Accession Number : ADA299277

Title :   Michigan Breast Reconstruction Outcome Study.

Descriptive Note : Annual rept. 30 Jun 94-19 jun 95,

Corporate Author : MICHIGAN UNIV ANN ARBOR

Personal Author(s) : Wilkins, Edwin G.

PDF Url : ADA299277

Report Date : 15 JUL 1995

Pagination or Media Count : 64

Abstract : The objective of the Michigan Breast Reconstruction Outcome Study (MBROS) is to compare the long-term outcomes of two common techniques of post-mastectomy breast reconstruction: tissue expansion/breast implants and transverse rectus abdominis musculocutaneous (TRAM) flaps. A four year prospective study, the project seeks to adapt existing instruments and formulate new methodologies to assess outcomes in five categories: complication rates, aesthetic results, functional results, psychosocial status and costs. Measurements of outcome variables are obtained prior to reconstruction and at annual intervals starting one year after the procedure. Instruments used include questionnaires, physical testing, evaluation of digitized photographs, and analysis of billing and hospital record data. Since the project was initiated in September, 1994, 100 patients have been recruited in collaboration with 12 plastic surgeons and 8 medical centers across southern Michigan. Although only preoperative testing has been conducted thus far, study participants have included women undergoing expander/implant (31%) and TRAM procedures (69%). Ultimately, a total of 450 patients will be enrolled in the project. These women will be followed for two years from the time of reconstruction. During the past year,' additional work has been conducted to develop and test instruments for outcomes assessment in breast reconstruction.

Descriptors :   *PHYSICAL PROPERTIES, *INSTRUMENTATION, *MEDICAL SERVICES, *CANCER, *SURGICAL IMPLANTATION, TEST AND EVALUATION, METHODOLOGY, TEST EQUIPMENT, COSTS, FLAPS(CONTROL SURFACES), STARTING, WOMEN, QUESTIONNAIRES, SOUTH(DIRECTION), TRANSVERSE, SOCIAL PSYCHOLOGY, MICHIGAN, INTERVALS.

Subject Categories : Medical Facilities, Equipment and Supplies
      Medicine and Medical Research
      Safety Engineering

Distribution Statement : APPROVED FOR PUBLIC RELEASE