A comparison of patient satisfaction (using the BREAST-Q questionnaire) with bilateral breast reconstruction following risk-reducing or therapeutic mastectomy

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
F KazzaziC M Malata

Abstract

Patients undergoing mastectomy and immediate breast reconstruction for cancer may be expected to have different perceptions of long-term outcomes compared with those who have this operation prophylactically. Patients who underwent bilateral mastectomy and breast reconstruction from 2008 to 2014 at the Cambridge Breast Unit were identified from a prospective register and their notes were audited. They were classified according to their indication for surgery as follows: bilaterally therapeutic, bilaterally risk-reducing or combination. The BREAST-Q™ questionnaire was posted to participants using the 'total Dillman method'. Q-SCORE software was utilised to analyse patient satisfaction scores. Sixty-five (58%) responses were received, of which 8 were excluded, leaving 57 usable for the study. The therapeutic group had higher patient satisfaction than the risk-reducing group across most domains including breast, outcome, psychosocial, sexual, physical and information. The combination group scored lower and BRCA gene mutation-positive patients scored the lowest. Physical well-being was maintained across all groups but psychosocial/sexual well-being varied. Good psychosocial well-being was linked to a higher satisfaction with the out...Continue Reading

Citations

Sep 29, 2019·Breast Care·Katja KellerKarin Kast
Jan 12, 2021·Plastic and Reconstructive Surgery. Global Open·Stacey J JonesBaek Kim
Feb 25, 2021·Plastic Surgical Nursing : Official Journal of the American Society of Plastic and Reconstructive Surgical Nurses·Nieves VanaclochaAlberto Sánchez García
Jun 19, 2021·Cirugía española·Sofía Luque SuárezMaría Herrera de la Muela
Jul 5, 2021·Cirugia Española·Sofía Luque SuárezMaría Herrera de la Muela

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