The impact of mastectomy and reconstruction technique on patient perceived quality of Life

Chi Zhang, Heidi Kosiorek, Jacob B. Hammond, Kristen M. Jogerst, Patricia Cronin, Sarwat Ahmad, Alanna Rebecca, William Casey, Barbara A. Pockaj

Research output: Contribution to journalArticlepeer-review


BACKGROUND: We sought to evaluate the impact of mastectomy type, post-mastectomy reconstruction choice, and procedure bilaterality, on patient perceived postoperative quality of life (QoL). METHODS: Patients who underwent post-mastectomy reconstruction between 2008 and 2020 were identified in a prospective database. QoL was assessed with the BREAST-Q and the Was It Worth It (WIWI) questionnaires. The results were compared between reconstruction type, reconstruction laterality, and type of mastectomy. Responses were compared using one-way analysis of variance (ANOVA) and chi-square tests. RESULTS: 568 patients met inclusion criteria, and 244 patients responded (43%). QoL did not significantly vary between different reconstructions selected, procedure laterality, or mastectomy type. Patients who underwent DIEP flap were significantly more satisfied with their reconstructed breasts than implant-based reconstruction. Overall, over 85% of patients experienced improved or unchanged QoL no matter what reconstruction choices were made. CONCLUSION: Most domains of QOL are not impacted by mastectomy type, post-mastectomy reconstruction, or laterality.

Original languageEnglish (US)
Pages (from-to)1450-1454
Number of pages5
JournalAmerican journal of surgery
Issue number6
StatePublished - Dec 1 2022


  • Breast cancer
  • Mastectomy
  • Outcomes
  • Quality of life
  • Reconstruction
  • Well-being

ASJC Scopus subject areas

  • Surgery


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