Michigan Breast Reconstruction Outcome Study
Abstract
Initiated in September of 1994 and continuing through 1999, the Michigan Breast Reconstruction Outcome Study (MBROS) has brought together a consortium of 14 medical centers and 22 plastic surgeons to prospectively compare the long term outcomes of implant, pedicle TRAM and free TRAM breast reconstructions. Preliminary analyses of psychosocial, functional and patient satisfaction outcomes have been completed. Results of the psychosocial analysis of 99 patients suggest that there are measurable gains in psychosocial well-being following breast reconstruction. Compared with implant reconstruction, TRAM flaps may yield greater gains in body image, femininity, and sexuality. Although TRAM patients note increased abdominal pain, no detrimental effects on general health status, overall somatic pain, or physical functioning were identified. Preliminary analysis of the functional outcomes data of 71 patients suggest that, compared with implant techniques, both pedicle and free TRAM breast reconstructions may result in objectively measurable declines in abdominal wall function. However these functional changes are not reflected in patients' subjective assessments of their abilities to perform routine activities of daily living. Furthermore, as indicated by both isokinetic testing and questionnaire results, free TRAMs may not offer relative functional advantages over pedicle TRAMS. Finally, preliminary evaluations of patient satisfaction in 212 patients also are presented in this report.
Document Details
- Document Type
- Technical Report
- Publication Date
- Jul 01, 1998
- Accession Number
- ADA354078
Entities
People
- Edwin G. Wilkins
Organizations
- University of Michigan