Aesthetic result after breast-conserving therapy is associated with quality of life several years after treatment. Swedish women evaluated with BCCT.core and BREAST-Q™

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@article{bfd96c74e2284ad18091e41783742a15,
title = "Aesthetic result after breast-conserving therapy is associated with quality of life several years after treatment. Swedish women evaluated with BCCT.core and BREAST-Q™",
abstract = "Purpose: A gold standard for evaluation of aesthetic outcome after breast-conserving therapy (BCT) is still lacking. The BCCT.core software has been developed to assess aesthetic result in a standardised way. We aimed to study how the result of BCCT.core after BCT is associated with quality of life, measured with the BREAST-Q™, a validated questionnaire. Methods: Women eligible for BCT were consecutively recruited between February 1st 2008 and January 31st 2012 (n = 653). Photographs of 310 women, taken one year after BCT, were evaluated using the BCCT.core software. The postoperative BCT module of the BREAST-Q™ questionnaire was administered by mail and 348 questionnaires were returned (median 5.5 years after BCT). In all, 216 women had both BCCT.core results and completed BREAST-Q™ questionnaires available. Results: The results from the BCCT.core evaluation were: excellent n = 49 (15.8{\%}); good n = 178 (57.4{\%}); fair n = 73 (23.5{\%}); poor n = 10 (3.2{\%}). The median BREAST-Q™ score for satisfaction with breasts was 66 [interquartile range (IQR) 57–80] and for psychosocial well-being 82 (IQR 61–100). Poor/fair results on BCCT.core were associated with Q-scores below median for both satisfaction with breasts [odds ratio (OR) 3.4 (confidence interval (CI) 1.7–6.8)] as well as for psychosocial well-being [OR 2.2 (CI 1.1–4.2)]. Conclusions: A statistically significant association between BCCT.core results one year after BCT and quality of life ratings using BREAST-Q™ several years later is shown in this study. This implies that the BCCT.core may be valuable in BCT follow-up and used as a standardised instrument in the evaluation of aesthetic results.",
keywords = "Aesthetic result, BCCT.core, Breast-conserving therapy, BREAST-Q, Health-related quality of life",
author = "Cecilia Dahlb{\"a}ck and Ullmark, {Jenny Heiman} and Martin Rehn and Anita Ringberg and Jonas Manjer",
year = "2017",
doi = "10.1007/s10549-017-4306-5",
language = "English",
volume = "164",
pages = "679--687",
journal = "Breast Cancer Research and Treatment",
issn = "1573-7217",
publisher = "Springer",
number = "3",

}