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Which aspects influence cosmetic score by the patient ?
Analysis of Young Boost Trial patients ( N = 864)
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Results – correlation between methods:
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Correlation patient and physician: kappa 0.42 (moderate)
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Correlation between patient and BCCT.core: kappa 0.26 (fair)
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Correlation between physician and BCCT.core: kappa 0.39 (fair)
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Results – correlation with patient reported outcome:
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Significant correlation with patient –reported outcome:
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pBCE = change in distance from nipple to inframammary fold
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pBCD = change in length of breast contour
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Fibrosis
(cause or consequence ?)
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Patients with better QoL scored their cosmesis better (also reported
by e.g. Hau et al, 2013)
(cause or consequence ?)
Brouwers et al, R & O 2016