Letters NICE update on breast cancer

Immediate breast reconstruction should be challenged

BMJ 2009; 338 doi: http://dx.doi.org/10.1136/bmj.b1067 (Published 17 March 2009) Cite this as: BMJ 2009;338:b1067
  1. Zoë Ellen Winters, consultant senior lecturer in breast surgery and head1
  1. 1Breast Reconstruction HRQL Group, Clinical Sciences South Bristol, University Hospitals of Bristol NHS Foundation Trust, Bristol BS2 8HW
  1. 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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