Priority 21 from the Post Mastectomy Breast Reconstruction PSP

UNCERTAINTY: In a patient with breast cancer, what are the pros and cons of having mastectomy with immediate breast reconstruction? (JLA PSP Priority 21)
Overall ranking 21
JLA question ID 0109/21
Explanatory note  Not available
Evidence

Immediate versus delayed reconstruction following surgery for breast cancer. D'Souza, Nigel. Darmanin, Geraldine. Fedorowicz, Zbys. Cochrane Database of Systematic Reviews. 9, 2011

Early and locally advanced breast cancer: diagnosis and management. Evidence-based recommendations on diagnosing and managing early and locally advanced breast cancer.

Breast cancer reconstruction surgery (immediate and delayed) across Ontario: patient indications and appropriate surgical options. Cancer Care Ontario's Program in Evidence-based Care Published on: 2016-01.
Health Research Classification System category  Cancer
Extra information provided by this PSP
Original uncertainty examples

What are the risks and rewards to having it at the time of mastectomy
vs. delaying till after treatment. ~ Can the reconstruction be done @ the time of breast/tissue removal?...... ~ Is it better to start reconstruction at the same time of mastectomy or wait? ~ Is it important to wait for a couple of years before reconstruction surgery as to avoid return of breast cancer?
Submitted by 19 x Patients and Care-givers, 10 x Clinicians
PSP information
PSP unique ID 0109
PSP name Post Mastectomy Breast Reconstruction
Total number of uncertainties identified by this PSP.

86  (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop 2 July 2019