Skip to main content
Erschienen in: Aesthetic Plastic Surgery 2/2018

09.11.2017 | Original Article

Use of the BREAST-Q™ Survey in the Prospective Evaluation of Reduction Mammaplasty Outcomes

verfasst von: Isaias Vieira Cabral, Edgard da Silva Garcia, Rebecca Neponucena Sobrinho, Natália Lana Larcher Pinto, Yara Juliano, Joel Veiga-Filho, Lydia Masako Ferreira, Daniela Francescato Veiga

Erschienen in: Aesthetic Plastic Surgery | Ausgabe 2/2018

Einloggen, um Zugang zu erhalten

Abstract

Introduction

BREAST-Q™ is a patient-reported outcomes survey instrument with a specific module that evaluates breast reduction surgery. It allows assessment of patient’s satisfaction with received treatment and evaluates the impact of surgery on different aspects of the patient’s quality of life. This article aims to assess the satisfaction and quality of life of patients who underwent reduction mammaplasty.

Materials and Methods

Women aged between 18 and 60 years, with a body mass index ranging from 19 to 30 kg/m2, who were already scheduled for reduction mammaplasty, were included in the study. The Brazilian version of the BREAST-Q™ Reduction/Mastopexy Module (preoperative 1.0 and postoperative 1.0 versions) was self-applied preoperatively and 1 and 6 months after the operation.

Results

One hundred and seven patients were included in the study and completed the 6-month follow-up. The median age was 33 years, and the median preoperative body mass index was 25 kg/m2. The superomedial pedicle was used in 96.3% of the cases, and the total median weight of the resected breast was 1115 g. There was a significant improvement in the scores of the scales: Psychosocial well-being, Sexual well-being, Physical well-being, and Satisfaction with the breasts compared to the preoperative assessment (p < 0.0001). The scales Satisfaction with the NAC and Satisfaction with the outcome, available only in the postoperative version, demonstrated high satisfaction rates at the two postoperative periods evaluated.

Conclusion

Reduction mammaplasty improved the quality of life and provided high levels of patient satisfaction with outcomes 1 and 6 months postoperatively.

Level of Evidence IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.​springer.​com/​00266.
Literatur
1.
Zurück zum Zitat Araújo CDM, Veiga DF, Hochman BS, Abla LEF, Oliveira ACS, Novo NF, Veiga-Filho J, Ferreira LM (2014) Cost-utility of reduction mammaplasty assessed for the Brazilian public health system. Aesthet Surg J 34(8):1198–1204CrossRefPubMed Araújo CDM, Veiga DF, Hochman BS, Abla LEF, Oliveira ACS, Novo NF, Veiga-Filho J, Ferreira LM (2014) Cost-utility of reduction mammaplasty assessed for the Brazilian public health system. Aesthet Surg J 34(8):1198–1204CrossRefPubMed
2.
Zurück zum Zitat Beraldo FN, Veiga DF, Veiga-Filho J, Garcia ES, Vilas-Bôas GS, Juliano Y, Sabino-Neto M, Ferreira LM (2016) Sexual function and depression outcomes among breast hypertrophy patients undergoing reduction mammaplasty: a randomized controlled trial. Ann Plast Surg 76:379–382CrossRefPubMed Beraldo FN, Veiga DF, Veiga-Filho J, Garcia ES, Vilas-Bôas GS, Juliano Y, Sabino-Neto M, Ferreira LM (2016) Sexual function and depression outcomes among breast hypertrophy patients undergoing reduction mammaplasty: a randomized controlled trial. Ann Plast Surg 76:379–382CrossRefPubMed
3.
Zurück zum Zitat Freire M, Neto MS, Garcia EB, Quaresma MR, Ferreira LM (2007) Functional capacity and postural pain outcomes after reduction mammaplasty. Plast Reconstr Surg 119:1149–1156CrossRefPubMed Freire M, Neto MS, Garcia EB, Quaresma MR, Ferreira LM (2007) Functional capacity and postural pain outcomes after reduction mammaplasty. Plast Reconstr Surg 119:1149–1156CrossRefPubMed
4.
Zurück zum Zitat Ducic I, Iorio ML, Al-Attar A (2010) Chronic headaches/migraines: extending indications for breast reduction. Plast Reconstr Surg 125:44–49CrossRefPubMed Ducic I, Iorio ML, Al-Attar A (2010) Chronic headaches/migraines: extending indications for breast reduction. Plast Reconstr Surg 125:44–49CrossRefPubMed
5.
Zurück zum Zitat Collins ED, Kerrigan CL, Kim M, Lowery JC, Striplin DT, Cunningham B, Wilkins EG (2002) The effectiveness of surgical and nonsurgical interventions in relieving the symptoms of macromastia. Plast Reconstr Surg 109:1556–1566CrossRefPubMed Collins ED, Kerrigan CL, Kim M, Lowery JC, Striplin DT, Cunningham B, Wilkins EG (2002) The effectiveness of surgical and nonsurgical interventions in relieving the symptoms of macromastia. Plast Reconstr Surg 109:1556–1566CrossRefPubMed
6.
Zurück zum Zitat Fernandes PM, Sabino-Neto M, Veiga DF, Abla LEF, Mundim CDA, Juliano Y, Ferreira LM (2007) Back pain: an assessment in breast hypertrophy patients. Acta Ortop Bras 15:227–230CrossRef Fernandes PM, Sabino-Neto M, Veiga DF, Abla LEF, Mundim CDA, Juliano Y, Ferreira LM (2007) Back pain: an assessment in breast hypertrophy patients. Acta Ortop Bras 15:227–230CrossRef
7.
Zurück zum Zitat Fonseca CC, Garcia ES, Félix GAA, Ferreira LM, Rocha MJAB, Veiga DF, Carvalho MM (2016) Body investment and body satisfaction in women undergoing reduction mammaplasty. In: Jorge RN, Mascarenhas T, Duarte JA, Ramos I, Costa ME, Figueiral MH, Pinho O, Brandão S, Roza T, Tavares JMRS (eds) BioMedWomen: Proceedings of the international conference on clinical and bioengineering for women’s health, CRC Press, Porto, pp 125 Fonseca CC, Garcia ES, Félix GAA, Ferreira LM, Rocha MJAB, Veiga DF, Carvalho MM (2016) Body investment and body satisfaction in women undergoing reduction mammaplasty. In: Jorge RN, Mascarenhas T, Duarte JA, Ramos I, Costa ME, Figueiral MH, Pinho O, Brandão S, Roza T, Tavares JMRS (eds) BioMedWomen: Proceedings of the international conference on clinical and bioengineering for women’s health, CRC Press, Porto, pp 125
8.
Zurück zum Zitat Garcia ES, Veiga DF, Sabino-Neto M, Cardoso FNB, Batista IO, Leme RM, Cabral IC, Novo NF, Ferreira LM (2015) Sensitivity of the nipple-areola complex and sexual function following reduction mammaplasty. Aesthet Surg J 35:193–202CrossRef Garcia ES, Veiga DF, Sabino-Neto M, Cardoso FNB, Batista IO, Leme RM, Cabral IC, Novo NF, Ferreira LM (2015) Sensitivity of the nipple-areola complex and sexual function following reduction mammaplasty. Aesthet Surg J 35:193–202CrossRef
9.
Zurück zum Zitat Guimarães PAMP, Resende VCL, Neto MS, Seito CL, Brito MJA, Abla LEF, Veiga DF, Ferreira LM (2015) Sexuality in aesthetic breast surgery. Aesthet Plast Surg 39:993–999CrossRef Guimarães PAMP, Resende VCL, Neto MS, Seito CL, Brito MJA, Abla LEF, Veiga DF, Ferreira LM (2015) Sexuality in aesthetic breast surgery. Aesthet Plast Surg 39:993–999CrossRef
10.
Zurück zum Zitat Barbosa AF, Lavoura PH, Boffino CC, Siqueira CM, Costa MP, Junior JEL, Tanaka C (2013) The impact of surgical breast reduction on the postural control of women with breast hypertrophy. Aesthet Plast Surg 37:321–326CrossRef Barbosa AF, Lavoura PH, Boffino CC, Siqueira CM, Costa MP, Junior JEL, Tanaka C (2013) The impact of surgical breast reduction on the postural control of women with breast hypertrophy. Aesthet Plast Surg 37:321–326CrossRef
14.
Zurück zum Zitat Neto MS, Demattê MF, Freire M, Garcia ÉB, Quaresma M, Ferreira LM (2008) Self-esteem and functional capacity outcomes following reduction mammaplasty. Aesthet Surg J 28:417–420CrossRef Neto MS, Demattê MF, Freire M, Garcia ÉB, Quaresma M, Ferreira LM (2008) Self-esteem and functional capacity outcomes following reduction mammaplasty. Aesthet Surg J 28:417–420CrossRef
15.
Zurück zum Zitat Coriddi M, Nadeau M, Taghizadeh M, Taylor A (2013) Analysis of satisfaction and well-being following breast reduction using a validated survey instrument: the BREAST-Q. Plast Reconstr Surg 132:285–290CrossRefPubMed Coriddi M, Nadeau M, Taghizadeh M, Taylor A (2013) Analysis of satisfaction and well-being following breast reduction using a validated survey instrument: the BREAST-Q. Plast Reconstr Surg 132:285–290CrossRefPubMed
16.
Zurück zum Zitat Carty MJ, Duclos A, Gu X, Elele N, Orgill D (2012) Patient satisfaction and surgeon experience: a follow-up to the reduction mammaplasty learning curve study. Eplasty 12:22 Carty MJ, Duclos A, Gu X, Elele N, Orgill D (2012) Patient satisfaction and surgeon experience: a follow-up to the reduction mammaplasty learning curve study. Eplasty 12:22
17.
Zurück zum Zitat Gonzalez MA, Glickman LT, Aladegbami B, Simpson RL (2012) Quality of life after breast reduction surgery: a 10-year retrospective analysis using the Breast Q questionnaire: does breast size matter? Ann Plast Surg 69:361–363CrossRefPubMed Gonzalez MA, Glickman LT, Aladegbami B, Simpson RL (2012) Quality of life after breast reduction surgery: a 10-year retrospective analysis using the Breast Q questionnaire: does breast size matter? Ann Plast Surg 69:361–363CrossRefPubMed
18.
Zurück zum Zitat Sbalchiero J, Cordanto-Nopoulos F, Silva C, Derchain S (2001) Breast Q questionaire, translation process to portuguese language and their application on breast cancer patients. Rev Bras Cir Plást 28:549–552 Sbalchiero J, Cordanto-Nopoulos F, Silva C, Derchain S (2001) Breast Q questionaire, translation process to portuguese language and their application on breast cancer patients. Rev Bras Cir Plást 28:549–552
19.
Zurück zum Zitat Sacchini V, Luini A, Tana S, Lozza L, Galimberti V, Merson M, Agresti R, Veronesi P, Greco M (1991) Quantitative and qualitative cosmetic evaluation after conservative treatment for breast cancer. Eur J Cancer Clin Oncol 27:1395–1400CrossRef Sacchini V, Luini A, Tana S, Lozza L, Galimberti V, Merson M, Agresti R, Veronesi P, Greco M (1991) Quantitative and qualitative cosmetic evaluation after conservative treatment for breast cancer. Eur J Cancer Clin Oncol 27:1395–1400CrossRef
20.
Zurück zum Zitat Franco T (2002) Princípios de cirurgia plástica, 1st edn. Atheneu, Rio de Janeiro Franco T (2002) Princípios de cirurgia plástica, 1st edn. Atheneu, Rio de Janeiro
21.
Zurück zum Zitat Pusic AL, Klassen AF, Cano SJ (2012) Use of the BREAST-Q in clinical outcomes research. Plast Reconstr Surg 129:166–167CrossRef Pusic AL, Klassen AF, Cano SJ (2012) Use of the BREAST-Q in clinical outcomes research. Plast Reconstr Surg 129:166–167CrossRef
23.
Zurück zum Zitat Pusic AL, Chen CM, Cano S, Klassen A, McCarthy C, Collins ED, Cordeiro PG (2007) Measuring quality of life in cosmetic and reconstructive breast surgery: a systematic review of patient-reported outcomes instruments. Plast Reconstr Surg 120:823–837CrossRefPubMed Pusic AL, Chen CM, Cano S, Klassen A, McCarthy C, Collins ED, Cordeiro PG (2007) Measuring quality of life in cosmetic and reconstructive breast surgery: a systematic review of patient-reported outcomes instruments. Plast Reconstr Surg 120:823–837CrossRefPubMed
24.
Zurück zum Zitat Pusic AL, Reavey PL, Klassen AF, Scott A, McCarthy C, Cano SJ (2009) Measuring patient outcomes in breast augmentation: introducing the BREAST-Q augmentation module. Clin Plast Surg 36:23–32CrossRefPubMed Pusic AL, Reavey PL, Klassen AF, Scott A, McCarthy C, Cano SJ (2009) Measuring patient outcomes in breast augmentation: introducing the BREAST-Q augmentation module. Clin Plast Surg 36:23–32CrossRefPubMed
25.
Zurück zum Zitat Siegel SE, Castellan NJ Jr (2006) Estatística não paramétrica para ciências do comportamento, 2nd edn. Artmed, Porto Alegre Siegel SE, Castellan NJ Jr (2006) Estatística não paramétrica para ciências do comportamento, 2nd edn. Artmed, Porto Alegre
27.
Zurück zum Zitat Cabral IV, Garcia EDS, Sobrinho RN, Pinto NLL, Juliano Y, Veiga-Filho J, Ferreira LM, Veiga DF (2016) Increased capacity for work and productivity after breast reduction. Aesthet Surg J 37:57–62CrossRefPubMed Cabral IV, Garcia EDS, Sobrinho RN, Pinto NLL, Juliano Y, Veiga-Filho J, Ferreira LM, Veiga DF (2016) Increased capacity for work and productivity after breast reduction. Aesthet Surg J 37:57–62CrossRefPubMed
28.
Zurück zum Zitat Bozola AR, Longato FM, Bozola AP (2011) Geometric analysis of the shapes of the beautiful breast and breast implants based on the golden ratio (Phi): practical application. Rev Bras Cir Plást 26:94–103CrossRef Bozola AR, Longato FM, Bozola AP (2011) Geometric analysis of the shapes of the beautiful breast and breast implants based on the golden ratio (Phi): practical application. Rev Bras Cir Plást 26:94–103CrossRef
29.
Zurück zum Zitat Freire M, Neto MS, Garcia EB, Quaresma MR, Ferreira LM (2004) Quality of life after reduction mammaplasty. Scand J Plast Reconstr Surg Hand Surg 38:335–339CrossRefPubMed Freire M, Neto MS, Garcia EB, Quaresma MR, Ferreira LM (2004) Quality of life after reduction mammaplasty. Scand J Plast Reconstr Surg Hand Surg 38:335–339CrossRefPubMed
30.
Zurück zum Zitat Braig D, Eisenhardt SU, Stark GB, Penna V (2016) Impact of increasing age on breast reduction surgery: a single centre analysis. J Plast Reconstr Aesthet Surg 69:482–486CrossRefPubMed Braig D, Eisenhardt SU, Stark GB, Penna V (2016) Impact of increasing age on breast reduction surgery: a single centre analysis. J Plast Reconstr Aesthet Surg 69:482–486CrossRefPubMed
31.
Zurück zum Zitat Saariniemi K, Luukkaala T, Kuokkanen H (2011) The outcome of reduction mammaplasty is affected more by psychosocial factors than by changes in breast dimensions. Scand J Surg 100:105–109CrossRefPubMed Saariniemi K, Luukkaala T, Kuokkanen H (2011) The outcome of reduction mammaplasty is affected more by psychosocial factors than by changes in breast dimensions. Scand J Surg 100:105–109CrossRefPubMed
32.
Zurück zum Zitat Kalliainen LK, Health Policy Committee ASPS (2012) ASPS clinical practice guideline summary on reduction mammaplasty. Plast Reconstr Surg 130:785–789CrossRefPubMed Kalliainen LK, Health Policy Committee ASPS (2012) ASPS clinical practice guideline summary on reduction mammaplasty. Plast Reconstr Surg 130:785–789CrossRefPubMed
33.
Zurück zum Zitat Sood R, Mount DL, Coleman JJ 3rd, Ranieri J, Sauter S, Mathur P, Thurston B (2003) Effects of reduction mammaplasty on pulmonary function and symptoms of macromastia. Plast Reconstr Surg 111:688–694CrossRefPubMed Sood R, Mount DL, Coleman JJ 3rd, Ranieri J, Sauter S, Mathur P, Thurston B (2003) Effects of reduction mammaplasty on pulmonary function and symptoms of macromastia. Plast Reconstr Surg 111:688–694CrossRefPubMed
34.
Zurück zum Zitat Cano SJ, Klassen AF, Scott A, Alderman A, Pusic AL (2014) Interpreting clinical differences in BREAST-Q scores: minimal important difference. Plast Reconstr Surg 134:173–175CrossRef Cano SJ, Klassen AF, Scott A, Alderman A, Pusic AL (2014) Interpreting clinical differences in BREAST-Q scores: minimal important difference. Plast Reconstr Surg 134:173–175CrossRef
Metadaten
Titel
Use of the BREAST-Q™ Survey in the Prospective Evaluation of Reduction Mammaplasty Outcomes
verfasst von
Isaias Vieira Cabral
Edgard da Silva Garcia
Rebecca Neponucena Sobrinho
Natália Lana Larcher Pinto
Yara Juliano
Joel Veiga-Filho
Lydia Masako Ferreira
Daniela Francescato Veiga
Publikationsdatum
09.11.2017
Verlag
Springer US
Erschienen in
Aesthetic Plastic Surgery / Ausgabe 2/2018
Print ISSN: 0364-216X
Elektronische ISSN: 1432-5241
DOI
https://doi.org/10.1007/s00266-017-1009-6

Weitere Artikel der Ausgabe 2/2018

Aesthetic Plastic Surgery 2/2018 Zur Ausgabe

Häusliche Gewalt in der orthopädischen Notaufnahme oft nicht erkannt

28.05.2024 Häusliche Gewalt Nachrichten

In der Notaufnahme wird die Chance, Opfer von häuslicher Gewalt zu identifizieren, von Orthopäden und Orthopädinnen offenbar zu wenig genutzt. Darauf deuten die Ergebnisse einer Fragebogenstudie an der Sahlgrenska-Universität in Schweden hin.

Fehlerkultur in der Medizin – Offenheit zählt!

28.05.2024 Fehlerkultur Podcast

Darüber reden und aus Fehlern lernen, sollte das Motto in der Medizin lauten. Und zwar nicht nur im Sinne der Patientensicherheit. Eine negative Fehlerkultur kann auch die Behandelnden ernsthaft krank machen, warnt Prof. Dr. Reinhard Strametz. Ein Plädoyer und ein Leitfaden für den offenen Umgang mit kritischen Ereignissen in Medizin und Pflege.

Mehr Frauen im OP – weniger postoperative Komplikationen

21.05.2024 Allgemeine Chirurgie Nachrichten

Ein Frauenanteil von mindestens einem Drittel im ärztlichen Op.-Team war in einer großen retrospektiven Studie aus Kanada mit einer signifikanten Reduktion der postoperativen Morbidität assoziiert.

TAVI versus Klappenchirurgie: Neue Vergleichsstudie sorgt für Erstaunen

21.05.2024 TAVI Nachrichten

Bei schwerer Aortenstenose und obstruktiver KHK empfehlen die Leitlinien derzeit eine chirurgische Kombi-Behandlung aus Klappenersatz plus Bypass-OP. Diese Empfehlung wird allerdings jetzt durch eine aktuelle Studie infrage gestellt – mit überraschender Deutlichkeit.

Update Chirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

Karpaltunnelsyndrom BDC Leitlinien Webinare
CME: 2 Punkte

Das Karpaltunnelsyndrom ist die häufigste Kompressionsneuropathie peripherer Nerven. Obwohl die Anamnese mit dem nächtlichen Einschlafen der Hand (Brachialgia parästhetica nocturna) sehr typisch ist, ist eine klinisch-neurologische Untersuchung und Elektroneurografie in manchen Fällen auch eine Neurosonografie erforderlich. Im Anfangsstadium sind konservative Maßnahmen (Handgelenksschiene, Ergotherapie) empfehlenswert. Bei nicht Ansprechen der konservativen Therapie oder Auftreten von neurologischen Ausfällen ist eine Dekompression des N. medianus am Karpaltunnel indiziert.

Prof. Dr. med. Gregor Antoniadis
Berufsverband der Deutschen Chirurgie e.V.

S2e-Leitlinie „Distale Radiusfraktur“

Radiusfraktur BDC Leitlinien Webinare
CME: 2 Punkte

Das Webinar beschäftigt sich mit Fragen und Antworten zu Diagnostik und Klassifikation sowie Möglichkeiten des Ausschlusses von Zusatzverletzungen. Die Referenten erläutern, welche Frakturen konservativ behandelt werden können und wie. Das Webinar beantwortet die Frage nach aktuellen operativen Therapiekonzepten: Welcher Zugang, welches Osteosynthesematerial? Auf was muss bei der Nachbehandlung der distalen Radiusfraktur geachtet werden?

PD Dr. med. Oliver Pieske
Dr. med. Benjamin Meyknecht
Berufsverband der Deutschen Chirurgie e.V.

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

Appendizitis BDC Leitlinien Webinare
CME: 2 Punkte

Inhalte des Webinars zur S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“ sind die Darstellung des Projektes und des Erstellungswegs zur S1-Leitlinie, die Erläuterung der klinischen Relevanz der Klassifikation EAES 2015, die wissenschaftliche Begründung der wichtigsten Empfehlungen und die Darstellung stadiengerechter Therapieoptionen.

Dr. med. Mihailo Andric
Berufsverband der Deutschen Chirurgie e.V.