Table 4.
Multivariable logistic regression for decreased satisfaction with reconstructed breasts.
| Odds ratio (95% CI) | P value | |
|---|---|---|
| Patient variables | ||
| Age | 1.01 (0.99–1.02) | 0.550 |
| BMI | 1.02 (0.99–1.06) | 0.202 |
| Diabetes | ||
| No | 1 [reference] | – |
| Yes | 1.74 (0.77–3.73) | 0.166 |
| Smoker | ||
| Never | 1 [reference] | – |
| Previous | 1.41 (1.01–1.98) | 0.045 |
| Current | 2.06 (0.56–6.98) | 0.256 |
| Patient-reported outcomes at baseline | ||
| Satisfaction with breasts | 1.11 (1.09–1.12) | <0.001 |
| Psychosocial well-being | 0.99 (0.98–1.00) | 0.033 |
| Physical well-being chest and upper body | 0.99 (0.98–1.00) | 0.067 |
| Physical well-being abdomen | 1.00 (0.99–1.01) | 0.922 |
| Sexual well-being | 0.99 (0.98–1.00) | 0.097 |
| Clinical variables | ||
| Radiation | ||
| After reconstruction | 2.62 (1.70–4.08) | <0.001 |
| Before reconstruction | 0.95 (0.49–1.78) | 0.878 |
| None | 1 [reference] | – |
| Mastectomy | ||
| Nipple-sparing | 1.09 (0.65–1.81) | 0.745 |
| Simple | 1 [reference] | – |
| other | 0.33 (0.01–3.35) | 0.416 |
| Reconstruction | ||
| Tissue expander | 1 [reference] | – |
| Direct-to-implant | 0.81 (0.40–1.60) | 0.548 |
| TRAM | 0.23 (0.10–0.49) | <0.001 |
| DIEP | 0.35 (0.22–0.55) | <0.001 |
| LD | 0.43 (0.16–1.11) | 0.093 |
| GAP | 0.40 (0.04–3.03) | 0.417 |
| SIEA | 0.08 (0.02–0.25) | <0.001 |
| Crossover | 0.82 (0.38–1.73) | 0.614 |
| Mixed flaps | 1.07 (0.40–2.60) | 0.891 |
| Mixed implants and autologous | 0.23 (0.03–1.36) | 0.137 |
| Chemotherapy | ||
| Not received | 1 [reference] | – |
| Received | 1.31 (0.92–1.87) | 0.138 |
| Laterality | ||
| Unilateral reconstruction | 1 [reference] | – |
| Bilateral reconstruction | 0.72 (0.51–1.00) | 0.052 |
| Mastectomy indication | ||
| Therapeutic | 1 [reference] | – |
| Prophylactic | 0.45 (0.21–0.95) | 0.042 |
| Axillary intervention | ||
| Axillary lymph node dissection | 0.69 (0.40–1.20) | 0.192 |
| Sentinel lymph node biopsy | 0.90 (0.56–1.45) | 0.662 |
| No axillary intervention | 1 [reference] | – |