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