Oncoplastic reconstruction with breast‐conserving treatment versus breast‐conserving treatment alone in the elderly

Author:

Ambika Menon1ORCID,Lara Schwieger1,Faulkner Heather R.2,Toncred Styblo3,Albert Losken2

Affiliation:

1. Emory University School of Medicine Atlanta Georgia USA

2. Department of Surgery Division of Plastic and Reconstructive Surgery Emory University Atlanta Georgia USA

3. Department of Surgery Division of Surgical Oncology Emory University Atlanta Georgia USA

Abstract

AbstractBackground/ObjectivesOncoplastic reconstruction (IOR) performed in conjunction with breast conserving therapy (BCT) has been found to improve psychosocial well‐being, reduce hospitalization time, and reduce cost burden. Few studies have looked at the safety profile, complication rates, and overall outcomes in patients ages 65 years and older undergoing IOR versus BCT alone.MethodsA retrospective, cross‐sectional, single‐institution medical record review was conducted of women diagnosed with breast cancer age 65 years or older who received IOR or BCT alone. Demographics, clinical data, and major and minor complication profiles were compared between cohorts.ResultsA total of 310 patients were included. Of these, 126 received IOR, while 184 received BCT alone. Age >85 was found to have a significantly higher risk for any complication and was an independent predictor for experiencing any complication (OR: 8.5, p = 0.015; OR: 1.06, p = 0.029). Major complication rates were significantly higher in the BCT cohort (16.9% vs. 7.9%, p = 0.023).ConclusionIOR in the elderly is a safe option and was not found to be a predictor of experiencing higher complications. Patients who are 85 years and older had a higher risk of complications, and future studies may explore risk‐benefit in that particular cohort of patients in which BCT is planned.

Publisher

Wiley

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