| Title |
Long-Term Psychosocial Functioning in Women with Bilateral Prophylactic Mastectomy: Does Preservation of the Nipple-Areolar Complex Make a Difference?
|
|---|---|
| Published in |
Annals of Surgical Oncology, July 2015
|
| DOI | 10.1245/s10434-015-4761-3 |
| Pubmed ID | |
| Authors |
Kelly A. Metcalfe, Tulin D. Cil, John L. Semple, Lucy Dong Xuan Li, Shaghayegh Bagher, Toni Zhong, Sophia Virani, Steven Narod, Tuya Pal |
| Abstract |
Nipple-sparing prophylactic mastectomy (PM) is an option for women at high-risk for breast cancer, and may offer better cosmetic results than a skin-sparing PM where the nipple-areolar complex (NAC) is removed. However, there may be residual breast cancer risk due to the maintained NAC. It is unclear if sparing the NAC with PM impacts on psychosocial functioning, including cancer-related distress and body image after PM. This was a cross-sectional survey study of women who had undergone bilateral PM (no previous breast cancer) recruited through surgical or cancer genetics clinics. All women completed standardized questionnaires assessing cancer-related distress, anxiety, depression, satisfaction with decision, decision regret, and health-related quality of life related to breast surgery. Outcomes were compared between women with nipple-areola-sparing PM (NAC-PM) and skin-sparing PM (SS-PM). Overall, 137 women completed the study; 53 (39 %) had NAC-PM and 84 (61 %) had SS-PM. The mean age of the study population was 41.5 years [standard deviation (SD) 8.8] and the mean time between PM and questionnaire completion was 50 months (SD 31). On the BREAST-Q, we found that women with NAC-PM had significantly higher levels of satisfaction with breasts (p = 0.01), satisfaction with outcome (p = 0.02), and sexual well-being (p < 0.001) compared with SS-PM. No statistically significant differences in total cancer-related distress (p = 0.89), anxiety (p = 0.86), or depression (p = 0.93) were observed between the two groups. Overall, women with NAC-PM had better body image and sexual functioning compared with women with SS-PM, while both groups had comparable levels of cancer-related distress and perception of breast cancer risk. |
X Demographics
The data shown below were collected from the profiles of 54 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 29 | 54% |
| Canada | 4 | 7% |
| Australia | 2 | 4% |
| France | 2 | 4% |
| Ireland | 1 | 2% |
| Mexico | 1 | 2% |
| Spain | 1 | 2% |
| Netherlands | 1 | 2% |
| Argentina | 1 | 2% |
| Other | 0 | 0% |
| Unknown | 12 | 22% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 34 | 63% |
| Practitioners (doctors, other healthcare professionals) | 14 | 26% |
| Scientists | 4 | 7% |
| Science communicators (journalists, bloggers, editors) | 1 | 2% |
| Unknown | 1 | 2% |
Mendeley readers
The data shown below were compiled from readership statistics for 140 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 1 | <1% |
| Italy | 1 | <1% |
| Unknown | 138 | 99% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 16 | 11% |
| Unspecified | 12 | 9% |
| Researcher | 11 | 8% |
| Student > Ph. D. Student | 11 | 8% |
| Student > Bachelor | 11 | 8% |
| Other | 30 | 21% |
| Unknown | 49 | 35% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 42 | 30% |
| Psychology | 16 | 11% |
| Unspecified | 13 | 9% |
| Nursing and Health Professions | 9 | 6% |
| Agricultural and Biological Sciences | 2 | 1% |
| Other | 7 | 5% |
| Unknown | 51 | 36% |
Attention Score in Context
This research output has an Altmetric Attention Score of 34. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 20 December 2016.
All research outputs
#1,155,347
of 25,089,705 outputs
Outputs from Annals of Surgical Oncology
#128
of 7,163 outputs
Outputs of similar age
#14,364
of 268,850 outputs
Outputs of similar age from Annals of Surgical Oncology
#2
of 130 outputs
Altmetric has tracked 25,089,705 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 95th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 7,163 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.6. This one has done particularly well, scoring higher than 98% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 268,850 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 94% of its contemporaries.
We're also able to compare this research output to 130 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 99% of its contemporaries.