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Erschienen in: Aesthetic Plastic Surgery 2/2017

07.01.2017 | Original Article

Patient Satisfaction and Clinical Outcomes Following 414 Breast Reductions: Application of BREAST-Q

verfasst von: A. Cogliandro, M. Barone, G. Cassotta, S. Tenna, B. Cagli, P. Persichetti

Erschienen in: Aesthetic Plastic Surgery | Ausgabe 2/2017

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Abstract

Background

The aim of this study was to measure breast satisfaction and quality of life using the BREAST-Q Reduction Module in a large sample of postoperative patients having breast reduction using the inverted T technique.

Methods

With due approval from the ethics committee of our university, 414 patients who were seen in consultation for breast reduction surgery between 2005 and 2015 performed by the same team were asked to fill out BREAST-Q surveys. The patient factors collected for all those undergoing breast reduction included age, body mass index, incision pattern, areola complex pedicle used, amount of tissue resected, concurrent procedures, and complications.

Results

At our Department of plastic, reconstructive, and aesthetic surgery, 414 women underwent reduction mammoplasty with the inverted T technique from 2005 to 2015. All patients answered the BREAST-Q reduction mammoplasty postoperative module. Postoperative patients who presented with severe hypertrophy and asymmetry Grade C were more satisfied than others.

Conclusions

Our study represents the largest number of patients who answered the BREAST-Q reduction mammoplasty module. The goal of breast surgery should be the attainment of patient satisfaction with good breast volume, shape, and symmetry.

Level of evidence IV

This journal requires that authors assign a level of evidence to each submission to which Evidence Based Medicine rankings are applicable. This excludes Review Articles, Book Reviews, and manuscripts that concern Basic Science, Animal Studies, Cadaver Studies, and Experimental Studies. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors. http://​www.​springer.​com/​00266
Literatur
2.
Zurück zum Zitat Cano SJ, Klassen AF, Scott AM, Cordeiro PG, Pusic AL (2012) The BREAST-Q: further validation in independent clinical samples. Plast Reconstr Surg 129:293–302CrossRefPubMed Cano SJ, Klassen AF, Scott AM, Cordeiro PG, Pusic AL (2012) The BREAST-Q: further validation in independent clinical samples. Plast Reconstr Surg 129:293–302CrossRefPubMed
3.
Zurück zum Zitat Pusic AL, Klassen AF, Scott AM, Klok JA, Cordeiro PG, Cano SJ (2009) Development of a new patient-reported outcome measure for breast surgery: the BREAST-Q. Plast Reconstr Surg 124:345–353CrossRefPubMed Pusic AL, Klassen AF, Scott AM, Klok JA, Cordeiro PG, Cano SJ (2009) Development of a new patient-reported outcome measure for breast surgery: the BREAST-Q. Plast Reconstr Surg 124:345–353CrossRefPubMed
4.
Zurück zum Zitat Lalardrie JP, Jouglard JP (1982) Reduction mammoplasty: general approach and basic considerations. Aesthet Plast Surg 6:81–83CrossRef Lalardrie JP, Jouglard JP (1982) Reduction mammoplasty: general approach and basic considerations. Aesthet Plast Surg 6:81–83CrossRef
5.
Zurück zum Zitat Persichetti P, Cagli B, Tenna S, Simone P, Marangi GF, Li Vecchi G (2005) Decision making in the treatment of tuberous and tubular breasts: volume adjustment as a crucial stage in the surgical strategy. Aesthet Plast Surg 29:482–488CrossRef Persichetti P, Cagli B, Tenna S, Simone P, Marangi GF, Li Vecchi G (2005) Decision making in the treatment of tuberous and tubular breasts: volume adjustment as a crucial stage in the surgical strategy. Aesthet Plast Surg 29:482–488CrossRef
6.
Zurück zum Zitat Rasch G (1993) Probabilistic models for some intelligence and attainment tests. MESA Press, Chicago, IL Rasch G (1993) Probabilistic models for some intelligence and attainment tests. MESA Press, Chicago, IL
7.
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
8.
Zurück zum Zitat Saariniemi K, Luukkala 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, Luukkala 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
9.
Zurück zum Zitat Hermans BJ, Boeckx WD, De Lorenzi F, van der Hulst RR (2005) Quality of life after breast reduction. Ann Plast Surg 55:227–231CrossRefPubMed Hermans BJ, Boeckx WD, De Lorenzi F, van der Hulst RR (2005) Quality of life after breast reduction. Ann Plast Surg 55:227–231CrossRefPubMed
10.
Zurück zum Zitat Mello AA, Domingos NA, Miyazaki MC (2010) Improvement in quality of life and self-esteem after breast reduction surgery. Aesthet Plast Surg 34:59–64CrossRef Mello AA, Domingos NA, Miyazaki MC (2010) Improvement in quality of life and self-esteem after breast reduction surgery. Aesthet Plast Surg 34:59–64CrossRef
11.
Zurück zum Zitat Sabino Neto M, Demattê MF, Freire M, Garcia EB, Quaresma M, Ferreira LM (2008) Self-esteem and functional capacity outcomes following reduction mammaplasty. Aesthet Surg J 28:417–420CrossRefPubMed Sabino Neto M, Demattê MF, Freire M, Garcia EB, Quaresma M, Ferreira LM (2008) Self-esteem and functional capacity outcomes following reduction mammaplasty. Aesthet Surg J 28:417–420CrossRefPubMed
12.
Zurück zum Zitat Anderson RC, Cunningham B, Tafesse E, Lenderking WR (2006) Validation of the breast evaluation questionnaire for use with breast surgery patients. Plast Reconstr Surg 118:597–602CrossRefPubMed Anderson RC, Cunningham B, Tafesse E, Lenderking WR (2006) Validation of the breast evaluation questionnaire for use with breast surgery patients. Plast Reconstr Surg 118:597–602CrossRefPubMed
13.
Zurück zum Zitat Anderson RC, Cunningham B, Tafesse E, Lenderking WR (2006) Validation of the breast evaluation questionnaire for use with breast surgery patients. Plast Reconstr Surg 118:597–602CrossRefPubMed Anderson RC, Cunningham B, Tafesse E, Lenderking WR (2006) Validation of the breast evaluation questionnaire for use with breast surgery patients. Plast Reconstr Surg 118:597–602CrossRefPubMed
14.
Zurück zum Zitat Kececi Y, Sir E, Gungor M (2015) Patient-reported quality-of-life outcomes of breast reduction evaluated with generic questionnaires and the breast reduction assessed severity scale. Aesthet Surg J 35:48–54CrossRefPubMed Kececi Y, Sir E, Gungor M (2015) Patient-reported quality-of-life outcomes of breast reduction evaluated with generic questionnaires and the breast reduction assessed severity scale. Aesthet Surg J 35:48–54CrossRefPubMed
15.
Zurück zum Zitat Barone M, Cogliandro A, La-Monaca G, Tambone V, Persichetti P (2015) Cognitive investigation study of patients admitted for cosmetic surgery: information, expectations, and consent for treatment. Arch Plast Surg 42:46–51CrossRefPubMedPubMedCentral Barone M, Cogliandro A, La-Monaca G, Tambone V, Persichetti P (2015) Cognitive investigation study of patients admitted for cosmetic surgery: information, expectations, and consent for treatment. Arch Plast Surg 42:46–51CrossRefPubMedPubMedCentral
16.
Zurück zum Zitat Cagli B, Cogliandro A, Barone M, Persichetti P (2014) Quality-of-life outcomes between mastectomy alone and breast reconstruction: comparison of patient-reported BREAST-Q and other health-related quality-of-life measures. Plast Reconstr Surg 133:594e–595eCrossRefPubMed Cagli B, Cogliandro A, Barone M, Persichetti P (2014) Quality-of-life outcomes between mastectomy alone and breast reconstruction: comparison of patient-reported BREAST-Q and other health-related quality-of-life measures. Plast Reconstr Surg 133:594e–595eCrossRefPubMed
17.
Zurück zum Zitat Scott GR, Carson CL, Borah GL (2005) Maximizing outcomes in breast reduction surgery: a review of 518 consecutive patients. Plast Reconstr Surg 116:1633–1639CrossRefPubMed Scott GR, Carson CL, Borah GL (2005) Maximizing outcomes in breast reduction surgery: a review of 518 consecutive patients. Plast Reconstr Surg 116:1633–1639CrossRefPubMed
18.
Zurück zum Zitat Behmand RA, Tang DH, Smith DJ Jr (2000) Outcomes in breast reduction surgery. Ann Plast Surg 45:575–580CrossRefPubMed Behmand RA, Tang DH, Smith DJ Jr (2000) Outcomes in breast reduction surgery. Ann Plast Surg 45:575–580CrossRefPubMed
19.
Zurück zum Zitat Saariniemi K, Luukkala T, Kuokkanen H (2011) The outcome of reduction mammoplasty is affected more by psychosocial factors than by changes in breast dimensions. Scand J Surg 100:105–109CrossRefPubMed Saariniemi K, Luukkala T, Kuokkanen H (2011) The outcome of reduction mammoplasty is affected more by psychosocial factors than by changes in breast dimensions. Scand J Surg 100:105–109CrossRefPubMed
20.
Zurück zum Zitat Mello AA, Domingos NA, Miyazaki MC (2010) Improvement in quality of life and self-esteem after breast reduction surgery. Aesthet Plast Surg 34:59–64CrossRef Mello AA, Domingos NA, Miyazaki MC (2010) Improvement in quality of life and self-esteem after breast reduction surgery. Aesthet Plast Surg 34:59–64CrossRef
21.
Zurück zum Zitat Cohen WA, Homel P, Patel NP (2016) Does time affect patient satisfaction and health-related quality of life after reduction mammoplasty? Eplasty 21(16):e7 Cohen WA, Homel P, Patel NP (2016) Does time affect patient satisfaction and health-related quality of life after reduction mammoplasty? Eplasty 21(16):e7
22.
Zurück zum Zitat Pérez-Panzano E, Güemes-Sánchez A, Gascón-Catalán A (2016) Quality of life following symptomatic macromastia surgery: short- and long-term evaluation. Breast J 22:397–406CrossRefPubMed Pérez-Panzano E, Güemes-Sánchez A, Gascón-Catalán A (2016) Quality of life following symptomatic macromastia surgery: short- and long-term evaluation. Breast J 22:397–406CrossRefPubMed
Metadaten
Titel
Patient Satisfaction and Clinical Outcomes Following 414 Breast Reductions: Application of BREAST-Q
verfasst von
A. Cogliandro
M. Barone
G. Cassotta
S. Tenna
B. Cagli
P. Persichetti
Publikationsdatum
07.01.2017
Verlag
Springer US
Erschienen in
Aesthetic Plastic Surgery / Ausgabe 2/2017
Print ISSN: 0364-216X
Elektronische ISSN: 1432-5241
DOI
https://doi.org/10.1007/s00266-016-0774-y

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