Erschienen in:
27.01.2023 | Breast Oncology
The Impact of Same-Day Discharge and Enhanced Recovery on Patient Quality of Life After Mastectomy with Implant Reconstruction
verfasst von:
Valerie L. Armstrong, MD, Jacob B. Hammond, MD, Kristen M. Jogerst, MD, Heidi E. Kosiorek, MS, Chad Teven, MD, Patricia Cronin, MD, Sarwat Ahmad, MD, Alanna Rebecca, MD, William Casey, MD, Barbara Pockaj, MD
Erschienen in:
Annals of Surgical Oncology
|
Ausgabe 5/2023
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Abstract
Background
This study aimed to evaluate how enhanced recovery (ER) protocols and same-day discharge (SDD) influences patients’ postoperative quality of life (QOL).
Methods
Patients who underwent mastectomy with implant-based breast reconstruction from 2008 to 2020 were identified in a prospective database. The study assessed QOL with BREAST-Q and Was It Worth It? (WIWI) questionnaires. Responses were compared between the ER and pre-ER groups and between the SDD and hospital stay (HS) groups using one-way analysis of variance (ANOVA) and chi-square tests.
Results
The inclusion criteria were met by 568 patients, with a 43% response rate, and 217 patients were included for analysis. Chest physical well-being was lower for the ER cohort, but postoperative breast satisfaction was higher. Psychosocial status, sexual well-being, and satisfaction with information given did not differ significantly between the ER group and the pre-ER or SDD group. In the compared groups, QOL did not differ significantly.
Conclusions
Enhanced recovery with SDD after mastectomy using implant-based reconstruction did not have an adverse impact on patient postoperative QOL.