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. 2021 Oct 29;2021(10):CD013658. doi: 10.1002/14651858.CD013658.pub2

DeLorenzi 2016 (2).

Study characteristics
Methods Retrospective matched multicentre database review cohort
2000 ‐ 2008
European Institute of Oncology (IEO) Breast Cancer Institutional Database
579 participants
Participants Inclusion: women with breast cancer with tumours larger than 2 cm (T2) undergoing OPS or mastectomy and reconstruction
Exclusion:
  • Patients who have received intraoperative radiotherapy with electrons (ELIOT) to the tumour bed only or as a boost

  • Patients presenting with secondary tumours or local relapses, bilateral tumours, or those who have received neoadjuvant chemotherapy

Interventions Intervention: volume displacement and replacement (analysed together): (n = 193)
VR: glandular flaps (59.6 %), a fasciocutaneous flap (1.5 %) myocutaneous or muscular flap in 2 patients (1 %), implants (4.1 %)
VD: mastopexy (18.1%), a round‐block approach (1.5 %), a superior pedicled reduction mammoplasty (2.1 %), an inferior pedicled reduction mammoplasty (7.7 %), other procedures were performed in the remaining 4 patients (4.1 %)
Control: nipple areola‐sparing mastectomies (41.7 %), skin‐sparing mastectomies, (58.3 %) 91% immediate postmastectomy reconstruction (definitive silicone implants (273 patients), temporary expanders (74 patients), and muscular flaps (4 cases)), (n = 386)
Outcomes Primaryoutcomes (median 88.8 months):
  • Local recurrence

  • Disease‐free survival

  • Overall survival


Secondaryoutcomes:
  • No outcomes of interest


Otheroutcomes:
  • Distant recurrence

Notes No disclosures/funding declared
Different control to DeLorenzi 2016 (1)