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Loss to follow-up after direct-to-implant breast reconstruction

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Abstract
Loss to follow-up is inevitable in retrospective cohort studies, and patients are lost to follow-up after direct-to-implant reconstruction despite annual follow-up recommendation. We analyzed more than 500 patients to analyze the rate of loss to follow-up to plastic surgery and to investigate the factors affecting it. A retrospective review of patients who underwent direct-to-implant reconstruction between July 2008 and August 2016 was performed. Loss to follow-up to plastic surgery was defined as a difference of ≥24 months between the total and plastic surgery follow-up. The rate of loss to follow-up and associated factors including patients' demographics, surgery-related variables, oncological data, and early and late complications were analyzed. Of 631 patients who underwent direct-to-implant reconstruction, 551 patients continued visiting the hospital for breast cancer-related treatment. Of the 527 patients who were eligible for the study, 157 patients (29.8%) were lost to plastic surgery follow-up. Surgery-related variables, early complications, cancer stage, and adjuvant therapies were not significantly different. Younger age was significantly associated with loss to follow-up in univariate analysis. However, logistic regression revealed that a long total follow-up period, distant metastasis, and absence of late elective complications were significant factors contributing to follow-up loss. Late elective complications such as malposition, capsular contracture, and mastectomy flap thinning were more common in the follow-up group (48%) than in the loss to follow-up group (22%). Follow-up loss after direct-to-implant reconstruction was not associated with specific demographic or surgery-related variables, and postoperative courses significantly affected the loss to follow-up.
Author(s)
Eun Key KimSoo Hyun WooDo Yeon KimEun Jeong ChoiKyunghyun MinTaik Jong LeeJin Sup EomHyun Ho Han
Issued Date
2023
Type
Article
Keyword
Breast neoplasmsfollow-up studiesloss to follow-uppostoperative complications
DOI
10.1080/2000656X.2021.1981350
URI
https://oak.ulsan.ac.kr/handle/2021.oak/17718
Publisher
Journal of Plastic Surgery and Hand Surgery
Language
영어
ISSN
2000-656X
Citation Volume
57
Citation Number
1-6
Citation Start Page
64
Citation End Page
70
Appears in Collections:
Medicine > Nursing
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