The use of external breast prostheses in post-operative care for women after breast cancer mastectomy : a scoping review

Abstract

This paper provides a comprehensive scoping review of external breast prostheses, an essential component of post-operative care for breast cancer patients, the most common cancer globally. Mastectomy, a frequent treatment, often leads to physical and psychological issues. External breast prostheses help improve body image and psychosocial well-being after surgery. We included studies on the views, evaluations, opinions, and experiences of women who had had a mastectomy and medical personnel regarding external breast prostheses, as well as the assessment, design, and simulation of these prostheses. A scoping review was conducted using Web of Science Core Collection, PubMed, Medline, Scopus, and Google Scholar. We reviewed relevant English research articles published in peer-reviewed journals up to December 2023, focusing on “breast cancer,” “mastectomy,” “post-mastectomy recovery,” “breast prosthesis satisfaction/dissatisfaction,” and “external breast prosthesis/prostheses.” Thirty-four studies were analyzed, covering various prosthesis types, user feedback, effects on daily activities, and new technologies and designs. This review reveals the prosthesis’ significantly positive effect on women’s lives after mastectomy, but also such persistent issues as weight, price, and body movement compatibility. Moreover, the paper suggests the potential for advances to improve comfort, aesthetics, and affordability.