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A Study on Surgical and Patient-Reported Outcomes After Breast-Conserving Surgery with Chest Wall Flap Reconstruction in Breast Cancer Patients

Not yet recruiting
Conditions
Malignant neoplasm of breast,
Registration Number
CTRI/2025/05/087008
Lead Sponsor
Not applicable
Brief Summary

Summary of PartBreCon-Pro Study Protocol

- Study Type: Multicentre prospective cohort study on partial breast reconstruction using chest wall perforator flaps (CWPF).

- Objective: Evaluate clinical and patient-reported outcomes post-breast-conserving surgery.

- Duration: 36 months (June 2023 - May 2026).

- Data Collection: Includes surgical outcomes, oncological treatment, and patient-reported outcomes (PROMs).

- Significance: Aims to establish performance standards and improve patient care in breast cancer treatment.

- Contact: partbrecon.pros@gmail.com

Detailed Description

Not available

Recruitment & Eligibility

Status
Not Yet Recruiting
Sex
Female
Target Recruitment
1000
Inclusion Criteria
  • Patients undergoing partial breast reconstruction using CWPF for primary breast cancer 2.
  • Delayed correction of breast deformity following previous BCS 3.
  • Each surgeon is to have performed a minimum of 10 CWPFs 4.
  • Each centre anticipates completing a minimum of 10/year.
Exclusion Criteria
  • Patients undergoing volume displacement BCS 2.
  • Patients undergoing mastectomy +/- immediate breast reconstruction.

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
2. Preoperative tumour characteristics and location influencing surgical planningA) Patient Demographics and Tumour characteristics | 1. Patient demographics: age, body mass index (BMI), comorbidities | 2. Preoperative tumour characteristics and location influencing surgical planning | B) Treatment characteristics | 1. Surgical: operative data, including flap types and distribution | 2. Oncological: systemic therapies (adjuvant and neoadjuvant), radiotherapy | C) Primary outcome: Surgical | 1. Complications | 2. Oncological clearance: Re-excision rates, conversion to mastectomy | D) Secondary outcomes | 1. Revisional surgery | 2. Surveillance | 3. Oncological: Recurrence and Mortality | E) Patient-reported outcomes | 1. Pre-operative | 2. Post-operative (pre-radiotherapy) | 3. Post-radiotherapy (6 months)
B) Treatment characteristicsA) Patient Demographics and Tumour characteristics | 1. Patient demographics: age, body mass index (BMI), comorbidities | 2. Preoperative tumour characteristics and location influencing surgical planning | B) Treatment characteristics | 1. Surgical: operative data, including flap types and distribution | 2. Oncological: systemic therapies (adjuvant and neoadjuvant), radiotherapy | C) Primary outcome: Surgical | 1. Complications | 2. Oncological clearance: Re-excision rates, conversion to mastectomy | D) Secondary outcomes | 1. Revisional surgery | 2. Surveillance | 3. Oncological: Recurrence and Mortality | E) Patient-reported outcomes | 1. Pre-operative | 2. Post-operative (pre-radiotherapy) | 3. Post-radiotherapy (6 months)
1. Patient demographics: age, body mass index (BMI), comorbiditiesA) Patient Demographics and Tumour characteristics | 1. Patient demographics: age, body mass index (BMI), comorbidities | 2. Preoperative tumour characteristics and location influencing surgical planning | B) Treatment characteristics | 1. Surgical: operative data, including flap types and distribution | 2. Oncological: systemic therapies (adjuvant and neoadjuvant), radiotherapy | C) Primary outcome: Surgical | 1. Complications | 2. Oncological clearance: Re-excision rates, conversion to mastectomy | D) Secondary outcomes | 1. Revisional surgery | 2. Surveillance | 3. Oncological: Recurrence and Mortality | E) Patient-reported outcomes | 1. Pre-operative | 2. Post-operative (pre-radiotherapy) | 3. Post-radiotherapy (6 months)
3. Post-radiotherapy (6 months)A) Patient Demographics and Tumour characteristics | 1. Patient demographics: age, body mass index (BMI), comorbidities | 2. Preoperative tumour characteristics and location influencing surgical planning | B) Treatment characteristics | 1. Surgical: operative data, including flap types and distribution | 2. Oncological: systemic therapies (adjuvant and neoadjuvant), radiotherapy | C) Primary outcome: Surgical | 1. Complications | 2. Oncological clearance: Re-excision rates, conversion to mastectomy | D) Secondary outcomes | 1. Revisional surgery | 2. Surveillance | 3. Oncological: Recurrence and Mortality | E) Patient-reported outcomes | 1. Pre-operative | 2. Post-operative (pre-radiotherapy) | 3. Post-radiotherapy (6 months)
A) Patient Demographics and Tumour characteristicsA) Patient Demographics and Tumour characteristics | 1. Patient demographics: age, body mass index (BMI), comorbidities | 2. Preoperative tumour characteristics and location influencing surgical planning | B) Treatment characteristics | 1. Surgical: operative data, including flap types and distribution | 2. Oncological: systemic therapies (adjuvant and neoadjuvant), radiotherapy | C) Primary outcome: Surgical | 1. Complications | 2. Oncological clearance: Re-excision rates, conversion to mastectomy | D) Secondary outcomes | 1. Revisional surgery | 2. Surveillance | 3. Oncological: Recurrence and Mortality | E) Patient-reported outcomes | 1. Pre-operative | 2. Post-operative (pre-radiotherapy) | 3. Post-radiotherapy (6 months)
1. Surgical: operative data, including flap types and distributionA) Patient Demographics and Tumour characteristics | 1. Patient demographics: age, body mass index (BMI), comorbidities | 2. Preoperative tumour characteristics and location influencing surgical planning | B) Treatment characteristics | 1. Surgical: operative data, including flap types and distribution | 2. Oncological: systemic therapies (adjuvant and neoadjuvant), radiotherapy | C) Primary outcome: Surgical | 1. Complications | 2. Oncological clearance: Re-excision rates, conversion to mastectomy | D) Secondary outcomes | 1. Revisional surgery | 2. Surveillance | 3. Oncological: Recurrence and Mortality | E) Patient-reported outcomes | 1. Pre-operative | 2. Post-operative (pre-radiotherapy) | 3. Post-radiotherapy (6 months)
2. Oncological: systemic therapies (adjuvant and neoadjuvant), radiotherapyA) Patient Demographics and Tumour characteristics | 1. Patient demographics: age, body mass index (BMI), comorbidities | 2. Preoperative tumour characteristics and location influencing surgical planning | B) Treatment characteristics | 1. Surgical: operative data, including flap types and distribution | 2. Oncological: systemic therapies (adjuvant and neoadjuvant), radiotherapy | C) Primary outcome: Surgical | 1. Complications | 2. Oncological clearance: Re-excision rates, conversion to mastectomy | D) Secondary outcomes | 1. Revisional surgery | 2. Surveillance | 3. Oncological: Recurrence and Mortality | E) Patient-reported outcomes | 1. Pre-operative | 2. Post-operative (pre-radiotherapy) | 3. Post-radiotherapy (6 months)
2. SurveillanceA) Patient Demographics and Tumour characteristics | 1. Patient demographics: age, body mass index (BMI), comorbidities | 2. Preoperative tumour characteristics and location influencing surgical planning | B) Treatment characteristics | 1. Surgical: operative data, including flap types and distribution | 2. Oncological: systemic therapies (adjuvant and neoadjuvant), radiotherapy | C) Primary outcome: Surgical | 1. Complications | 2. Oncological clearance: Re-excision rates, conversion to mastectomy | D) Secondary outcomes | 1. Revisional surgery | 2. Surveillance | 3. Oncological: Recurrence and Mortality | E) Patient-reported outcomes | 1. Pre-operative | 2. Post-operative (pre-radiotherapy) | 3. Post-radiotherapy (6 months)
3. Oncological: Recurrence and MortalityA) Patient Demographics and Tumour characteristics | 1. Patient demographics: age, body mass index (BMI), comorbidities | 2. Preoperative tumour characteristics and location influencing surgical planning | B) Treatment characteristics | 1. Surgical: operative data, including flap types and distribution | 2. Oncological: systemic therapies (adjuvant and neoadjuvant), radiotherapy | C) Primary outcome: Surgical | 1. Complications | 2. Oncological clearance: Re-excision rates, conversion to mastectomy | D) Secondary outcomes | 1. Revisional surgery | 2. Surveillance | 3. Oncological: Recurrence and Mortality | E) Patient-reported outcomes | 1. Pre-operative | 2. Post-operative (pre-radiotherapy) | 3. Post-radiotherapy (6 months)
E) Patient-reported outcomesA) Patient Demographics and Tumour characteristics | 1. Patient demographics: age, body mass index (BMI), comorbidities | 2. Preoperative tumour characteristics and location influencing surgical planning | B) Treatment characteristics | 1. Surgical: operative data, including flap types and distribution | 2. Oncological: systemic therapies (adjuvant and neoadjuvant), radiotherapy | C) Primary outcome: Surgical | 1. Complications | 2. Oncological clearance: Re-excision rates, conversion to mastectomy | D) Secondary outcomes | 1. Revisional surgery | 2. Surveillance | 3. Oncological: Recurrence and Mortality | E) Patient-reported outcomes | 1. Pre-operative | 2. Post-operative (pre-radiotherapy) | 3. Post-radiotherapy (6 months)
1. Pre-operativeA) Patient Demographics and Tumour characteristics | 1. Patient demographics: age, body mass index (BMI), comorbidities | 2. Preoperative tumour characteristics and location influencing surgical planning | B) Treatment characteristics | 1. Surgical: operative data, including flap types and distribution | 2. Oncological: systemic therapies (adjuvant and neoadjuvant), radiotherapy | C) Primary outcome: Surgical | 1. Complications | 2. Oncological clearance: Re-excision rates, conversion to mastectomy | D) Secondary outcomes | 1. Revisional surgery | 2. Surveillance | 3. Oncological: Recurrence and Mortality | E) Patient-reported outcomes | 1. Pre-operative | 2. Post-operative (pre-radiotherapy) | 3. Post-radiotherapy (6 months)
2. Post-operative (pre-radiotherapy)A) Patient Demographics and Tumour characteristics | 1. Patient demographics: age, body mass index (BMI), comorbidities | 2. Preoperative tumour characteristics and location influencing surgical planning | B) Treatment characteristics | 1. Surgical: operative data, including flap types and distribution | 2. Oncological: systemic therapies (adjuvant and neoadjuvant), radiotherapy | C) Primary outcome: Surgical | 1. Complications | 2. Oncological clearance: Re-excision rates, conversion to mastectomy | D) Secondary outcomes | 1. Revisional surgery | 2. Surveillance | 3. Oncological: Recurrence and Mortality | E) Patient-reported outcomes | 1. Pre-operative | 2. Post-operative (pre-radiotherapy) | 3. Post-radiotherapy (6 months)
C) Primary outcome: SurgicalA) Patient Demographics and Tumour characteristics | 1. Patient demographics: age, body mass index (BMI), comorbidities | 2. Preoperative tumour characteristics and location influencing surgical planning | B) Treatment characteristics | 1. Surgical: operative data, including flap types and distribution | 2. Oncological: systemic therapies (adjuvant and neoadjuvant), radiotherapy | C) Primary outcome: Surgical | 1. Complications | 2. Oncological clearance: Re-excision rates, conversion to mastectomy | D) Secondary outcomes | 1. Revisional surgery | 2. Surveillance | 3. Oncological: Recurrence and Mortality | E) Patient-reported outcomes | 1. Pre-operative | 2. Post-operative (pre-radiotherapy) | 3. Post-radiotherapy (6 months)
2. Oncological clearance: Re-excision rates, conversion to mastectomyA) Patient Demographics and Tumour characteristics | 1. Patient demographics: age, body mass index (BMI), comorbidities | 2. Preoperative tumour characteristics and location influencing surgical planning | B) Treatment characteristics | 1. Surgical: operative data, including flap types and distribution | 2. Oncological: systemic therapies (adjuvant and neoadjuvant), radiotherapy | C) Primary outcome: Surgical | 1. Complications | 2. Oncological clearance: Re-excision rates, conversion to mastectomy | D) Secondary outcomes | 1. Revisional surgery | 2. Surveillance | 3. Oncological: Recurrence and Mortality | E) Patient-reported outcomes | 1. Pre-operative | 2. Post-operative (pre-radiotherapy) | 3. Post-radiotherapy (6 months)
D) Secondary outcomesA) Patient Demographics and Tumour characteristics | 1. Patient demographics: age, body mass index (BMI), comorbidities | 2. Preoperative tumour characteristics and location influencing surgical planning | B) Treatment characteristics | 1. Surgical: operative data, including flap types and distribution | 2. Oncological: systemic therapies (adjuvant and neoadjuvant), radiotherapy | C) Primary outcome: Surgical | 1. Complications | 2. Oncological clearance: Re-excision rates, conversion to mastectomy | D) Secondary outcomes | 1. Revisional surgery | 2. Surveillance | 3. Oncological: Recurrence and Mortality | E) Patient-reported outcomes | 1. Pre-operative | 2. Post-operative (pre-radiotherapy) | 3. Post-radiotherapy (6 months)
1. Revisional surgeryA) Patient Demographics and Tumour characteristics | 1. Patient demographics: age, body mass index (BMI), comorbidities | 2. Preoperative tumour characteristics and location influencing surgical planning | B) Treatment characteristics | 1. Surgical: operative data, including flap types and distribution | 2. Oncological: systemic therapies (adjuvant and neoadjuvant), radiotherapy | C) Primary outcome: Surgical | 1. Complications | 2. Oncological clearance: Re-excision rates, conversion to mastectomy | D) Secondary outcomes | 1. Revisional surgery | 2. Surveillance | 3. Oncological: Recurrence and Mortality | E) Patient-reported outcomes | 1. Pre-operative | 2. Post-operative (pre-radiotherapy) | 3. Post-radiotherapy (6 months)
1. ComplicationsA) Patient Demographics and Tumour characteristics | 1. Patient demographics: age, body mass index (BMI), comorbidities | 2. Preoperative tumour characteristics and location influencing surgical planning | B) Treatment characteristics | 1. Surgical: operative data, including flap types and distribution | 2. Oncological: systemic therapies (adjuvant and neoadjuvant), radiotherapy | C) Primary outcome: Surgical | 1. Complications | 2. Oncological clearance: Re-excision rates, conversion to mastectomy | D) Secondary outcomes | 1. Revisional surgery | 2. Surveillance | 3. Oncological: Recurrence and Mortality | E) Patient-reported outcomes | 1. Pre-operative | 2. Post-operative (pre-radiotherapy) | 3. Post-radiotherapy (6 months)
Secondary Outcome Measures
NameTimeMethod
1. Revisional surgery2. Surveillance

Trial Locations

Locations (1)

AIIMS New Delhi

🇮🇳

South, DELHI, India

AIIMS New Delhi
🇮🇳South, DELHI, India
Dr Jyoutishman Saikia
Principal investigator
9612892050
jyoutishman@gmail.com

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