Breast Cancer Clinical Trial
Official title:
The Telemark Breast Score is a Valid Method for the Evaluation of Outcome After Reconstructive Surgery of the Breast
This paper will present a specific tool for evaluation of cosmetic results after breast conserving surgery (BCS) and secondary breast reconstruction with free DIEP-flap. Introduction of a breast score system using digital photography seems to be a reliable tool for estimation of cosmetic results after breast surgery. The method has been employed on a specific group of 346 consecutive patients operated for breast cancer with breast conserving surgery. For the purpose of this study breast score system was tested on patients with free flap breast reconstruction (DIEP flap).
Background: Validated instruments for assessing results after breast surgery are sparse.
Investigators want to present a method used for the past 10 years at their institution for
evaluation of the outcome after breast conserving surgery (BCS) and microsurgical breast
reconstruction. Methods: 346 consecutive patients subjected to BCS for cancer and 30
patients operated with a deep inferior epigastric flap (DIEP ) were assessed at least one
year after the operation. The Telemark Breast Score is a method based on standard
two-dimensional photographs assessing the outcome after breast surgery in terms of volume,
shape and symmetry. Three different panels including plastic surgeons, breast surgeons and
nurses were invited to test the Telemark Breast Score. Consistency of agreement between and
inside the panel groups was studied Results: Inter- and intra observer reliability was
acceptable. Good stability of ratings could be shown in test-retests.
Conclusion: The Telemark Breast Scale is inexpensive, statistically reliable and can be
applied for quality control after breast surgery.
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Observational Model: Cohort, Time Perspective: Retrospective
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