Aesthetics in breast conserving therapy. do objectively measured results match patients' evaluations?

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Aesthetics in breast conserving therapy. do objectively measured results match patients' evaluations? / Heil, Joerg; Dahlkamp, Julia; Golatta, Michael; Rom, Joachim; Domschke, Christoph; Rauch, Geraldine; Cardoso, Maria Joao; Sohn, Christof.

In: ANN SURG ONCOL, Vol. 18, No. 1, 01.2011, p. 134-138.

Research output: SCORING: Contribution to journalSCORING: Journal articleResearchpeer-review

Harvard

Heil, J, Dahlkamp, J, Golatta, M, Rom, J, Domschke, C, Rauch, G, Cardoso, MJ & Sohn, C 2011, 'Aesthetics in breast conserving therapy. do objectively measured results match patients' evaluations?', ANN SURG ONCOL, vol. 18, no. 1, pp. 134-138. https://doi.org/10.1245/s10434-010-1252-4

APA

Heil, J., Dahlkamp, J., Golatta, M., Rom, J., Domschke, C., Rauch, G., Cardoso, M. J., & Sohn, C. (2011). Aesthetics in breast conserving therapy. do objectively measured results match patients' evaluations? ANN SURG ONCOL, 18(1), 134-138. https://doi.org/10.1245/s10434-010-1252-4

Vancouver

Bibtex

@article{4c9edadca5134084a1b8798f5b5a5072,
title = "Aesthetics in breast conserving therapy. do objectively measured results match patients' evaluations?",
abstract = "BACKGROUND: To analyze the relationship of objective and subjective evaluation tools of breast aesthetics, we compare the results of the BCCT.core (breast cancer conservative treatment.cosmetic results) software, a semiautomated objective symmetry evaluation tool, with those of the Aesthetic Status of the BCTOS (Breast Cancer Treatment Outcome Scale) patient questionnaire.MATERIALS AND METHODS: We included 128 patients with one-sided, primary breast cancer, treated conservatively in a prospective, exploratory study in order to assess the inter-rater reliability of the BCCT.core and the agreement between the BCCT.core and the BCTOS preoperatively, shortly and 1 year after surgery. Therefore, we use agreement rates, multiple (mk), and weighted (wk) kappa coefficients as statistical methods. Furthermore, we analyzed patient-, tumor-, and therapy-related variables as possible covariates to explain agreement.RESULTS: The inter-rater reliability for the semiautomated BCCT.core is very good with agreement rates up to 84% (mk = 0.80). The agreement rates of the BCCT.core and the BCTOS Aesthetic Status range between 35 and 44% subject to the different times of assessment (wk = 0.34 at best). Moreover, the patients judge their aesthetic outcome more positively than the software. None of the considered patient-, tumor-, and therapy-related covariates turned out to explain agreement.CONCLUSION: The BCCT.core is a reliable instrument that shows fair agreement with patient's perspective.",
keywords = "Adult, Aged, Breast Neoplasms, Carcinoma, Ductal, Breast, Carcinoma, Lobular, Cohort Studies, Esthetics, Female, Follow-Up Studies, Humans, Mastectomy, Mastectomy, Segmental, Middle Aged, Observer Variation, Patient Satisfaction, Prognosis, Prospective Studies, Software, Survival Rate, Clinical Trial, Comparative Study, Journal Article",
author = "Joerg Heil and Julia Dahlkamp and Michael Golatta and Joachim Rom and Christoph Domschke and Geraldine Rauch and Cardoso, {Maria Joao} and Christof Sohn",
year = "2011",
month = jan,
doi = "10.1245/s10434-010-1252-4",
language = "English",
volume = "18",
pages = "134--138",
journal = "ANN SURG ONCOL",
issn = "1068-9265",
publisher = "Springer New York",
number = "1",

}

RIS

TY - JOUR

T1 - Aesthetics in breast conserving therapy. do objectively measured results match patients' evaluations?

AU - Heil, Joerg

AU - Dahlkamp, Julia

AU - Golatta, Michael

AU - Rom, Joachim

AU - Domschke, Christoph

AU - Rauch, Geraldine

AU - Cardoso, Maria Joao

AU - Sohn, Christof

PY - 2011/1

Y1 - 2011/1

N2 - BACKGROUND: To analyze the relationship of objective and subjective evaluation tools of breast aesthetics, we compare the results of the BCCT.core (breast cancer conservative treatment.cosmetic results) software, a semiautomated objective symmetry evaluation tool, with those of the Aesthetic Status of the BCTOS (Breast Cancer Treatment Outcome Scale) patient questionnaire.MATERIALS AND METHODS: We included 128 patients with one-sided, primary breast cancer, treated conservatively in a prospective, exploratory study in order to assess the inter-rater reliability of the BCCT.core and the agreement between the BCCT.core and the BCTOS preoperatively, shortly and 1 year after surgery. Therefore, we use agreement rates, multiple (mk), and weighted (wk) kappa coefficients as statistical methods. Furthermore, we analyzed patient-, tumor-, and therapy-related variables as possible covariates to explain agreement.RESULTS: The inter-rater reliability for the semiautomated BCCT.core is very good with agreement rates up to 84% (mk = 0.80). The agreement rates of the BCCT.core and the BCTOS Aesthetic Status range between 35 and 44% subject to the different times of assessment (wk = 0.34 at best). Moreover, the patients judge their aesthetic outcome more positively than the software. None of the considered patient-, tumor-, and therapy-related covariates turned out to explain agreement.CONCLUSION: The BCCT.core is a reliable instrument that shows fair agreement with patient's perspective.

AB - BACKGROUND: To analyze the relationship of objective and subjective evaluation tools of breast aesthetics, we compare the results of the BCCT.core (breast cancer conservative treatment.cosmetic results) software, a semiautomated objective symmetry evaluation tool, with those of the Aesthetic Status of the BCTOS (Breast Cancer Treatment Outcome Scale) patient questionnaire.MATERIALS AND METHODS: We included 128 patients with one-sided, primary breast cancer, treated conservatively in a prospective, exploratory study in order to assess the inter-rater reliability of the BCCT.core and the agreement between the BCCT.core and the BCTOS preoperatively, shortly and 1 year after surgery. Therefore, we use agreement rates, multiple (mk), and weighted (wk) kappa coefficients as statistical methods. Furthermore, we analyzed patient-, tumor-, and therapy-related variables as possible covariates to explain agreement.RESULTS: The inter-rater reliability for the semiautomated BCCT.core is very good with agreement rates up to 84% (mk = 0.80). The agreement rates of the BCCT.core and the BCTOS Aesthetic Status range between 35 and 44% subject to the different times of assessment (wk = 0.34 at best). Moreover, the patients judge their aesthetic outcome more positively than the software. None of the considered patient-, tumor-, and therapy-related covariates turned out to explain agreement.CONCLUSION: The BCCT.core is a reliable instrument that shows fair agreement with patient's perspective.

KW - Adult

KW - Aged

KW - Breast Neoplasms

KW - Carcinoma, Ductal, Breast

KW - Carcinoma, Lobular

KW - Cohort Studies

KW - Esthetics

KW - Female

KW - Follow-Up Studies

KW - Humans

KW - Mastectomy

KW - Mastectomy, Segmental

KW - Middle Aged

KW - Observer Variation

KW - Patient Satisfaction

KW - Prognosis

KW - Prospective Studies

KW - Software

KW - Survival Rate

KW - Clinical Trial

KW - Comparative Study

KW - Journal Article

U2 - 10.1245/s10434-010-1252-4

DO - 10.1245/s10434-010-1252-4

M3 - SCORING: Journal article

C2 - 20697820

VL - 18

SP - 134

EP - 138

JO - ANN SURG ONCOL

JF - ANN SURG ONCOL

SN - 1068-9265

IS - 1

ER -