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. 2021 Sep 29;60:111–122. doi: 10.1016/j.breast.2021.09.009

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]