Letters
NICE update on breast cancer
Immediate breast reconstruction should be challenged
BMJ 2009; 338 doi: https://doi.org/10.1136/bmj.b1067 (Published 17 March 2009) Cite this as: BMJ 2009;338:b1067
- Zoë Ellen Winters, consultant senior lecturer in breast surgery and head1
- 1Breast Reconstruction HRQL Group, Clinical Sciences South Bristol, University Hospitals of Bristol NHS Foundation Trust, Bristol BS2 8HW
- Zoe.winters{at}bristol.ac.uk
The tenet that immediate breast reconstruction improves health related quality of life underlines the increasing practice of breast reconstruction internationally.1 2 However, there is no good clinical evidence to support this. A systematic review of relevant journals showed a lack of level I evidence—2% randomised controlled trials, 15% cohort …
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