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SYSTEMATIC REVIEW article

Front. Surg.
Sec. Surgical Oncology
Volume 11 - 2024 | doi: 10.3389/fsurg.2024.1396432

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

Provisionally accepted
Fabiana C. Lisboa Fabiana C. Lisboa 1*Lucimara P. Veras Lucimara P. Veras 2Ana C. Figueiredo Ana C. Figueiredo 1Régis R. Paulinelli Régis R. Paulinelli 3JOÃO B. SOUSA JOÃO B. SOUSA 1
  • 1 University of Brasilia, Brasilia, Brazil
  • 2 Health Sciences Education and Research Foundation (Fepecs), Brasília, Brazil
  • 3 Faculty of Medicine, Federal University of Goiás, Goiânia, Goiás, Brazil

The final, formatted version of the article will be published soon.

    Introduction: Conservative 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.Methods: Review 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).Results: There 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; I 2 = 15.83%); tumor location [central (OR 1.28; 95% CI 0.06 -27.49; I 2 = 17.63%); lower (OR 0.75; 95% CI 0.21 -2.65; I 2 = 2.21%); superior (OR 0.67; 95% CI 0.26 -1.74; I 2 = 0.00%] and tumor size (OR 8.73;; I 2 = 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.The 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.

    Keywords: breast cancer, Mammoplasty, conservative surgery, Patient Satisfaction, Oncoplastic Surgery

    Received: 05 Mar 2024; Accepted: 28 May 2024.

    Copyright: © 2024 Lisboa, Veras, Figueiredo, Paulinelli and SOUSA. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Fabiana C. Lisboa, University of Brasilia, Brasilia, Brazil

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.