ESTRO Multidisciplinary Management of Breast Cancer 2017

Which aspects influence cosmetic score by the patient ? Analysis of Young Boost Trial patients ( N = 864) • Results – correlation between methods: • Correlation patient and physician: kappa 0.42 (moderate) • Correlation between patient and BCCT.core: kappa 0.26 (fair) • Correlation between physician and BCCT.core: kappa 0.39 (fair)

• Results – correlation with patient reported outcome: • Significant correlation with patient –reported outcome:

• pBCE = change in distance from nipple to inframammary fold • pBCD = change in length of breast contour • Fibrosis (cause or consequence ?)

• 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