The Impact of Same-Day Discharge and Enhanced Recovery on Patient Quality of Life After Mastectomy with Implant Reconstruction

Valerie L. Armstrong; Jacob B. Hammond; Kristen M. Jogerst; Heidi E. Kosiorek; Chad Teven; Patricia Cronin; Sarwat Ahmad; Alanna Rebecca; William Casey; Barbara Pockaj

doi:10.1245/s10434-022-13019-5

The Impact of Same-Day Discharge and Enhanced Recovery on Patient Quality of Life After Mastectomy with Implant Reconstruction

Valerie L. Armstrong, Jacob B. Hammond, Kristen M. Jogerst, Heidi E. Kosiorek, Chad Teven, Patricia Cronin, Sarwat Ahmad, Alanna Rebecca, William Casey, Barbara Pockaj

General Surgery

Research output: Contribution to journal › Article › peer-review

Abstract

Background: This study aimed to evaluate how enhanced recovery (ER) protocols and same-day discharge (SDD) influences patients’ postoperative quality of life (QOL). Methods: Patients who underwent mastectomy with implant-based breast reconstruction from 2008 to 2020 were identified in a prospective database. The study assessed QOL with BREAST-Q and Was It Worth It? (WIWI) questionnaires. Responses were compared between the ER and pre-ER groups and between the SDD and hospital stay (HS) groups using one-way analysis of variance (ANOVA) and chi-square tests. Results: The inclusion criteria were met by 568 patients, with a 43% response rate, and 217 patients were included for analysis. Chest physical well-being was lower for the ER cohort, but postoperative breast satisfaction was higher. Psychosocial status, sexual well-being, and satisfaction with information given did not differ significantly between the ER group and the pre-ER or SDD group. In the compared groups, QOL did not differ significantly. Conclusions: Enhanced recovery with SDD after mastectomy using implant-based reconstruction did not have an adverse impact on patient postoperative QOL.

Original language	English (US)
Pages (from-to)	2873-2880
Number of pages	8
Journal	Annals of surgical oncology
Volume	30
Issue number	5
DOIs	https://doi.org/10.1245/s10434-022-13019-5
State	Published - May 2023

ASJC Scopus subject areas

Surgery
Oncology

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@article{236a50343940492e8bc89e186c3e4584,

title = "The Impact of Same-Day Discharge and Enhanced Recovery on Patient Quality of Life After Mastectomy with Implant Reconstruction",

abstract = "Background: This study aimed to evaluate how enhanced recovery (ER) protocols and same-day discharge (SDD) influences patients{\textquoteright} postoperative quality of life (QOL). Methods: Patients who underwent mastectomy with implant-based breast reconstruction from 2008 to 2020 were identified in a prospective database. The study assessed QOL with BREAST-Q and Was It Worth It? (WIWI) questionnaires. Responses were compared between the ER and pre-ER groups and between the SDD and hospital stay (HS) groups using one-way analysis of variance (ANOVA) and chi-square tests. Results: The inclusion criteria were met by 568 patients, with a 43% response rate, and 217 patients were included for analysis. Chest physical well-being was lower for the ER cohort, but postoperative breast satisfaction was higher. Psychosocial status, sexual well-being, and satisfaction with information given did not differ significantly between the ER group and the pre-ER or SDD group. In the compared groups, QOL did not differ significantly. Conclusions: Enhanced recovery with SDD after mastectomy using implant-based reconstruction did not have an adverse impact on patient postoperative QOL.",

author = "Armstrong, {Valerie L.} and Hammond, {Jacob B.} and Jogerst, {Kristen M.} and Kosiorek, {Heidi E.} and Chad Teven and Patricia Cronin and Sarwat Ahmad and Alanna Rebecca and William Casey and Barbara Pockaj",

note = "Publisher Copyright: {\textcopyright} 2023, Society of Surgical Oncology.",

year = "2023",

month = may,

doi = "10.1245/s10434-022-13019-5",

language = "English (US)",

volume = "30",

pages = "2873--2880",

journal = "Annals of surgical oncology",

issn = "1068-9265",

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number = "5",

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TY - JOUR

T1 - The Impact of Same-Day Discharge and Enhanced Recovery on Patient Quality of Life After Mastectomy with Implant Reconstruction

AU - Armstrong, Valerie L.

AU - Hammond, Jacob B.

AU - Jogerst, Kristen M.

AU - Kosiorek, Heidi E.

AU - Teven, Chad

AU - Cronin, Patricia

AU - Ahmad, Sarwat

AU - Rebecca, Alanna

AU - Casey, William

AU - Pockaj, Barbara

PY - 2023/5

Y1 - 2023/5

N2 - Background: This study aimed to evaluate how enhanced recovery (ER) protocols and same-day discharge (SDD) influences patients’ postoperative quality of life (QOL). Methods: Patients who underwent mastectomy with implant-based breast reconstruction from 2008 to 2020 were identified in a prospective database. The study assessed QOL with BREAST-Q and Was It Worth It? (WIWI) questionnaires. Responses were compared between the ER and pre-ER groups and between the SDD and hospital stay (HS) groups using one-way analysis of variance (ANOVA) and chi-square tests. Results: The inclusion criteria were met by 568 patients, with a 43% response rate, and 217 patients were included for analysis. Chest physical well-being was lower for the ER cohort, but postoperative breast satisfaction was higher. Psychosocial status, sexual well-being, and satisfaction with information given did not differ significantly between the ER group and the pre-ER or SDD group. In the compared groups, QOL did not differ significantly. Conclusions: Enhanced recovery with SDD after mastectomy using implant-based reconstruction did not have an adverse impact on patient postoperative QOL.

AB - Background: This study aimed to evaluate how enhanced recovery (ER) protocols and same-day discharge (SDD) influences patients’ postoperative quality of life (QOL). Methods: Patients who underwent mastectomy with implant-based breast reconstruction from 2008 to 2020 were identified in a prospective database. The study assessed QOL with BREAST-Q and Was It Worth It? (WIWI) questionnaires. Responses were compared between the ER and pre-ER groups and between the SDD and hospital stay (HS) groups using one-way analysis of variance (ANOVA) and chi-square tests. Results: The inclusion criteria were met by 568 patients, with a 43% response rate, and 217 patients were included for analysis. Chest physical well-being was lower for the ER cohort, but postoperative breast satisfaction was higher. Psychosocial status, sexual well-being, and satisfaction with information given did not differ significantly between the ER group and the pre-ER or SDD group. In the compared groups, QOL did not differ significantly. Conclusions: Enhanced recovery with SDD after mastectomy using implant-based reconstruction did not have an adverse impact on patient postoperative QOL.

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The Impact of Same-Day Discharge and Enhanced Recovery on Patient Quality of Life After Mastectomy with Implant Reconstruction

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