Evidence map›Paper›PMID 40982299›Full record

ArticleBJS open2025

Breast satisfaction and health-related quality of life following total mastectomy, breast-conserving surgery, or immediate breast reconstruction in Japanese patients with breast cancer: multicentre cross-sectional controlled study (Reborn).

Hirohito Seki, Takako Komiya, Yoshihiro Sowa, Maho Kato, Yutaka Nishida, Hirotsugu Isaka, Jyunji Takano, Shigeru Imoto, Miho Saiga

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in BJS open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Hirohito SekiDepartment of Breast Surgery, Kyorin University School of Medicine, Tokyo, Japan.ORCID 0000-0002-3211-4817
Takako KomiyaDepartment of Plastic and Reconstructive Surgery, Tokyo Medical University, Tokyo, Japan.
Yoshihiro SowaDepartment of Plastic Surgery, Jichi Medical University, Tochigi, Japan.
Maho KatoDepartment of Plastic Surgery, Aichi Medical University Hospital, Aichi, Japan.
Yutaka NishidaCenter for Data Science Education and Research, Kyorin University, Tokyo, Japan.
Hirotsugu IsakaDepartment of Breast Surgery, Kyorin University School of Medicine, Tokyo, Japan.
Jyunji TakanoDepartment of Plastic Surgery, Saitama Medical Center, Saitama, Japan.
Shigeru ImotoDepartment of Breast Surgery, Kyorin University School of Medicine, Tokyo, Japan.
Miho SaigaDepartment of Plastic Surgery, Okayama University Hospital, Okayama, Japan.

Funding

Scientific Committee of Japanese Oncoplastic Breast Surgery Society jopbs2021-02
6 · The paper itself

Abstract

backgroundSurgical decision-making for breast cancer requires consideration of both treatment outcomes and health-related quality of life (HR-QoL). However, data on HR-QoL differences across surgical procedures remain limited. This study compared breast satisfaction and HR-QoL among Japanese patients with breast cancer undergoing mastectomy (MT), breast-conserving surgery (BCS), or immediate breast reconstruction (IBR).

methodsA survey using the Japanese version of the BREAST-Q was conducted among patients with primary breast cancer who underwent surgery between August 2013 and July 2021.

resultsOf 648 patients, 577 were included in this study. The median time from surgery to questionnaire completion was 56 months. Satisfaction with breast scores was highest in patients undergoing BCS, followed by those undergoing IBR and MT. Psychosocial and sexual well-being were significantly better in patients undergoing BCS and IBR than in those undergoing MT, whereas physical well-being showed no significant differences among the three groups. In multiple regression analysis, surgical procedure was identified as the most influential factor for breast satisfaction, psychosocial well-being, and sexual well-being.

conclusionsThis multicentre Japanese study confirmed that the choice of surgical procedure is the most influential factor affecting postoperative HR-QoL, with both BCS and IBR offering advantages over MT. The findings highlight the importance of comprehensive preoperative counselling to ensure patients receive detailed information on potential HR-QoL differences.

Indexed as

Breast NeoplasmsMammaplastyMastectomyMastectomy, SegmentalMastectomy, SimplePatient SatisfactionQuality of LifeAdultAgedCross-Sectional StudiesEast Asian PeopleFemaleHumansJapanMiddle AgedSurveys and QuestionnairesBREAST-Qpatent-reported outcomephysical well-beingpsychosocial well-beingsatisfaction with breasts

Identifiers

PMID40982299
PMCPMC12461568

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.