Journal of plastic, reconstructive & aesthetic surgery : JPRAS · 2026
Priorities in breast sensation among patients undergoing breast reconstruction.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Zhu Lily, Giwa Ganiat A, Khoo Kimberly H, Gfrerer Lisa, Broderick Kristen P, Mundy Lily R
Аннотация
PURPOSE: Loss of sensation after breast reconstruction can significantly reduce quality of life. Although novel techniques have aimed to restore sensation, patient priorities and the impact on decision-making remain unclear. We explored patient perspectives on the importance of breast sensation in reconstruction.
METHODS: We conducted a cross-sectional survey of women ≥18 years who underwent breast reconstruction following breast cancer, recruited through online patient communities. Participants provided demographic and cancer-related data, retrospectively ranked sensory modalities, and reported awareness of nerve optimization procedures. Descriptive statistics, t-tests, chi-square tests, and multivariable linear regression were performed.
RESULTS: Among 235 participants (mean age, 55 years), tactile sensation was recalled as the most important when considering reconstruction (55%), followed by erogenous sensation (35%). After reconstruction, erogenous sensation was the most missed (49%), followed by tactile sensation (38%). Sensation was important for decision-making in 26% of the participants. Over half (54%) were unaware of nerve optimization procedures but would have considered them if informed, whereas only 16% were aware and had considered them. After adjusting for covariates, awareness and consideration of nerve procedures remained independently associated with higher BREAST-Q Satisfaction with Breasts (p = 0.04). Aware participants also reported significantly higher decision confidence, feeling informed, and Satisfaction with Information compared to unaware participants who would have considered these procedures (all p < 0.05).
CONCLUSIONS: Patient priorities for breast sensation vary and may shift after reconstruction. Awareness and consideration of nerve optimization procedures are independently associated with improved BREAST-Q satisfaction. Structured preoperative counseling, including discussion of sensory outcomes and nerve optimization options, may improve shared decision-making and postoperative satisfaction.
METHODS: We conducted a cross-sectional survey of women ≥18 years who underwent breast reconstruction following breast cancer, recruited through online patient communities. Participants provided demographic and cancer-related data, retrospectively ranked sensory modalities, and reported awareness of nerve optimization procedures. Descriptive statistics, t-tests, chi-square tests, and multivariable linear regression were performed.
RESULTS: Among 235 participants (mean age, 55 years), tactile sensation was recalled as the most important when considering reconstruction (55%), followed by erogenous sensation (35%). After reconstruction, erogenous sensation was the most missed (49%), followed by tactile sensation (38%). Sensation was important for decision-making in 26% of the participants. Over half (54%) were unaware of nerve optimization procedures but would have considered them if informed, whereas only 16% were aware and had considered them. After adjusting for covariates, awareness and consideration of nerve procedures remained independently associated with higher BREAST-Q Satisfaction with Breasts (p = 0.04). Aware participants also reported significantly higher decision confidence, feeling informed, and Satisfaction with Information compared to unaware participants who would have considered these procedures (all p < 0.05).
CONCLUSIONS: Patient priorities for breast sensation vary and may shift after reconstruction. Awareness and consideration of nerve optimization procedures are independently associated with improved BREAST-Q satisfaction. Structured preoperative counseling, including discussion of sensory outcomes and nerve optimization options, may improve shared decision-making and postoperative satisfaction.