Improved immediate breast reconstruction as a result of oncoplastic multidisciplinary meeting

Figures & data

Table 1 Mastectomy and reconstruction type

Operation type	April 2014–March 2015		April 2015–March 2016
	Pre onco-plastic MDM		Post onco-plastic MDM
	Number of patients (% of total mastectomy)	Mean age (range) in years	Number of patients (% of total mastectomy)	Mean age (range) in years
Total mastectomy	109	57 (34–87)	120	59 (31–95)
Mastectomy only	78 (71.5)	63 (34–87)	70 (58.3)	67 (37–95)
Mastectomy/REC	31 (28.4)	51.5 (35–75)	50 (41.6)	51.5 (31–71)
Implant IBR	14 (12.8)	56 (40–75)	28 (23.3)	53 (35–71)
Autologous IBR	6 (5.5)	48 (39–54)	11 (9.2)	48 (31–57)
Total IBR	20 (18.3)	52 (39–75)	39 (32.5)	50.5 (31–71)
Implant DBR	2 (1.8)	49 (47–51)	1 (0.8)	52*
Autologous DBR	9 (8.2)	53 (35–70)	10 (8.3)	53 (43–65)
Total DBR	11 (10.1)	51 (35–70)	11 (9.1)	52.5 (43–65)

Notes:X²=5.9825, P=0.0144 (significant at P<0.05 level).

* Only one patient in this group, mean age not used.

Abbreviations: DBR, delayed breast reconstruction; IBR, immediate breast reconstruction; MDM, multidisciplinary meeting; REC, reconstruction.

Table 2 Reconstruction types and reconstruction rates

Operation type	Pre oncoplastic MDM	Post oncoplastic MDM
	Reconstruction rate % total reconstruction =31 (number of patients)	Reconstruction rate % total reconstruction =50 (number of patients)
Total reconstruction rate	28 (31/109)	41.6 (50/120)
Implant IBR	45.1 (14)	56 (28)
Autologous IBR	19.3 (6)	22 (11)
Total IBR	64.5 (20)	78 (39)
Implant DBR	6.2 (2)	2 (1)
Autologous DBR	29 (9)	20 (10)
Total DBR	35 (11)	22 (11)

Abbreviations: DBR, delayed breast reconstruction; IBR, immediate breast reconstruction; MDM, multidisciplinary meeting.