caa a22 4500 445333014 CHVBK 20180317142743.0 cr unu---uuuuu 170323e20110101xx s 000 0 eng 10.1245/s10434-010-1252-4 doi (NATIONALLICENCE)springer-10.1245/s10434-010-1252-4 Aesthetics in Breast Conserving Therapy: Do Objectively Measured Results Match Patients' Evaluations? [Elektronische Daten] [Joerg Heil, Julia Dahlkamp, Michael Golatta, Joachim Rom, Christoph Domschke, Geraldine Rauch, Maria Cardoso, Christof Sohn] Background: To analyze the relationship of objective and subjective evaluation tools of breast aesthetics, we compare the results of the BCCT.core (breast cancer conservative treatment.cosmetic results) software, a semiautomated objective symmetry evaluation tool, with those of the Aesthetic Status of the BCTOS (Breast Cancer Treatment Outcome Scale) patient questionnaire. Materials and Methods: We included 128 patients with one-sided, primary breast cancer, treated conservatively in a prospective, exploratory study in order to assess the inter-rater reliability of the BCCT.core and the agreement between the BCCT.core and the BCTOS preoperatively, shortly and 1year after surgery. Therefore, we use agreement rates, multiple (mk), and weighted (wk) kappa coefficients as statistical methods. Furthermore, we analyzed patient-, tumor-, and therapy-related variables as possible covariates to explain agreement. Results: The inter-rater reliability for the semiautomated BCCT.core is very good with agreement rates up to 84% (mk=0.80). The agreement rates of the BCCT.core and the BCTOS Aesthetic Status range between 35 and 44% subject to the different times of assessment (wk=0.34 at best). Moreover, the patients judge their aesthetic outcome more positively than the software. None of the considered patient-, tumor-, and therapy-related covariates turned out to explain agreement. Conclusion: The BCCT.core is a reliable instrument that shows fair agreement with patient's perspective. Society of Surgical Oncology, 2010 Heil Joerg University Breast Center Heidelberg, Heidelberg, Germany aut Dahlkamp Julia University Breast Center Heidelberg, Heidelberg, Germany aut Golatta Michael University Breast Center Heidelberg, Heidelberg, Germany aut Rom Joachim University Breast Center Heidelberg, Heidelberg, Germany aut Domschke Christoph University Breast Center Heidelberg, Heidelberg, Germany aut Rauch Geraldine Institute of Medical Biometry and Informatics, University of Heidelberg, Heidelberg, Germany aut Cardoso Maria Porto Faculty of Medicine, Breast Research Group—INESC Porto, Porto, Portugal aut Sohn Christof University Breast Center Heidelberg, Heidelberg, Germany aut Annals of Surgical Oncology Springer-Verlag 18/1(2011-01-01), 134-138 1068-9265 18:1<134 2011 18 10434 https://doi.org/10.1245/s10434-010-1252-4 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1245/s10434-010-1252-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Heil Joerg University Breast Center Heidelberg, Heidelberg, Germany aut NATIONALLICENCE 700 1- Dahlkamp Julia University Breast Center Heidelberg, Heidelberg, Germany aut NATIONALLICENCE 700 1- Golatta Michael University Breast Center Heidelberg, Heidelberg, Germany aut NATIONALLICENCE 700 1- Rom Joachim University Breast Center Heidelberg, Heidelberg, Germany aut NATIONALLICENCE 700 1- Domschke Christoph University Breast Center Heidelberg, Heidelberg, Germany aut NATIONALLICENCE 700 1- Rauch Geraldine Institute of Medical Biometry and Informatics, University of Heidelberg, Heidelberg, Germany aut NATIONALLICENCE 700 1- Cardoso Maria Porto Faculty of Medicine, Breast Research Group—INESC Porto, Porto, Portugal aut NATIONALLICENCE 700 1- Sohn Christof University Breast Center Heidelberg, Heidelberg, Germany aut NATIONALLICENCE 773 0- Annals of Surgical Oncology Springer-Verlag 18/1(2011-01-01), 134-138 1068-9265 18:1<134 2011 18 10434 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer