dc.contributor.author | Godden, AR | |
dc.contributor.author | Micha, A | |
dc.contributor.author | Wolf, LM | |
dc.contributor.author | Pitches, C | |
dc.contributor.author | Barry, PA | |
dc.contributor.author | Khan, AA | |
dc.contributor.author | Krupa, KDC | |
dc.contributor.author | Kirby, AM | |
dc.contributor.author | Rusby, JE | |
dc.coverage.spatial | England | |
dc.date.accessioned | 2022-08-09T13:34:42Z | |
dc.date.available | 2022-08-09T13:34:42Z | |
dc.date.issued | 2021-10-23 | |
dc.identifier | 6346819 | |
dc.identifier.citation | British Journal of Surgery, 2021, 108 (10), pp. 1181 - 1188 | en_US |
dc.identifier.issn | 0007-1323 | |
dc.identifier.uri | https://repository.icr.ac.uk/handle/internal/5255 | |
dc.identifier.eissn | 1365-2168 | |
dc.identifier.eissn | 1365-2168 | |
dc.identifier.doi | 10.1093/bjs/znab217 | |
dc.description.abstract | INTRODUCTION: Over half of women with surgically managed breast cancer in the UK undergo breast-conserving treatment (BCT). While photographs are shown prior to reconstructive surgery or complex oncoplastic procedures, standard practice prior to breast conservation is to simply describe the likely aesthetic changes. Patients have expressed the desire for more personalized information about likely appearance after surgery. The hypothesis was that viewing a three-dimensional (3D) simulation improves patients' confidence in knowing their likely aesthetic outcome after surgery. METHODS: A randomized, controlled trial of 117 women planning unilateral BCT was undertaken. The randomization was three-way: standard of care (verbal description alone, control group), viewing two-dimensional (2D) photographs, or viewing a 3D simulation before surgery. The primary endpoint was the comparison between groups' median answer on a visual analogue scale (VAS) for the question administered before surgery: 'How confident are you that you know how your breasts are likely to look after treatment?' RESULTS: The median VAS in the control group was 5.2 (i.q.r. 2.6-7.8); 8.0 (i.q.r. 5.7-8.7) for 2D photography, and 8.9 (i.q.r. 8.2-9.5) for 3D simulation. There was a significant difference between groups (P < 0.010) with post-hoc pairwise comparisons demonstrating a statistically significant difference between 3D simulation and both standard care and viewing 2D photographs (P < 0.010 and P = 0.012, respectively). CONCLUSION: This RCT has demonstrated that women who viewed an individualized 3D simulation of likely aesthetic outcome for BCT were more confident going into surgery than those who received standard care or who were shown 2D photographs of other women. The impact on longer-term satisfaction with outcome remains to be determined.Registration number: NCT03250260 (http://www.clinicaltrials.gov). | |
dc.format | Print | |
dc.format.extent | 1181 - 1188 | |
dc.language | eng | |
dc.language.iso | eng | en_US |
dc.publisher | OXFORD UNIV PRESS | en_US |
dc.relation.ispartof | British Journal of Surgery | |
dc.subject | Aged | |
dc.subject | Breast Neoplasms | |
dc.subject | Computer Simulation | |
dc.subject | Esthetics | |
dc.subject | Female | |
dc.subject | Humans | |
dc.subject | Imaging, Three-Dimensional | |
dc.subject | Mammaplasty | |
dc.subject | Mastectomy, Segmental | |
dc.subject | Middle Aged | |
dc.subject | Patient Education as Topic | |
dc.subject | Photography | |
dc.title | Three-dimensional simulation of aesthetic outcome from breast-conserving surgery compared with viewing photographs or standard care: randomized clinical trial. | en_US |
dc.type | Journal Article | |
dcterms.dateAccepted | 2021-05-06 | |
dc.date.updated | 2022-08-09T09:55:19Z | |
rioxxterms.version | VoR | en_US |
rioxxterms.versionofrecord | 10.1093/bjs/znab217 | en_US |
rioxxterms.licenseref.uri | http://creativecommons.org/licenses/by/4.0/ | en_US |
rioxxterms.licenseref.startdate | 2021-10-23 | |
rioxxterms.type | Journal Article/Review | en_US |
pubs.author-url | https://www.ncbi.nlm.nih.gov/pubmed/34370833 | |
pubs.issue | 10 | |
pubs.organisational-group | /ICR | |
pubs.organisational-group | /ICR/Primary Group | |
pubs.organisational-group | /ICR/Primary Group/ICR Divisions | |
pubs.organisational-group | /ICR/Primary Group/ICR Divisions/Radiotherapy and Imaging | |
pubs.organisational-group | /ICR/Primary Group/ICR Divisions/Radiotherapy and Imaging/Breast Cancer Radiotherapy | |
pubs.organisational-group | /ICR/Primary Group/Royal Marsden Clinical Units | |
pubs.organisational-group | /ICR/Primary Group/ICR Divisions/Radiotherapy and Imaging/Breast Cancer Radiotherapy/Breast Cancer Radiotherapy (hon.) | |
pubs.organisational-group | /ICR/Primary Group/ICR Divisions/Radiotherapy and Imaging/Translational Locoregional Therapy Team | |
pubs.publication-status | Published | |
pubs.volume | 108 | |
icr.researchteam | Trans Locoregional Therap | en_US |
dc.contributor.icrauthor | Khan, Aadil | |
dc.contributor.icrauthor | Kirby, Anna | |
dc.contributor.icrauthor | Rusby, Jennifer | |
icr.provenance | Deposited by Dr Jennifer Rusby on 2022-08-09. Deposit type is initial. No. of files: 1. Files: Godden Rusby Simulation breast conservation BJS 2021.pdf | |