{"doi":"10.1016/j.amjsurg.2022.09.012","title":"The impact of mastectomy and reconstruction technique on patient perceived quality of Life","abstract":null,"journal":"The American Journal of Surgery","year":2022,"id":625272,"datarank":0.29188652235829704,"base_score":1.9459101490553132,"endowment":1.9459101490553132,"self_citation_contribution":0.29188652235829704,"citation_network_contribution":0.0,"self_endowment_contribution":0.29188652235829704,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":6,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":305762,"name":"Heidi Kosiorek","orcid":"0000-0002-4651-9516","position":1,"is_corresponding":false},{"id":1564023,"name":"Jacob B. Hammond","orcid":null,"position":2,"is_corresponding":false},{"id":1564024,"name":"Kristen M. Jogerst","orcid":null,"position":3,"is_corresponding":false},{"id":1564026,"name":"Patricia Cronin","orcid":null,"position":4,"is_corresponding":false},{"id":1564027,"name":"Sarwat Ahmad","orcid":null,"position":5,"is_corresponding":false},{"id":1564028,"name":"Alanna Rebecca","orcid":null,"position":6,"is_corresponding":false},{"id":1564029,"name":"William Casey","orcid":null,"position":7,"is_corresponding":false},{"id":597505,"name":"Barbara A. Pockaj","orcid":"0000-0001-8736-3020","position":8,"is_corresponding":false},{"id":320819,"name":"Chi Zhang","orcid":"0000-0002-9297-0690","position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"The impact of mastectomy and reconstruction technique on patient perceived quality of Life","abstract":"<h4>Background</h4>We sought to evaluate the impact of mastectomy type, post-mastectomy reconstruction choice, and procedure bilaterality, on patient perceived postoperative quality of life (QoL).<h4>Methods</h4>Patients who underwent post-mastectomy reconstruction between 2008 and 2020 were identified in a prospective database. QoL was assessed with the BREAST-Q and the Was It Worth It (WIWI) questionnaires. The results were compared between reconstruction type, reconstruction laterality, and type of mastectomy. Responses were compared using one-way analysis of variance (ANOVA) and chi-square tests.<h4>Results</h4>568 patients met inclusion criteria, and 244 patients responded (43%). QoL did not significantly vary between different reconstructions selected, procedure laterality, or mastectomy type. Patients who underwent DIEP flap were significantly more satisfied with their reconstructed breasts than implant-based reconstruction. Overall, over 85% of patients experienced improved or unchanged QoL no matter what reconstruction choices were made.<h4>Conclusion</h4>Most domains of QOL are not impacted by mastectomy type, post-mastectomy reconstruction, or laterality.","is_dataset_classified":null,"base_score":1.9459101490553132,"endowment":1.9459101490553132,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"36155675","pmcid":null,"openalex_id":"https://openalex.org/W4296902858","authors":[],"funders":[],"total_grants":0,"fwci":1.2599,"citation_percentile":0.79325924,"influential_citations":0,"citation_trend":[{"year":2023,"count":3},{"year":2024,"count":2},{"year":2025,"count":1}],"oa_status":"closed","license":"https://doi.org/10.15223/policy-004","oa_locations":[{"url":"https://api.elsevier.com/content/article/PII:S0002961022005591?httpAccept=text/xml","host_type":"publisher"},{"url":"https://api.elsevier.com/content/article/PII:S0002961022005591?httpAccept=text/plain","host_type":"publisher"},{"url":"https://doi.org/10.1016/j.amjsurg.2022.09.012","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/36155675","host_type":"repository"}],"fields_of_study":["Breast Implant and Reconstruction","Reconstructive Surgery and Microvascular Techniques","Lymphatic System and Diseases"],"mesh_terms":["Breast Neoplasms","Female","Humans","Mastectomy","Quality of Life","Surveys and Questionnaires","Mammaplasty","Patient Satisfaction"],"keywords":["Breast reconstruction","Mastectomy","Medicine","Quality of life (healthcare)","Laterality","Surgery","Implant","Breast cancer","Audiology","Internal medicine","Cancer","Reconstruction","Quality of life","Outcomes","Well-being"],"sdg_mappings":[{"sdg_number":0,"sdg_label":"Reduced inequalities"}],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-04T06:18:34.621024Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}