Causes of Death Among Finnish Women with Cosmetic Breast Implants, 1971–2001

@article{Pukkala2003CausesOD,
  title={Causes of Death Among Finnish Women with Cosmetic Breast Implants, 1971–2001},
  author={Eero Pukkala and Ilona Kulmala and S-L. Hovi and Elina Hemminki and Ilmo Keskim{\"a}ki and Loren Lipworth and John D. Boice and Joseph K. Mclaughlin},
  journal={Annals of Plastic Surgery},
  year={2003},
  volume={51},
  pages={339-342}
}
Mortality patterns among women with cosmetic breast implants have not been well characterized. We examined cause-specific mortality among women who underwent cosmetic breast implantation at major public hospitals and private clinics in Finland from 1970 through 2000. Causes of death through 2001 were identified through the national mortality register. Expected numbers of deaths were calculated on the basis of mortality rates in the general female population, and standardized mortality ratios… 
Excess Mortality From Suicide and Other External Causes of Death Among Women With Cosmetic Breast Implants
TLDR
The excess of deaths from suicides, drug and alcohol abuse and dependence, and other related causes suggests significant underlying psychiatric morbidity among women seeking cosmetic breast implants may be warranted.
Mortality among Canadian women with cosmetic breast implants.
TLDR
It is suggested that breast implants do not directly increase mortality in women, and further work is needed to evaluate risk factors for suicide among women who undergo elective cosmetic surgery.
Mortality and suicide among Danish women with cosmetic breast implants.
TLDR
Evidence of an increased prevalence of mental illness as measured by admission to a psychiatric hospital prior to implant surgery among women receiving cosmetic breast implants is found for the first time, to the authors' knowledge.
Invited Discussion: Causes of Death Among Finnish Women With Cosmetic Breast Implants, 1971–2001
TLDR
Large, prospective studies which include widely-used, standardized assessment methods such as the Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV) are needed to characterize the relationship between preoperative psychopathology and postoperative outcome.
Cancer incidence, mortality, breast cancer detection and survival among Canadian women with bilateral cosmetic breast augmentation
TLDR
Cosmetic breast implants are associated with health risks that need to be acknowledged and further investigations are needed for clarifying the cancer risk associated with polyurethane implants and for pursuing investigations on breast cancer diagnosis and prognosis.
Cancer among Scandinavian women with cosmetic breast implants: A pooled long‐term follow‐up study
TLDR
This study, which includes women followed for almost 4 decades, represents the longest follow up of women with cosmetic breast implants to date, and provides no evidence of an association between breast implants and any type of cancer.
Psychological Characteristics of Danish Women With Cosmetic Breast Implants
TLDR
In conclusion, women with cosmetic breast implants reported preoperative psychological symptoms indicative of depressive disorders substantially more frequently than women with other cosmetic surgery.
Invited discussion: excess mortality from suicide and other external causes of death among women with cosmetic breast implants
TLDR
The investigators found a 3-fold increase in deaths attributed to suicide as compared with the expected number of deaths by suicide among Swedish women of the same age cohort, and found the presence of premorbid psychopathology among at least a sizable minority of women who receive cosmetic breast implants.
Excess Suicide Risk and Other External Causes of Death Among Women with Cosmetic Breast Implants: A Neglected Research Priority
TLDR
Five large epidemiologic mortality studies of women with cosmetic breast implants have consistently reported a two- to threefold higher rate of suicide compared with the general female population, raising the possibility of significant underlying psychiatric morbidity for a subgroup of implant patients.
Long-Term Health Status of Danish Women with Silicone Breast Implants
TLDR
It is concluded that long-term cosmetic breast implantation may cause capsular contracture and breast pain but does not appear to be associated with other symptoms, diseases, or autoimmune reactivity.
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