Table 6.
Multivariable Analysis on Factors Associated with Two-Year Postoperative Patient-Reported Outcomes for Unilateral Reconstruction Patients
| Variable | Satisfaction with Breast |
Psychosocial Well-being |
Physical well-being |
Sexual Well-being |
PROMIS Physical Well-being |
|||||
|---|---|---|---|---|---|---|---|---|---|---|
| Beta | p | Beta | p | Beta | p | Beta | p | Beta | p | |
| Baseline outcome | 0.06 | 0.093 | 0.38 | <.001 | 0.40 | <.001 | 0.32 | <.001 | 0.35 | <.001 |
| Age | 0.09 | 0.262 | 0.25 | 0.002 | 0.12 | 0.029 | 0.40 | <.001 | −0.10 | 0.005 |
| BMI | −0.41 | 0.006 | −0.13 | 0.377 | −0.09 | 0.401 | −0.46 | 0.009 | −0.35 | <.001 |
| Contralateral procedure | ||||||||||
| No | -Reference- | -Reference- | -Reference- | -Reference- | -Reference- | |||||
| Yes | 0.59 | 0.696 | 1.76 | 0.165 | −1.12 | 0.282 | 3.50 | 0.047 | 0.04 | 0.947 |
| Procedure type | ||||||||||
| Implant | -Reference- | -Reference- | -Reference- | -Reference- | -Reference- | |||||
| Autologous | 9.85 | <.001 | 4.84 | 0.006 | 1.77 | 0.238 | 11.42 | <.001 | −0.14 | 0.830 |
| Mastectomy type | ||||||||||
| Simple/modified radical | -Reference- | -Reference- | -Reference- | -Reference- | -Reference- | |||||
| Nipple sparing | −1.74 | 0.563 | 0.08 | 0.973 | 2.34 | 0.268 | −0.34 | 0.903 | −1.92 | 0.121 |
| Indication | ||||||||||
| Therapeutic | -Reference- | -Reference- | -Reference- | -Reference- | -Reference- | |||||
| Prophylactic | 4.55 | 0.303 | 4.69 | 0.236 | 3.20 | 0.257 | 5.22 | 0.237 | −0.09 | 0.950 |
| Lymph node biopsy | ||||||||||
| None | -Reference- | -Reference- | -Reference- | -Reference- | -Reference- | |||||
| ALND | −3.21 | 0.201 | −2.44 | 0.339 | 0.92 | 0.586 | 0.33 | 0.920 | −1.63 | 0.099 |
| SLNB | 0.59 | 0.775 | −2.38 | 0.221 | 0.77 | 0.628 | −1.11 | 0.735 | −0.10 | 0.892 |
| Smoking status | ||||||||||
| Non smoker | -Reference- | -Reference- | -Reference- | -Reference- | -Reference- | |||||
| Previous smoker | −2.53 | 0.077 | −1.83 | 0.225 | −2.85 | 0.017 | −2.19 | 0.306 | −1.32 | 0.008 |
| Current smoker | −1.82 | 0.803 | −8.68 | 0.125 | −8.79 | 0.135 | −9.46 | 0.204 | −6.73 | 0.005 |
| Diabetes | ||||||||||
| No | -Reference- | -Reference- | -Reference- | -Reference- | -Reference- | |||||
| Yes | −2.20 | 0.561 | 3.54 | 0.218 | 0.58 | 0.794 | −1.38 | 0.686 | −0.05 | 0.972 |
| Radiation | ||||||||||
| None | -Reference- | -Reference- | -Reference- | -Reference- | -Reference- | |||||
| Before reconstruction | 0.35 | 0.906 | −1.32 | 0.614 | 0.87 | 0.662 | −0.95 | 0.755 | 0.60 | 0.522 |
| During/after reconstruction | −7.19 | 0.001 | −6.06 | 0.001 | −6.03 | 0.000 | −5.36 | 0.044 | 0.01 | 0.985 |
| Chemotherapy | ||||||||||
| Not during/after reconstruction | -Reference- | -Reference- | -Reference- | -Reference- | -Reference- | |||||
| During/after reconstruction | 2.03 | 0.243 | 0.15 | 0.919 | 1.08 | 0.407 | −1.28 | 0.542 | −1.45 | 0.010 |