保乳手术与肿瘤整形手术后患者满意度的比较分析：系统回顾和荟萃分析

IF 1.6 4区医学 Q2 SURGERY

Frontiers in Surgery Pub Date : 2024-07-17 DOI:10.3389/fsurg.2024.1396432

Fabiana Christina Araújo Pereira Lisboa, Lucimara Priscila Campos Veras Giorgi, Ana Claudia Morais Godoy Figueiredo, Régis Resende Paulinelli, João Batista de Sousa

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引用次数: 0

摘要

导言保守手术是治疗单发肿瘤和小肿瘤的金标准，结合肿瘤整形的概念，在保证癌症安全性的同时，还能带来良好的美学效果。本研究的目的是比较分析接受保乳手术（BCS）的患者的满意度，包括使用二级 OPS 技术进行肿瘤整形手术（OPS）和未使用二级 OPS 技术进行肿瘤整形手术的患者的满意度。使用 Der Simonian-Laird 方法对随机效应进行了荟萃分析，考虑了几率比（OR）和 95% 置信区间（95% CI）。结果接受 OPS 和 BCS 的女性在美学结果上没有显著的统计学差异（OR 0.90；95% CI 0.62-1.30）。分期（OR 1.93；95% CI 0.97-3.84；I2 = 15.83%）；肿瘤位置[中央（OR 1.28；95% CI 0.06-27.49；I2 = 17.63%）；下部（OR 0.75；95% CI 0.21-2.65；I2 = 2.21%）；上部（OR 0.67；95% CI 0.26-1.74；I2 = 0.00%]和肿瘤大小（OR 8.73；95% CI -11.82-29.28；I2 = 93.18%）与所进行的 BCS 类型（有无 OPS）无关联。结论：患者对 BCS 的满意度与接受 OPS 治疗组的满意度相似，这说明即使是大肿瘤或多中心肿瘤，OPS 也能保持患者的满意度。

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Comparative analysis of the degree of patient satisfaction after breast-conserving surgery with or without oncoplastic surgery: systematic review and meta-analysis

IntroductionConservative surgery is the gold standard for the treatment of single and small tumors and, combined with the concept of oncoplastic tumors, brings good aesthetic results while maintaining cancer safety. The objective was to comparatively analyze the degree of satisfaction of patients undergoing breast conserving surgery (BCS), with and without oncoplastic surgery (OPS) using level II OPS techniques.MethodsReview with a search in the databases MEDLINE (by PubMed), EMBASE, Clinical Trials, Scopus, Web of Science, BVS and Oppen gray. The meta-analysis of random effects was performed using the Der Simonian-Laird method considering the odds ratio (OR) with a 95% confidence interval (95% CI).ResultsThere was no statistically significant difference in the aesthetic outcome between women who underwent OPS and BCS (OR 0.90; 95% CI 0.62–1.30). The staging (OR 1.93; 95% CI 0.97–3.84; I2 = 15.83%); tumor location [central (OR 1.28; 95% CI 0.06–27.49; I2 = 17.63%); lower (OR 0.75; 95% CI 0.21–2.65; I2 = 2.21%); superior (OR 0.67; 95% CI 0.26–1.74; I2 = 0.00%] and tumor size (OR 8.73; 95% CI −11.82–29.28; I2 = 93.18%) showed no association with the type of BCS performed, with or without OPS. The degree of satisfaction remains even in cases of extreme oncoplasty.ConclusionThe level of patient satisfaction in relation to BCS was similar to that of the group undergoing OPS, highlighting that OPS allows the patient's satisfaction rate to be maintained even in the case of large or multicentric tumors.

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来源期刊

Frontiers in Surgery Medicine-Surgery

CiteScore

1.90

自引率

11.10%

发文量

1872

审稿时长

12 weeks

期刊介绍： Evidence of surgical interventions go back to prehistoric times. Since then, the field of surgery has developed into a complex array of specialties and procedures, particularly with the advent of microsurgery, lasers and minimally invasive techniques. The advanced skills now required from surgeons has led to ever increasing specialization, though these still share important fundamental principles. Frontiers in Surgery is the umbrella journal representing the publication interests of all surgical specialties. It is divided into several “Specialty Sections” listed below. All these sections have their own Specialty Chief Editor, Editorial Board and homepage, but all articles carry the citation Frontiers in Surgery. Frontiers in Surgery calls upon medical professionals and scientists from all surgical specialties to publish their experimental and clinical studies in this journal. By assembling all surgical specialties, which nonetheless retain their independence, under the common umbrella of Frontiers in Surgery, a powerful publication venue is created. Since there is often overlap and common ground between the different surgical specialties, assembly of all surgical disciplines into a single journal will foster a collaborative dialogue amongst the surgical community. This means that publications, which are also of interest to other surgical specialties, will reach a wider audience and have greater impact. The aim of this multidisciplinary journal is to create a discussion and knowledge platform of advances and research findings in surgical practice today to continuously improve clinical management of patients and foster innovation in this field.