Immediate breast reconstruction in Poland — description of the protocol for the prospective, multicenter, cohort study PSSO_04 under the auspices of the Polish Society of Surgical Oncology

Breast cancer is the most common cancer among women in Poland, and the number of annual diagnoses is projected to rise. Due to early detection and multidisciplinary treatments, over 60% of cases can undergo breast-conserving procedures. However, mastectomy remains necessary for 30–40% of patients. Immediate breast reconstruction (IBR) following mastectomy provides therapeutic, aesthetic, and psychological benefits, yet the best surgical techniques for IBR are still not well established. The PSSO_04 study is a Polish multicenter research initiative to assess the availability of immediate breast reconstructions (IBR) in therapeutic and prophylactic mastectomies. The study will also evaluate surgical and oncological outcomes, as well as the quality of life, in eligible patients. The study’s primary endpoint is to determine the IBR ratio across different procedures. Secondary endpoints will exa­mine surgical complications, radical excision rates, and their relationship with patient quality of life. Data collection will include surgical techniques, patient demographics, and postoperative outcomes, analyzed using dedicated online tools for comprehensive data management. The Polish Society of Surgical Oncology supports this study, which is expected to conclude by March 2028. The findings are anticipated to enhance breast reconstruction practices and improve patient care in Poland.