%0 Journal Article
%T Oncoplastic Breast
%A E. P. Palsdottir
%A K. S. A. Asgeirsson
%A S. H. L. Lund
%J Scandinavian Journal of Surgery
%@ 1799-7267
%D 2018
%R 10.1177/1457496918766686
%X In Iceland, oncoplastic breast-conservation surgery has been performed since 2008. The aim of this population-based study was to assess and compare the efficacy and patient satisfaction of standard breast-conservation surgery with oncoplastic breast-conservation surgery. This is a population-based, retrospective, observational cohort study on all women undergoing breast-conservation surgery in Iceland from the 1 January 2008 to 31 December 2014. A multivariate logistic regression and linear regression were performed to assess differences in outcomes and a patient satisfaction questionnaire was used to assess certain patient-related outcome measures. A total of 750 women underwent breast-conserving surgery, 665 had standard breast-conservation surgery and 85 oncoplastic breast-conservation surgery. Oncoplastic breast-conservation surgery was associated with a significantly larger mean size (2.4£¿cm vs 1.7£¿cm, p£¿<£¿0.001) and weight (181.8£¿g vs 63.4£¿g, p£¿<£¿0.001) of breast specimen excised when compared to standard breast-conservation surgery. After correcting for confounding factors, there was no significant difference in surgical margin involvement (odds ratio£¿=£¿0.97, confidence interval£¿=£¿0.44¨C1.97), frequency of complications (odds ratio£¿=£¿1.06, confidence interval£¿=£¿0.46¨C2.18), frequency of reoperations (odds ratio£¿=£¿0.98; confidence interval£¿=£¿0.50¨C1.81), or time to first adjuvant therapy (¨C0.23£¿days for oncoplastic breast-conservation surgery, p£¿=£¿0.95). Patient satisfaction was high in both groups, although not statistically different (96% in oncoplastic breast-conservation surgery group vs 89% in the standard breast-conservation surgery group, p£¿=£¿0.84). Our results show that oncoplastic breast-conservation surgery is at least as safe as standard breast-conservation surgery in selected cases and may be preferable in ductal carcinoma in situ
%K Breast
%K cancer
%K surgery
%K oncoplastic
%K breast conservation
%K ductal carcinoma in situ
%K population
%U https://journals.sagepub.com/doi/full/10.1177/1457496918766686