Development of a breast reconstruction satisfaction questionnaire (BRECON-31): principal components analysis and clinimetric properties

Journal of Surgical Oncology
Claire F Temple-OberleJoy MacDermid

Abstract

A reliable, valid questionnaire is essential to assess patient satisfaction with breast reconstruction. A 105-item pilot BRECON questionnaire was previously developed. One hundred eighty-one women with breast reconstruction were mailed the pilot BRECON, BREAST-Q, and EQ-5D questionnaires. Fifty women were re-mailed the BRECON. Based on the responses, the BRECON was refined using statistical means and principal components analysis (PCA). Reliability was assessed using the intraclass correlation coefficient (ICC) and Cronbach's alpha. Validity was assessed by comparing subscales of the BRECON to the BREAST-Q and comparing a summary score of the BRECON-31 to the EQ-5D using the Pearson's correlation coefficient (PCC). A total of 71% (128/181) of women completed the three questionnaires, and 86% (43/50) of women responded to the re-mailed BRECON. Statistical methods and PCA maintained 31 items covering eight components including self-image, arm concerns, intimacy, satisfaction, recovery, self-consciousness, expectations, and breast appearance. A 4-item "nipple" subscale and a 10-item "abdominal" subscale were developed for use where applicable. Measures of reliability and validity were high: Cronbach's alpha ranged from 0.67 to 0.9...Continue Reading

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Citations

Sep 22, 2012·Journal of Surgical Oncology·Claire F Temple-OberleJoy MacDermid
Apr 27, 2017·Plastic and Reconstructive Surgery·Claire Temple-OberleUNKNOWN ERAS Society
Jan 19, 2019·Plastic and Reconstructive Surgery. Global Open·Eoin M McFaddenClaire F Temple-Oberle
Dec 21, 2019·Plastic and Reconstructive Surgery·Jill P StoneGedge D Rosson
Feb 27, 2015·Plastic and Reconstructive Surgery·Lisa J KorusAlbert W Wu
Feb 26, 2020·Plastic and Reconstructive Surgery·Jill P StoneGedge D Rosson
May 21, 2019·Plastic Surgery·Eva ThiboutotClaire Temple-Oberle
Jan 12, 2021·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·Yan Yu TanSunil Thomas
Jan 21, 2021·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·Brittany PopowichClaire Temple-Oberle

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