on patient-reported outcomes after breast cancer surgery”.

      Zehnpfennig L, Ritter M, Montagna G, et al. The impact of delayed wound healing on patient-reported outcomes after breast cancer surgery. J Plast Reconstruct Aesthet Surg.

      Are we merely trying to ascertain patients’ overall satisfaction with breast cancer surgery, albeit with some difficulties during recovery, or do we seek to investigate the specifics of how delayed wound healing could affect patients’ QoL?

      Keywords

      Abbreviations:

      QoL (quality of life), PROMs (patient reported outcome measures), MID (minimal important differences), DWH (delayed wound healing), NWH (normal wound healing)
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      References

      1. Zehnpfennig L, Ritter M, Montagna G, et al. The impact of delayed wound healing on patient-reported outcomes after breast cancer surgery. J Plast Reconstruct Aesthet Surg.

        • Pusic A.L.
        • Klassen A.F.
        • Scott A.M.
        • Klok J.A.
        • Cordeiro P.G.
        • Cano S.J.
        Development of a new patient-reported outcome measure for breast surgery: the BREAST-Q.
        Plast Reconstr Surg. 2009; 124: 345-353
        • Weick L.
        • Brorson F.
        • Jepsen C.
        • Lidén M.
        • Jensen E.W.
        • Hansson E.
        Giving meaning to patient reported outcomes in breast reconstruction after mastectomy - A systematic review of available scores and suggestions for further research.
        Breast. 2022; 61: 91-97
        • Klassen A.
        • van Haren E.L.
        • Cross K.
        • et al.
        International mixed methods study protocol to develop a patient-reported outcome measure for all types of chronic wounds (the WOUND-Q).
        BMJ Open. 2020; 10e032332

      Linked Article

      • The impact of delayed wound healing on patient-reported outcomes after breast cancer surgery
        Journal of Plastic, Reconstructive & Aesthetic SurgeryVol. 75Issue 11
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          Postoperative complications after breast cancer surgery may be associated with decreased quality of life. It remains unclear whether oncoplastic breast-conserving surgery or mastectomy with reconstruction lead to more postoperative complications than conventional breast surgery (CBS). As delayed wound healing (DWH) is one of the most frequent minor complications, we sought to investigate the significance of DWH for patient-reported outcomes after oncoplastic, reconstructive, and CBS.
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