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The latissimus dorsi flap is the oldest and most used technique for breast reconstruction. Nonetheless, there are few studies evaluation the long-term effect of harvesting one of the muscles of the back. This project has four parts.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Breast reconstruction TDAP | Active Comparator | Breast reconstruction performed with TDAP |
|
| Breast reconstruction latissimus dorsi | Active Comparator | Breast reconstruction performed with latissimus dorsi |
|
| Breast reconstruction with DIEP | Active Comparator | Breast reconstruction performed with a deep inferior epigastric artery perforator flap |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Latissimus dorsi flap | Procedure | Breast reconstruction |
|
| Measure | Description | Time Frame |
|---|---|---|
| Patient satisfaction and breast-related quality of life after breast reconstruction | Breast Q reconstruction.The BREAST-Q has multiple domains, each scored from 0 to 100 (higher scores indicate greater satisfaction or quality of life), there is no overall BREAST-Q score. | 10 years |
| Back and shoulder function after breast reconstruction | Breast Q the back and shoulder function scale. The scale is scored from 0 (worst) to 100 (best). Higher scores reflect a better outcome. | 10 years |
| Back appearance after breast reconstruction | Breast-Q the back appearance scale.The scale is scored from 0 (worst) to 100 (best). Higher scores reflect a better outcome. | 10 years |
| Shoulder function after breast reconstruction | Western Ontario Osteoarthritis of the shoulder index (WOOS) provides scores on four domains: (1) physical symptoms; (2) sport, recreation, and work; (3) lifestyle; and (4) emotions.Each question has a possible score from 0-100 giving a total score up to 1900. The highest or most symptomatic score is 1900 and the best or asymptomatic score is 0. | 10 years |
| Abdominal satisfaction after breast reconstruction | Breast Q abdominal satisfaction and abdominal well-being.The scale is scored from 0 (worst) to 100 | 10 years |
| Measure | Description | Time Frame |
|---|---|---|
| Complications after breast reconstruction | Measured in patients randomized to TDAP or latissimus dorsi flap. | 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Validation of Breast Q: The Back Appearance scale for Swedish | Translation and validation of the instrument for Swedish | 1 year |
| Validation of Breast-Q: The back and shoulder function scale for Swedish |
Inclusion criteria:
Exclusion Criteria:
Biological women identifying themselves as cis-women.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sahlgrenska university hospital | Gothenburg | 413 45 | Sweden |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34217326 | Result | Kamya L, Hansson E, Weick L, Hansson E. Validation and reliability testing of the Breast-Q latissimus dorsi questionnaire: cross-cultural adaptation and psychometric properties in a Swedish population. Health Qual Life Outcomes. 2021 Jul 3;19(1):174. doi: 10.1186/s12955-021-01812-x. |
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| ID | Term |
|---|---|
| D001943 | Breast Neoplasms |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
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| Thoracodorsal artery perforator flap to breast | Procedure | Breast reconstruction |
|
|
| Deep inferior epigastric perforator flap | Procedure | Breast reconstruction |
|
|
Translation and validation of the instrument for Swedish
| 1 year |
| Normal material for Breast-Q | Measurement of quality of life according to breast-Q in a normative population | 5 years |
| Normal material for Breast-Q back appearance scale | Measurement of quality of life according to breast-Q back appaearance scale in a normative population | 5 years |
| Normal material for Breast-Q back and shoulder function scale | Measurement of quality of life according to breast-Q back and shoulder function scale in a normative population | 5 years |
| D017437 |
| Skin and Connective Tissue Diseases |