dc.contributor |
Háskóli Íslands (HÍ) |
dc.contributor |
University of Iceland (UI) |
dc.contributor.author |
Pálsdóttir, Edda |
dc.contributor.author |
Lund, Sigrún Helga |
dc.contributor.author |
Ásgeirsson, Kristján Skúli |
dc.date.accessioned |
2020-01-24T13:54:31Z |
dc.date.available |
2020-01-24T13:54:31Z |
dc.date.issued |
2018-05-14 |
dc.identifier.citation |
Palsdottir, E. P., Lund, S. H. L., & Asgeirsson, K. S. A. (2018). Oncoplastic Breast-Conserving Surgery in Iceland: A Population-Based Study. Scandinavian Journal of Surgery, 107(3), 224–229. https://doi.org/10.1177/1457496918766686 |
dc.identifier.issn |
1457-4969 |
dc.identifier.issn |
1799-7267 (eISSN) |
dc.identifier.uri |
https://hdl.handle.net/20.500.11815/1466 |
dc.description |
Publisher's version (útgefin grein). |
dc.description.abstract |
Background and Aims: In Iceland, oncoplastic breast-conservation surgery has been performed since 2008. The aim of this population-based study was to assess and compare the efficacy and patient satisfaction of standard breast-conservation surgery with oncoplastic breast-conservation surgery. Materials and methods: This is a population-based, retrospective, observational cohort study on all women undergoing breast-conservation surgery in Iceland from the 1 January 2008 to 31 December 2014. A multivariate logistic regression and linear regression were performed to assess differences in outcomes and a patient satisfaction questionnaire was used to assess certain patient-related outcome measures. Results and conclusion: A total of 750 women underwent breast-conserving surgery, 665 had standard breast-conservation surgery and 85 oncoplastic breast-conservation surgery. Oncoplastic breast-conservation surgery was associated with a significantly larger mean size (2.4 cm vs 1.7 cm, p < 0.001) and weight (181.8 g vs 63.4 g, p < 0.001) of breast specimen excised when compared to standard breast-conservation surgery. After correcting for confounding factors, there was no significant difference in surgical margin involvement (odds ratio = 0.97, confidence interval = 0.44–1.97), frequency of complications (odds ratio = 1.06, confidence interval = 0.46–2.18), frequency of reoperations (odds ratio = 0.98; confidence interval = 0.50–1.81), or time to first adjuvant therapy (–0.23 days for oncoplastic breast-conservation surgery, p = 0.95). Patient satisfaction was high in both groups, although not statistically different (96% in oncoplastic breast-conservation surgery group vs 89% in the standard breast-conservation surgery group, p = 0.84). Our results show that oncoplastic breast-conservation surgery is at least as safe as standard breast-conservation surgery in selected cases and may be preferable in ductal carcinoma in situ. |
dc.description.sponsorship |
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this
article: The study was funded by Vísindasjóður Landspítalans
(Landspítali University Hospital research fund). |
dc.format.extent |
224-229 |
dc.language.iso |
en |
dc.publisher |
SAGE Publications |
dc.relation.ispartofseries |
Scandinavian Journal of Surgery;107(3) |
dc.rights |
info:eu-repo/semantics/openAccess |
dc.subject |
Breast |
dc.subject |
Cancer |
dc.subject |
Surgery |
dc.subject |
Oncoplastic |
dc.subject |
Breast conservation |
dc.subject |
Ductal carcinoma in situ |
dc.subject |
Population |
dc.subject |
Brjóstaaðgerðir |
dc.subject |
Krabbamein |
dc.title |
Oncoplastic Breast-Conserving Surgery in Iceland: A Population-Based Study |
dc.type |
info:eu-repo/semantics/article |
dcterms.license |
© The Finnish Surgical Society 2018
Creative Commons Attribution Non-Commercial License |
dc.description.version |
Peer Reviewed |
dc.identifier.journal |
Scandinavian Journal of Surgery |
dc.identifier.doi |
10.1177/1457496918766686 |
dc.contributor.department |
Faculty of Medicine (UI) |
dc.contributor.department |
Læknadeild (HÍ) |
dc.contributor.school |
Heilbrigðisvísindasvið (HÍ) |
dc.contributor.school |
School of Health Sciences (UI) |