Table 2:
Association between patient dissatisfaction with DCIS breast surgery and reconstruction surgery following mastectomy, WISC study, 1996-2006*
| Surgical Satisfaction | Reconstruction Satisfaction | |||
|---|---|---|---|---|
| Characteristics | Somewhat vs Very Satisfied, N=1471 |
Neutral/Dissatisfied vs Very satisfied, N=1400 |
Somewhat vs Very Satisfied, N=456 |
Neutral/Dissatisfied vs Very satisfied, N=423 |
| OR (95% CI) | OR (95% CI) | OR (95% CI) | OR (95% CI) | |
| Surgery type | ||||
| BCS | 1 (ref) | 1 (ref) | ||
| Mastectomy no reconstruction | 1.98 (1.00, 3.92) | 2.26 (0.89, 5.72) | ||
| Mastectomy w/reconstruction | 2.56 (1.32, 4.97) | 2.98 (1.18, 7.51) | ||
| Reconstruction type | ||||
| None | 1 (ref) | 1 (ref) | ||
| Autologous reconstruction | 1.40 (0.71, 2.75) | 1.05 (0.49, 2.24) | ||
| Implant and autologous reconstruction | 2.77 (1.24, 6.24) | 1.55 (0.53, 4.52) | ||
| Implant | 4.02 (1.94, 8.34) | 2.5 (1.087, 5.82) | ||
| Age at diagnosis | ||||
| <50 | 1 (ref) | 1 (ref) | 1 (ref) | 1 (ref) |
| 50-60 | 0.80 (0.51, 1.25) | 0.92 (0.52, 1.60) | 1.01 (0.57, 1.80) | 1.23 (0.61, 2.46) |
| 60-70 | 0.92 (0.56, 1.53) | 0.44 (0.21, 0.95) | 0.48 (0.21, 1.07) | 0.72 (0.29, 1.79) |
| >70 | 1.40 (0.71, 2.75) | 1.01 (0.41, 2.46) | 0.57 (0.18, 1.74) | 0.33 (0.07, 1.62) |
| Time since diagnosis | ||||
| <2 years | 1 (ref) | 1 (ref) | 1 (ref) | 1 (ref) |
| ≥2 years | 0.66 (0.45-0.97) | 0.88 (0.54-1.44) | 0.71 (0.42-1.19) | 1.44 (0.79-2.62) |
*
Missing values for characteristics are imputed. Odds ratios in model adjusted for household income, education, adjuvant radiation and endocrine treatment.