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Evaluation of the satisfaction of patients who underwent breast reduction surgery with Breast-Q questionnaire

Year 2020, Volume: 45 Issue: 2, 468 - 474, 30.06.2020
https://doi.org/10.17826/cumj.658202

Abstract

Purpose: The aim of this study is to evaluate the influence of patient demographics, operative techniques and post-operative care on patient satisfaction after breast reduction operations were evaluated in this study.
Materials and Methods: Patients who undergo breast reduction surgery were offered to fulfil Breast-Q reduction module survey in pre-operative and post-operative sixth month period. Patient data such as age, height, weight, smoking, marital status and parenting have been recorded. Operative variances such as drain use and cutaneous stitches and complications, post-operative discharge days, staying in a private room were recorded with post-operative survey module.
Results: Seventy-six patients were included in this study. The average age was 45.8 and mean body mass index (BMI) was 29.2. Post-operative satisfaction with breasts, psychosocial, sexual and physical wellbeing scores were significantly higher than pre-operative scores. Older women had higher pre-operative scores from satisfaction with breasts and psychosocial wellbeing. Younger patients and normal weight patients had higher scores from post-operative physical wellbeing. Satisfaction with breasts, sexual and physical wellbeing, satisfaction with information, surgeon and medical stuff scores were significantly lower in patients who had a post-operative complication.
Conclusion: Surgery without complications is the most powerful factor that increases patient satisfaction. Patient demographics such as age and BMI can be used for patient selection for higher patient satisfaction.

References

  • 1. American Society of Plastic Surgeons. 2018 National Plastic Surgery Statistics.
  • 2. Cogliandro A, Barone M, Cassotta G, Tenna S, Cagli B, Persichetti P. Patient Satisfaction and Clinical Outcomes Following 414 Breast Reductions: Application of BREAST-Q. Aesthetic plastic surgery. 2017;41(2):245-9.
  • 3. Coriddi M, Nadeau M, Taghizadeh M, Taylor A. Analysis of satisfaction and well-being following breast reduction using a validated survey instrument: the BREAST-Q. Plastic and reconstructive surgery. 2013;132(2):285-90.
  • 4. Gonzalez MA, Glickman LT, Aladegbami B, Simpson RL. Quality of life after breast reduction surgery: a 10-year retrospective analysis using the Breast Q questionnaire: does breast size matter? Annals of plastic surgery. 2012;69(4):361-3.
  • 5. Mello AA, Domingos NA, Miyazaki MC. Improvement in quality of life and self-esteem after breast reduction surgery. Aesthetic plastic surgery. 2010;34(1):59-64.
  • 6. Correa MPD, Dornelas MT, de Carvalho EN, Barra A, Venturelli EP, Jr., Correa LD, et al. Assessment of quality of life in patients who underwent breast reduction using BREAST-Q. Journal of plastic, reconstructive & aesthetic surgery : JPRAS. 2018;71(6):929-31.
  • 7. Derby BM, Grotting JC, Redden DT. Vertical Sculpted Pillar Reduction Mammaplasty in 317 Patients: Technique, Complications, and BREAST-Q Outcomes. Aesthetic surgery journal. 2016;36(4):417-30.
  • 8. Menendez-Cardo A, Guillen-Grima F, Hontanilla B. Analysis of satisfaction after breast reduction comparing vertical scar versus inverted T-shaped technique using the Breast-Q questionnaire. Is patient satisfaction influenced by the amount of tissue removed? Journal of plastic surgery and hand surgery. 2017;51(6):414-9.
  • 9. Pusic AL, Klassen AF, Scott AM, Klok JA, Cordeiro PG, Cano SJ. Development of a new patient-reported outcome measure for breast surgery: the BREAST-Q. Plastic and reconstructive surgery. 2009;124(2):345-53.
  • 10. Shekhawat L, Busheri L, Dixit S, Patel C, Dhar U, Koppiker C. Patient-Reported Outcomes Following Breast Reconstruction Surgery and Therapeutic Mammoplasty: Prospective Evaluation 1 Year Post-Surgery with BREAST-Q Questionnaire. Indian journal of surgical oncology. 2015;6(4):356-62.
  • 11. Pusic AL, Chen CM, Cano S, Klassen A, McCarthy C, Collins ED, et al. Measuring quality of life in cosmetic and reconstructive breast surgery: a systematic review of patient-reported outcomes instruments. Plastic and reconstructive surgery. 2007;120(4):823-37; discussion 38-9.
  • 12. Cohen WA, Homel P, Patel NP. Does Time Affect Patient Satisfaction and Health-Related Quality of Life After Reduction Mammoplasty? Eplasty. 2016;16:e7.
  • 13. Findikcioglu K, Findikcioglu F, Bulam H, Sezgin B, Ozmen S. The impact of breast reduction surgery on the vertebral column. Annals of plastic surgery. 2013;70(6):639-42.
  • 14. von Sperling ML, Hoimyr H, Finnerup K, Jensen TS, Finnerup NB. Chronic postoperative pain and sensory changes following reduction mammaplasty. Scandinavian journal of pain. 2011;2(2):57-61.
  • 15. Braig D, Eisenhardt SU, Stark GB, Penna V. Impact of increasing age on breast reduction surgery: A single centre analysis. Journal of plastic, reconstructive & aesthetic surgery : JPRAS. 2016;69(4):482-6.
  • 16. Heddens CJ. Breast reduction for the older woman. Plastic surgical nursing : official journal of the American Society of Plastic and Reconstructive Surgical Nurses. 2000;20(3):141-3, 70.
  • 17. Shermak MA, Chang D, Buretta K, Mithani S, Mallalieu J, Manahan M. Increasing age impairs outcomes in breast reduction surgery. Plastic and reconstructive surgery. 2011;128(6):1182-7.
  • 18. Guemes A, Perez E, Sousa R, Gil I, Valcarreres MP, Carrera P, et al. Quality of Life and Alleviation of Symptoms After Breast Reduction for Macromastia in Obese Patients: Is Surgery Worth It? Aesthetic plastic surgery. 2016;40(1):62-70.
  • 19. Karamanos E, Wei B, Siddiqui A, Rubinfeld I. Tobacco Use and Body Mass Index as Predictors of Outcomes in Patients Undergoing Breast Reduction Mammoplasty. Annals of plastic surgery. 2015;75(4):383-7.
  • 20. Kosins AM, Scholz T, Cetinkaya M, Evans GR. Evidence-based value of subcutaneous surgical wound drainage: the largest systematic review and meta-analysis. Plastic and reconstructive surgery. 2013;132(2):443-50.
  • 21. Sugrue CM, McInerney N, Joyce CW, Jones D, Hussey AJ, Kelly JL, et al. Current practice patterns of drain usage amongst UK and Irish surgeons performing bilateral breast reductions: Evidence down the drain. Journal of plastic surgery and hand surgery. 2015;49(6):363-6.
  • 22. Hall-Findlay EJ, Shestak KC. Breast Reduction. Plastic and reconstructive surgery. 2015;136(4):531e-44e.
  • 23. Hillam JS, Borsting EA, Chim JH, Thaller SR. Smoking as a risk factor for breast reduction: An analysis of 13,503 cases. Journal of plastic, reconstructive & aesthetic surgery : JPRAS. 2017;70(6):734-40.
  • 24. Myung Y, Heo CY. Relationship Between Obesity and Surgical Complications After Reduction Mammaplasty: A Systematic Literature Review and Meta-Analysis. Aesthetic surgery journal. 2017;37(3):308-15.
  • 25. Wirthmann AE, Welsch L, Wellenbrock SV, Kasper L, Schlosshauer T, Bozkurt A, et al. Reduction mammoplasty in adolescents and elderly: A ten year case series analyzing age related outcome with focus on safety and complications. Journal of plastic, reconstructive & aesthetic surgery : JPRAS. 2018;71(3):377-83.

Meme küçültme ameliyatı olan hastaların memnuniyetinin Breast-Q anketi ile değerlendirilmesi

Year 2020, Volume: 45 Issue: 2, 468 - 474, 30.06.2020
https://doi.org/10.17826/cumj.658202

Abstract

Amaç: Bu çalışmada meme küçültme amelyiatı sonrası, hasta demografik özellikleri, ameliyat teknikleri ve ameliyat sonrası bakımın hasta memnuniyetine etkisi değerlendirilmiştir.
Gereç ve Yöntem: Meme küçültme ameliyatı geçiren hastalar arasından, ameliyat öncesi ve ameliyat sonrası altıncı aylık dönemde Breast-Q meme redüksiyonu modülü anketi doldurmayı kabul eden hastalar çalışmaya dahil edildi. Hastaların evlilik durumları, çocuk sahibi olup olmadıkları, sigara kullanımı, boy ve kiloları, yaşları ameliyat öncesinde sorularak kaydedildi. Ameliyat sonrası dren kullanılıp kullanılmadığı, cilt dikişleri olup olmadığı, herhangi bir komplikasyon gelişip gelişmediği, postoperatif yatış gün sayısı, hastanede kaldığı odada başka hasta bulunup bulunmadığı sorgulanarak kayıt altına alındı.
Bulgular: Çalışmaya 76 hasta dahil edildi. Ortalama yaş 45.8 ve ortalama vücut kitle indeksi (VKİ) 29.2 idi. Ameliyat sonrası memelerden tatmin, psikososyal, cinsel ve fiziksel iyilik hali puanları ameliyat öncesi puanlardan anlamlı derecede yüksekti. Yaşlı kadınlarda memelerden memnuniyet ve psikososyal iyilik hali ameliyat öncesi puanlarda daha yüksekti. Genç hastalar ve normal kilolu hastalar ameliyat sonrası fiziksel iyilikten daha yüksek puan aldı. Ameliyat sonrası komplikasyonu olan hastalarda memelerden memnuniyet, cinsel ve fiziksel iyilik hali, bilgi memnuniyeti, cerrah ve tıbbi malzeme puanları anlamlı olarak düşüktü.
Sonuç: Komplikasyon olmayan cerrahinin, hasta memnuniyetini artıran en güçlü faktör olduğu görüldü. Yaş ve VKİ gibi hasta demografisi bilgileri, hasta memnuniyetini arttırmak için hasta seçiminde kullanılabilecek kriterlerdir.

References

  • 1. American Society of Plastic Surgeons. 2018 National Plastic Surgery Statistics.
  • 2. Cogliandro A, Barone M, Cassotta G, Tenna S, Cagli B, Persichetti P. Patient Satisfaction and Clinical Outcomes Following 414 Breast Reductions: Application of BREAST-Q. Aesthetic plastic surgery. 2017;41(2):245-9.
  • 3. Coriddi M, Nadeau M, Taghizadeh M, Taylor A. Analysis of satisfaction and well-being following breast reduction using a validated survey instrument: the BREAST-Q. Plastic and reconstructive surgery. 2013;132(2):285-90.
  • 4. Gonzalez MA, Glickman LT, Aladegbami B, Simpson RL. Quality of life after breast reduction surgery: a 10-year retrospective analysis using the Breast Q questionnaire: does breast size matter? Annals of plastic surgery. 2012;69(4):361-3.
  • 5. Mello AA, Domingos NA, Miyazaki MC. Improvement in quality of life and self-esteem after breast reduction surgery. Aesthetic plastic surgery. 2010;34(1):59-64.
  • 6. Correa MPD, Dornelas MT, de Carvalho EN, Barra A, Venturelli EP, Jr., Correa LD, et al. Assessment of quality of life in patients who underwent breast reduction using BREAST-Q. Journal of plastic, reconstructive & aesthetic surgery : JPRAS. 2018;71(6):929-31.
  • 7. Derby BM, Grotting JC, Redden DT. Vertical Sculpted Pillar Reduction Mammaplasty in 317 Patients: Technique, Complications, and BREAST-Q Outcomes. Aesthetic surgery journal. 2016;36(4):417-30.
  • 8. Menendez-Cardo A, Guillen-Grima F, Hontanilla B. Analysis of satisfaction after breast reduction comparing vertical scar versus inverted T-shaped technique using the Breast-Q questionnaire. Is patient satisfaction influenced by the amount of tissue removed? Journal of plastic surgery and hand surgery. 2017;51(6):414-9.
  • 9. Pusic AL, Klassen AF, Scott AM, Klok JA, Cordeiro PG, Cano SJ. Development of a new patient-reported outcome measure for breast surgery: the BREAST-Q. Plastic and reconstructive surgery. 2009;124(2):345-53.
  • 10. Shekhawat L, Busheri L, Dixit S, Patel C, Dhar U, Koppiker C. Patient-Reported Outcomes Following Breast Reconstruction Surgery and Therapeutic Mammoplasty: Prospective Evaluation 1 Year Post-Surgery with BREAST-Q Questionnaire. Indian journal of surgical oncology. 2015;6(4):356-62.
  • 11. Pusic AL, Chen CM, Cano S, Klassen A, McCarthy C, Collins ED, et al. Measuring quality of life in cosmetic and reconstructive breast surgery: a systematic review of patient-reported outcomes instruments. Plastic and reconstructive surgery. 2007;120(4):823-37; discussion 38-9.
  • 12. Cohen WA, Homel P, Patel NP. Does Time Affect Patient Satisfaction and Health-Related Quality of Life After Reduction Mammoplasty? Eplasty. 2016;16:e7.
  • 13. Findikcioglu K, Findikcioglu F, Bulam H, Sezgin B, Ozmen S. The impact of breast reduction surgery on the vertebral column. Annals of plastic surgery. 2013;70(6):639-42.
  • 14. von Sperling ML, Hoimyr H, Finnerup K, Jensen TS, Finnerup NB. Chronic postoperative pain and sensory changes following reduction mammaplasty. Scandinavian journal of pain. 2011;2(2):57-61.
  • 15. Braig D, Eisenhardt SU, Stark GB, Penna V. Impact of increasing age on breast reduction surgery: A single centre analysis. Journal of plastic, reconstructive & aesthetic surgery : JPRAS. 2016;69(4):482-6.
  • 16. Heddens CJ. Breast reduction for the older woman. Plastic surgical nursing : official journal of the American Society of Plastic and Reconstructive Surgical Nurses. 2000;20(3):141-3, 70.
  • 17. Shermak MA, Chang D, Buretta K, Mithani S, Mallalieu J, Manahan M. Increasing age impairs outcomes in breast reduction surgery. Plastic and reconstructive surgery. 2011;128(6):1182-7.
  • 18. Guemes A, Perez E, Sousa R, Gil I, Valcarreres MP, Carrera P, et al. Quality of Life and Alleviation of Symptoms After Breast Reduction for Macromastia in Obese Patients: Is Surgery Worth It? Aesthetic plastic surgery. 2016;40(1):62-70.
  • 19. Karamanos E, Wei B, Siddiqui A, Rubinfeld I. Tobacco Use and Body Mass Index as Predictors of Outcomes in Patients Undergoing Breast Reduction Mammoplasty. Annals of plastic surgery. 2015;75(4):383-7.
  • 20. Kosins AM, Scholz T, Cetinkaya M, Evans GR. Evidence-based value of subcutaneous surgical wound drainage: the largest systematic review and meta-analysis. Plastic and reconstructive surgery. 2013;132(2):443-50.
  • 21. Sugrue CM, McInerney N, Joyce CW, Jones D, Hussey AJ, Kelly JL, et al. Current practice patterns of drain usage amongst UK and Irish surgeons performing bilateral breast reductions: Evidence down the drain. Journal of plastic surgery and hand surgery. 2015;49(6):363-6.
  • 22. Hall-Findlay EJ, Shestak KC. Breast Reduction. Plastic and reconstructive surgery. 2015;136(4):531e-44e.
  • 23. Hillam JS, Borsting EA, Chim JH, Thaller SR. Smoking as a risk factor for breast reduction: An analysis of 13,503 cases. Journal of plastic, reconstructive & aesthetic surgery : JPRAS. 2017;70(6):734-40.
  • 24. Myung Y, Heo CY. Relationship Between Obesity and Surgical Complications After Reduction Mammaplasty: A Systematic Literature Review and Meta-Analysis. Aesthetic surgery journal. 2017;37(3):308-15.
  • 25. Wirthmann AE, Welsch L, Wellenbrock SV, Kasper L, Schlosshauer T, Bozkurt A, et al. Reduction mammoplasty in adolescents and elderly: A ten year case series analyzing age related outcome with focus on safety and complications. Journal of plastic, reconstructive & aesthetic surgery : JPRAS. 2018;71(3):377-83.
There are 25 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Research
Authors

Ersin Akşam 0000-0003-3123-0397

Meltem Oral 0000-0002-7082-9186

Publication Date June 30, 2020
Acceptance Date February 24, 2020
Published in Issue Year 2020 Volume: 45 Issue: 2

Cite

MLA Akşam, Ersin and Meltem Oral. “Evaluation of the Satisfaction of Patients Who Underwent Breast Reduction Surgery With Breast-Q Questionnaire”. Cukurova Medical Journal, vol. 45, no. 2, 2020, pp. 468-74, doi:10.17826/cumj.658202.