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OpenTrials
Completed

NCT Number: NCT04503018

Psychological Effects of Implant Loss

Previous quality of life studies have suggested that long term satisfaction with breast reconstruction may be affected by postoperative complications. Complication frequencies, especially the risk for implant loss, is considerably higher in immediate than in delayed breast reconstruction. Knowledge about how implant loss affects the patient's experience of her breast reconstruction can guide us in the choice between immediate and delayed breast reconstruction in high risk patients and help us better prepare the patients for possible complications. This study will investigate patients' experiences with losing an implant in connection with immediate breast reconstruction.

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Key information

Age range

18 year and older

Sex eligibility

Female

Study type

Observational

Primary location

Västra Götaland

Gothenburg, 413 45, Sweden

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Biological women
  • Age >18 years
  • Have lost an implant after a mastectomy and immediate breast reconstruction

Exclusion criteria

  • Inability to give informed consent
  • inability to speak and understand Swedish
  • relapse of breast cancer after the reconstruction
  • metastatic disease
  • psychiatric co-morbidity.

Treatment and study plan

Primary outcomes

  1. Experiences and psychological effects of implant loss after immediate breast reconstruction

    Time frame: 10 years

    Interviews

  2. Effect on quality of life of implant loss: scale

    Time frame: 10 years

    Breast-Q reconstruction post-operative. It includes different domains: health-related quality of life (HR-QOL; including physical, psychosocial, and sexual well-being) and patient satisfaction (including satisfaction with breasts, outcome, and care). Each scale produces an independent score from 0-100.a higher score means greater satisfaction or better QOL

  3. Effect on body image of implant loss

    Time frame: 10 years

    Body-Esteem Scale for Adolescents and Adults (BESAA). It consists of three subscales: BE-appearance, BE-weight and BE-attribution.The scale has 23 items and the respondents indicated their degree of agreement on a 5-point Likert scale ranging from 0 (never) to 4 (always).High score indicates higher dimensions of the Body Esteem.

  4. Effect on depression and anxiety of implant loss

    Time frame: 10 years

    Hospital Anxiety and Depression scale (HAD).The HADS is a fourteen item scale that generates: Seven of the items relate to anxiety and seven relate to depression.For both scales, scores of less than 7 indicate non-cases. 8-10 mild, 11-14 moderate, 15-21 severe.

  5. Coping strategies

    Time frame: 10 years

    Brief-cope, a 28 item self-report questionnaire designed to measure effective and ineffective ways to cope with a stressful life event.Scores are presented for the two overarching coping styles: avoidant and approach.The scale can determine someone's primary coping styles.

  6. Coping strategies

    Time frame: 10 years

    The Life orientation test - revised (Lot-R) is a 10-item scale that measures how optimistic or pessimistic people feel about the future. High values imply optimism.

Sponsors and collaborators

Lead sponsor

Vastra Gotaland Region

Other Gov

Registry information

Important dates

Study start
2020
Primary completion
2025
Study completion
2025
First posted
Aug 6, 2020
Registry last updated
Jul 3, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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