Table 4.
Summary of Patient-Reported Outcomes Findings
| Direction of Finding | ||||||
|---|---|---|---|---|---|---|
| Outcome | Study | pTRAM versus DIEP | fTRAM versus DIEP | MS fTRAM versus DIEP | Statistical Adjustment | Measure |
| Psychosocial outcomes | Chun et al., 2010 | + | No |
SF-36 energy/fatigue SF-36 emotional well-being |
||
| Macadam et al., 2016 | = | = | = | Yes | BREAST-Q psychosocial well-being BREAST-Q sexual well-being |
|
| Erdmann-Sager et al., 2018 | = | = | Yes | BREAST-Q psychosocial well-being BREAST-Q sexual well-being |
||
| Nelson et al., 2019 | = | No | SF-36 mental health composite | |||
| Satisfaction | Momoh et al., 2012 | General satisfaction: -Aesthetic satisfaction: = | No |
MBROS general satisfaction MBROS aesthetic satisfaction |
||
| Yang et al., 2015 | = | No | MBROS general satisfaction MBROS aesthetic satisfaction |
|||
| Macadam et al., 2016 |
Satisfaction breasts: = Satisfaction outcome: - |
= | = | Yes |
BREAST-Q satisfaction breasts BREAST-Q satisfaction outcome |
|
| Erdmann-Sager et al., 2018 | = | = | Yes | BREAST-Q satisfaction breasts | ||
| Physical well-being | Schaverien et al., 2007 | = | No | SF-36 physical functioning SF-36 physical role limitations |
||
| Weichman et al., 2015 | = | = | Yes | BREAST-Q PWB chest | ||
| Macadam et al., 2016 | - | = | = | Yes | BREAST-Q PWB abdomen | |
| Erdmann-Sager et al., 2018 | PWB chest (one year): = PWB chest (two year):- PWB abdomen: - | PWB chest: =PWB abdomen: - | Yes |
BREAST-Q PWB chest BREAST-Q PWB abdomen |
||
| Nelson et al., 2019 | = | No | BREAST-Q PWB abdomen SF-36 physical health composite |
|||
| Pain | Schaverien et al., 2007 | = | No | SF-36 pain | ||
Bold entries indicate the studies finding statistically significant differences in patient-reported outcome scores between flaps (i.e. the direction of finding is either + or -).
+ score for first reconstruction technique higher than score for second reconstruction technique.
- score for second reconstruction technique higher than score for first reconstruction technique.
= scores equivalent for both reconstruction techniques.
SF-36, short-form 36; MBROS, Michigan Breast Reconstruction Outcome Study.