Acceptance of contralateral reduction mammoplasty after oncoplastic breast conserving surgery: A semi-structured qualitative interview study

Smeele, Hansje P.; Willebois, Eline M L van der Does de; Eltahir, Yassir; Bock, Geertruida H. de; Aalst, Vera C. van; Jansen, Liesbeth

doi:10.1016/j.breast.2019.03.008

Cited by 14 publications

(6 citation statements)

References 30 publications

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“…The individual interview was regarded as an effective approach in obtaining information since participants will disclose their detailed and precise thoughts and feelings about the intervention phenomena (Kruger et al, 2019). The semi-structured, face-to-face individual interview technique is also in line with prior research (Downey et al, 2018;Erlandsson et al, 2013;Musa et al, 2020;Smeele et al, 2019). To ensure validity and reliability, the interview questions were obtained from the validated MAKE instrument (Haruna et al, 2019a), data were audio recorded and transcribed verbatim, member checking was used for quality and independent research assistants unrelated to this research were requested to help on an inter-rater reliability check, which obtained a good Kappa of 0.84.…”

Section: Validity and Reliabilitymentioning

confidence: 99%

Enhancing instructional outcomes with a serious gamified system: a qualitative investigation of student perceptions

Haruna

Abbas

Zainuddin

et al. 2021

ILS

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Purpose This paper aims to evaluate the students’ perception of their learning experiences concerning serious gaming and gamification instructions and determines whether they were motivated enough and engaged during the educative process in a resource-poor context. Moreover, the study evaluated the impact of interactive instructional environment outcomes in terms of students’ perceptions of the learning catalysed by gamified systems, particularly in enhancing attitude change coupled with knowledge acquisition. Design/methodology/approach This study used a qualitative research design technique to collect the data. A total of 108 first year secondary school students participated in a sexual health literacy course that lasted for a five-week learning period. Using a cluster-sampling technique, three classes were randomly assigned to serious gaming, gamification and teacher-centred instructions. Individual face-to-face interviews were used to assess students’ perceives required satisfaction with three instructions. Data were audio-recorded, and coding analysis was used using NVivo software facilitated qualitative data analysis. Findings The results show that serious gaming and gamification instructions trumped the traditional teacher-centred instruction method. While intervention students were all positive about the serious gaming and gamification instructions, non-intervention students were negative about conservative teacher-centered learning whose limited interactivity also undermined learning relative to the two innovative interventions. Research limitations/implications As a justification to limit face-to-face classes, this study may be useful during an emergency phenomenon, including the current situation of amid COVID-19. The implementation of serious gaming and gamification as remotely instructional options could be among the measures to protect educational communities through reducing close-proximity, and eventually, control contamination and the spread of viruses. Originality/value The application of serious gaming and game elements should not be conceptualised as universal but context-specific. This study shows that particularism is essential to optimise the results in terms of coming up with a specific design based on the scope of evaluation for positive results and develop an intervention that will work, especially in the resource-poor context of the developing world.

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Section: Validity and Reliabilitymentioning

confidence: 99%

Enhancing instructional outcomes with a serious gamified system: a qualitative investigation of student perceptions

Haruna

Abbas

Zainuddin

et al. 2021

ILS

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“…As symmetry is presented to be of great importance for patient satisfaction [14, 17, 21], many breast centers also operate on the contralateral breast in the primary setting to ensure postoperative symmetry. However, there are no firm guidelines specifying in which cases contralateral surgery should be performed, and a recent interview study showed that patients accept a slight asymmetry due to concerns regarding risks with surgery and the will to preserve the untouched contralateral, healthy breast [22].…”

Section: Introductionmentioning

confidence: 99%

Patient satisfaction after unilateral oncoplastic volume displacement surgery for breast cancer, evaluated with the BREAST-Q™

2019

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Background Oncoplastic breast-conserving surgery allows larger resections in unfavorable locations, with an improved chance of preserving esthetics. Indications and timing for potential contralateral surgery to obtain symmetry are not clear. The aim of this study was to evaluate patient satisfaction after unilateral oncoplastic volume displacement surgery, to investigate potential risk factors for lower patient satisfaction and to assess patient wish for contralateral surgery. Method A cohort of 144 women, consecutively treated for breast cancer with unilateral breast-conserving oncoplastic volume displacement surgery, followed by radiotherapy and with an unoperated contralateral breast, was sent the BREAST-Q™ breast-conserving therapy (BCT) and a study-specific questionnaire. In all, 120 women (83%) responded. For these women, the median value for resected specimen weight was 92 g (range 14–345) and for the estimated percentage of the breast volume excised 15% (range 3–35%). Results The median patient-reported score for “Satisfaction with breast” (BREAST-Q™ BCT) was 74/100. Factors associated with a score below median value in a simple logistic regression model adjusted for age and BMI were axillary clearance (OR 2.46, 95% CI 1.09–5.56), neoadjuvant chemotherapy (OR 3.26, 95% CI 1.15–9.24), and low breast density (OR 2.32 95% CI 1.02–5.29). Thirteen women (11%) were interested in contralateral surgery. Conclusion Most patients in this study cohort, who had undergone breast-conserving therapy with oncoplastic volume displacement techniques, were satisfied with their breasts without surgery to the contralateral breast. This indicates that contralateral surgery to achieve symmetry only should be performed after individual evaluation and as a delayed procedure.

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“…Similarly, Gómez-Pedraza et al concluded that rehabilitation of masticatory function improved the patient's systemic and nutritional status, with coverage of the esthetic defect, and these outcomes reduced the psychological and emotional effects of tumor ablation [ 15 ]. Previous studies have argued that a failed repair of facial defects during the first-stage treatment leads to leftover hypertrophic scars which would increase the difficulties of the second-stage surgery and impose a substantial economic burden and mental pressure [ 22 , 23 ]. Heil et al [ 24 ] stated that under the influence of factors such as tension, the scars at the repaired site are more visible with traditional repair, but the alignment outcome is undesirable.…”

Section: Discussionmentioning

confidence: 99%

The Tumor Plastic Surgery Technology versus Traditional Repair Technology on the Repair of Large-Area Skin Defects after Maxillofacial Tumor Resection: A Randomized Controlled Trial

Zhang

Chu

Yang³

et al. 2022

Journal of Oncology

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Objective. To explore the effect of tumor plastic surgery on the repair of large-area skin defects after maxillofacial tumor resection. Methods. 90 patients undergoing maxillofacial tumor resection in our hospital from March 2019 to March 2020 were selected and randomized 1 : 1 to receive either tumor plastic surgery (experimental group) or traditional repair (control group). The clinical efficacy and facial cosmetic improvement of the two groups were compared. The Patient and Observer Scar Assessment Scale (POSAS) was used to evaluate the surgical outcomes of the two groups, the Profile of Mood States (POMS) was used to evaluate the patients’ psychological status, and the Generic Quality of Life Inventory-74 (GQOLI-74) was used to assess the quality of life of patients. Results. Total clinical effective rate of the experimental group was significantly higher than that of the control group ( p < 0.001 ). A higher excellent rate of facial cosmetic improvement was observed in the experimental group versus the control group ( p < 0.001 ). Significantly lower POSAS scores of the experimental group than the control group were observed ( p < 0.001 ). The POMS scores of the experimental group after treatment were lower than those of the control group ( p < 0.001 ). Tumor plastic surgery resulted in a remarkably higher GQOLI-74 score in the patients versus traditional repair ( p < 0.001 ). Conclusion. Tumor plastic surgery is a promising alternative for patients undergoing maxillofacial tumor resection. It can effectively promote the recovery of facial morphology and physiological function of patients, with high clinical efficacy, so it merits promotion and application.

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Acceptance of contralateral reduction mammoplasty after oncoplastic breast conserving surgery: A semi-structured qualitative interview study

Cited by 14 publications

References 30 publications

Enhancing instructional outcomes with a serious gamified system: a qualitative investigation of student perceptions

Enhancing instructional outcomes with a serious gamified system: a qualitative investigation of student perceptions

Patient satisfaction after unilateral oncoplastic volume displacement surgery for breast cancer, evaluated with the BREAST-Q™

The Tumor Plastic Surgery Technology versus Traditional Repair Technology on the Repair of Large-Area Skin Defects after Maxillofacial Tumor Resection: A Randomized Controlled Trial

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