Patient-reported outcome measurements in post-mastectomy implant-based breast reconstruction and radiotherapy: Analysis of BREAST-Q data.

BREAST-Q Implant-based breast reconstruction acellular dermal matrix patient reported outcome measurements peak plasma blade quality of life radiotherapy radiotherapy and breast reconstruction

Journal

Tumori
ISSN: 2038-2529
Titre abrégé: Tumori
Pays: United States
ID NLM: 0111356

Informations de publication

Date de publication:
Jun 2023
Historique:
medline: 6 6 2023
pubmed: 9 7 2022
entrez: 8 7 2022
Statut: ppublish

Résumé

Breast reconstruction has become a standard of care in patients undergoing mastectomy, greatly improving their quality of life. An increasing number of patients-reported outcome measurements (PROMs) have been developed over the years to better analyze patients' subjective overall experience. BREAST-Q is the PROMs for breast surgery introduced in our practice to assess patients' experiences when undergoing implant-based breast reconstruction and radiotherapy along with the use of Peak Plasma Blade and acellular dermal matrix. The pre-operative version of the Reconstruction BREAST-Q was administered to all 88 patients enrolled between December 2017 and December 2018 in the Plastic Reconstructive Surgery Unit at Fondazione IRCCS Istituto Nazionale Tumori Milano through person-to-person interviews, while the post-operative version was administered to the 75 patients who completed a 12-month follow-up (four patients died during one-year follow-up and nine patients had major complications). The survey areas highlighted were: satisfaction with breast, psychosocial well-being, physical well-being and sexual well-being. From BREAST-Q questions regarding Satisfaction With The Appearance Of The Breast and Psychosocial Well-Being outcomes showed significant improvement from pre-operative data, as well as with Satisfaction With Overall Care, with the exception of Physical Well-Being Chest. BREAST-Q allows the assessment of patients' perception, not only for surgical results, but also for the overall experience with surgeons and medical staff.The women enrolled in our study reported an overall good patient satisfaction in most of the analyzed fields.

Sections du résumé

BACKGROUND UNASSIGNED
Breast reconstruction has become a standard of care in patients undergoing mastectomy, greatly improving their quality of life. An increasing number of patients-reported outcome measurements (PROMs) have been developed over the years to better analyze patients' subjective overall experience. BREAST-Q is the PROMs for breast surgery introduced in our practice to assess patients' experiences when undergoing implant-based breast reconstruction and radiotherapy along with the use of Peak Plasma Blade and acellular dermal matrix.
METHODS UNASSIGNED
The pre-operative version of the Reconstruction BREAST-Q was administered to all 88 patients enrolled between December 2017 and December 2018 in the Plastic Reconstructive Surgery Unit at Fondazione IRCCS Istituto Nazionale Tumori Milano through person-to-person interviews, while the post-operative version was administered to the 75 patients who completed a 12-month follow-up (four patients died during one-year follow-up and nine patients had major complications). The survey areas highlighted were: satisfaction with breast, psychosocial well-being, physical well-being and sexual well-being.
RESULTS UNASSIGNED
From BREAST-Q questions regarding Satisfaction With The Appearance Of The Breast and Psychosocial Well-Being outcomes showed significant improvement from pre-operative data, as well as with Satisfaction With Overall Care, with the exception of Physical Well-Being Chest.
CONCLUSIONS UNASSIGNED
BREAST-Q allows the assessment of patients' perception, not only for surgical results, but also for the overall experience with surgeons and medical staff.The women enrolled in our study reported an overall good patient satisfaction in most of the analyzed fields.

Identifiants

pubmed: 35801836
doi: 10.1177/03008916221107715
pmc: PMC10248303
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

295-300

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Auteurs

Laura Sala (L)

Plastic and Reconstructive Surgery Unit, Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy.

Stefano Bonomi (S)

Plastic and Reconstructive Surgery Unit, Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy.

Chiara Maura Ciniselli (CM)

Unit of Bioinformatics and Biostatistics, Department of Applied Research and Technological Development, Fondazione IRCCS Istituto Nazionale Tumori Milan, Italy.

Paolo Verderio (P)

Unit of Bioinformatics and Biostatistics, Department of Applied Research and Technological Development, Fondazione IRCCS Istituto Nazionale Tumori Milan, Italy.

Marta Pastori (M)

Unit of Bioinformatics and Biostatistics, Department of Applied Research and Technological Development, Fondazione IRCCS Istituto Nazionale Tumori Milan, Italy.

Andrea Maurichi (A)

Department of Melanoma Surgery, Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy.

Umberto Cortinovis (U)

Plastic and Reconstructive Surgery Unit, Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy.

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Classifications MeSH