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Michigan Breast Reconstruction Outcomes Study.

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Annual rept. 20 Jun 96-19 Jun 97,

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The objective of the study is to compare the long term outcomes of the most common techniques of post- mastectomy breast reconstruction tissue expansionbreast implants, transverse rectus abdominis musculocutaneous TRAM flaps free and pedicle, and Latissimus Dorsi flaps. This four year prospective study will adapt existing instruments and formulate new methodologies to assess outcomes in five categories complication rates, aesthetic results, functional results, psychosocial status and costs. Study results will provide information to patients, providers, and payers for determining the procedure of choice. The research will establish standardized methods for evaluation of breast reconstruction results in future studies, and initial data can be used for long term analysis of breast reconstruction outcomes. Patients will be followed for two years from reconstruction. Measurements of outcome variables will be obtained prior to reconstruction and at annual intervals starting one year after the procedure. For patients enrolled less than two years from the end of the study period, follow-up will occur at one year post surgery only. Instruments will include questionnaires, physical testing, evaluation of digitized photographs, and analysis of billing and hospital record data. This approach will identify the cumulative effects of reconstruction on some outcome measures e.g. complications and costs and will help determine the earliest time point at which other outcomes stabilize e.g. functional, aesthetic and psychosocial status.

Subject Categories:

  • Anatomy and Physiology
  • Medicine and Medical Research

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