Physicians’ perception about the impact of breast reconstruction on patient prognosis: a survey in Japan

Collaborative Study Group of Scientific Research of the Japanese Breast Cancer Society

Research output: Contribution to journalArticlepeer-review

Abstract

Background: One barrier to the widespread use of breast reconstruction (BR) is physicians’ perception that BR adversely affects breast cancer prognosis. However, there is limited information regarding physicians’ understanding of the impact of BR on patient prognosis and which physicians have misunderstandings about BR. Methods: We conducted an e-mail survey regarding the impact of BR on the prognosis of patients with breast cancer among members of the Japanese Breast Cancer Society. Results: Of 369 respondents, 99 (27%) said that they believe BR affects patient prognosis. Female respondents and those who treat fewer new breast cancer patients per year were more likely to state that they believe BR affects patient prognosis (P = 0.006 and 0.007). Respondents who believed that BR affects patient prognosis underestimated 5-year overall survival rates in patients who receive BR and subsequently have local or regional recurrence in different sites. Conclusion: Our survey demonstrated that a quarter of respondents believe that BR affects patient prognosis and underestimate survival rates in patients who receive BR and have subsequent local or regional recurrence. Because of the lack of evidence regarding the impact of BR on patient prognosis, educating physicians by providing accurate knowledge regarding BR and patient prognosis is highly recommended.

Original languageEnglish
JournalBreast Cancer
DOIs
Publication statusAccepted/In press - 2022

Keywords

  • Breast cancer
  • Breast reconstruction
  • Prognosis
  • Questionnaire
  • Recurrence

ASJC Scopus subject areas

  • Oncology
  • Radiology Nuclear Medicine and imaging
  • Pharmacology (medical)

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