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Satisfaction and QUality of Life After Breast REconstruction (SQUARE)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT04329819
Recruitment Status : Completed
First Posted : April 1, 2020
Last Update Posted : April 1, 2020
Information provided by (Responsible Party):
Institut Cancerologie de l'Ouest

Brief Summary:

Breast cancer is the most common cancer in women in France in term of repercussion, 58 698 people has been diagnosed in 2017. Breast cancer is often with good prognosis. The 5 years disease-free survival rate is 87%. Surgery has a major place in breast cancer treatment. Although the conservative surgery is preferred, it stays the indication of mastectomy for nearly 30% of cases. This radical surgery is often experienced by the patient as a mutilation with the impact that this entails from a psychological point of view but also on the quality of life. Breast reconstruction allows an improvement of quality of life with a better acceptance of the body scheme and the benefits in the psychological and sexual domains. The reconstruction is an integral part of the therapeutic care; however, it is not done systematically. Indeed, in France nearly 35% of patients benefit of breast reconstruction 5 years after the mastectomy.

Nowadays, several surgical technics are available to do the reconstruction: autologous technics and the reconstruction with implants. It can be differed or immediate. The strategy of reconstruction is established in accordance with many parameters: the morphology of the breast and of the patient, the state of the thoracic wall and history of radiotherapy, comorbidities, contraindication and of course the wish of the patient. According to the used technics, the reconstruction can sometimes extend to several months, especially for the exclusive fat reshaping which needs a lot of surgery. The autologous technics seems to give a better satisfaction to the patients in an esthetical point of view but we do not have many data including the fat reshaping.

Among the tests allowing the evaluation of quality of life of patients, the Breast-Q© is a self-questionnaire validated that is specific to the breast surgery and includes a module concerning the breast reconstruction. It allows evaluating the quality of life (physical, psychosocial and sexual well-being) and the satisfaction of patients (based on cosmetic results and the care). The reconstruction module includes 116 items in its post-surgery version and is adapted to different types of reconstruction.

The objective of our project is to evaluate the quality of life and the satisfaction of patients having an immediate or differed breast reconstruction according to the technics used, with the help of the validated questionnaire Breast-Q© and the additional questionnaires.

Condition or disease
Mammaplasty Breast Neoplasm Female

Detailed Description:

This study is retrospective and compared including exhaustively all the patients answering all inclusion criteria. The list of patients answering to all inclusion criteria will be collected with the help of the medical information department. Based on a screening on the aggregated data of the centre, the size of the sample is around 300 patients.

The medics will inform the eligible patients of the study with the help of the information note by letter. The patient will be informed of the objective if the study, the treatment of the informatics data collected during this study and the access right, the rectification, the effacement, the limit of the data treatment, the portability and opposition. This right can be done whenever to the delegate of the Data Protection.

The information letter with questionnaires will be send by post to the selected patient house. The patient responding to the questionnaires will be included in the study. In this way a part of the data will be collected directly from the answer communicated by the patient through the Breast-Q©.

Additional data will be collected in an indirect way from elements available from the informatics clinic medical file. The clinicians of the centre could be ask to complete the information.

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Study Type : Observational
Actual Enrollment : 300 participants
Observational Model: Cohort
Time Perspective: Retrospective
Official Title: Evaluation of the Satisfaction and the Quality of Life of Patients After Breast Reconstruction as Part of Breast Cancer. Comparison of Several Technics.
Actual Study Start Date : September 3, 2019
Actual Primary Completion Date : November 25, 2019
Actual Study Completion Date : November 25, 2019

Resource links provided by the National Library of Medicine

Primary Outcome Measures :
  1. Evaluate the quality of life and the satisfaction of patients who had a breast reconstruction immediate or differed according to the technics used [ Time Frame: 2 months ]

    The evaluation will be done through the BREAST-Q© questionnaire (module of reconstruction and post-surgery version) The quality of life is evaluated through 6 scales (psychological and sexual well-being and also physical well-being: breast, abdomen/trunk, shoulder/back). The satisfaction is evaluated with 9 scales (satisfaction of breast, nipples, abdomen, back and treatment: information received, surgeon, medical team and administrative staff).

    There is no global score for BREAST- Q©. Each scale is independent and converted from 0 to 100. A high score means a better satisfaction of quality of life.

Secondary Outcome Measures :
  1. Describe the practices in term of breast reconstruction in the Institut de Cancerologie de l'Ouest-site Saint-Herblain. [ Time Frame: 2 months ]
    The frequency of different technics used in the ICO site Saint-Herblain will be documented.

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
Patients who had finished the breast reconstruction immediate or differed between 01/01/2015 and 31/12/16 whatever the technic used, following the mastectomy for breast cancer at the Institut de Cancerologie de l'Ouest, site Saint-Herblain

Inclusion Criteria:

  • Patients 18 years old or more
  • History of mastectomy for breast cancer all types and TNM status
  • Patients who beneficiated a breast reconstruction immediate or secondary finished between 01/01/2015 and 31/12/16 (not included nipples)
  • Accept to answer to the questionnaire

Exclusion Criteria:

  • Deceased patient
  • Opposition of the patient to the data collection
  • History of preventive mastectomy
  • Patient who has local recurrence or metastatic cancer
  • Patient under guardianship or protection of vulnerable adults

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT04329819

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Institut de Cancerologie de l'Ouest
Saint-Herblain, France, 44805
Sponsors and Collaborators
Institut Cancerologie de l'Ouest
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Principal Investigator: Victoire BRILLAUD-MEFLAH Institut de Cancerologie de l'Ouest

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Responsible Party: Institut Cancerologie de l'Ouest Identifier: NCT04329819    
Other Study ID Numbers: ICO-2019-16
First Posted: April 1, 2020    Key Record Dates
Last Update Posted: April 1, 2020
Last Verified: March 2020

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Additional relevant MeSH terms:
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Breast Neoplasms
Neoplasms by Site
Breast Diseases
Skin Diseases