Predictive factors of satisfaction and quality of life after immediate breast reconstruction using the <scp>BREAST</scp>‐Q<sup>©</sup>

Cereijo-Garea, Carmen; Pita-Fernández, Salvador; Nebril, Benigno Acea; Rey-Villar, Raquel; Novoa, Alejandra García; Varela-Lamas, Cristina; Builes-Ramírez, Sergio; Seoane-Pillado, Teresa; Balboa‐Barreiro, Vanesa

doi:10.1111/jocn.14291

Cited by 24 publications

(29 citation statements)

References 47 publications

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“…Lastly, one study also found that patients who took anxiolytics also presented higher odds of having lower sexual well‐being after breast reconstruction.…”

Section: Resultsmentioning

confidence: 96%

“…Presence of lymphedema was identified as a significant predictor of lower physical well‐being on the chest, role function, cognitive function, and body image…”

Section: Resultsmentioning

confidence: 99%

“…Regarding the type of mastectomy, three studies out of four (75%) found that patients who underwent nipple‐sparing mastectomy reported significantly higher psychosocial and sexual well‐being, when compared with non‐nipple‐sparing surgeries. Skin sparing mastectomy has also been found to better preserve physical well‐being (in the chest), compared with modified radical mastectomy …”

Section: Resultsmentioning

confidence: 99%

“…Four studies out of six (67%) reported that chemotherapy was associated with low levels of psychosocial, sexual, and social function, and an overall lower quality of life . One study found that patients who underwent immunotherapy presented higher odds of having lower psychosocial and sexual well‐being …”

Section: Resultsmentioning

confidence: 99%

“…Understanding which factors are more likely to affect the quality of life after this procedure is of great clinical importance to help prevent postreconstruction adjustment problems and decisional regret . Previous reviews discussed the role of surgical variables as possible risk factors .…”

Section: Introductionmentioning

confidence: 99%

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A systematic review of factors affecting quality of life after postmastectomy breast reconstruction in women with breast cancer

et al. 2019

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Objective The aim of this study is to present a broader perspective of factors affecting the quality of life after postmastectomy breast reconstruction in women with breast cancer by considering these patients' self‐reported outcomes. Methods The search was performed from 29 March to 19 April 2019, on the following databases: PsycInfo; Web of Science Core Collection, Current Contents Connect, Derwent Innovations Index, KCI‐Korean Journal Database, Russian Science Citation Index, SciELO Citation Index, and MEDLINE. The studies were included if they identified factors affecting self‐reported quality of life after breast reconstruction, in women with breast cancer. Results One hundred and twenty‐two records were identified. After quality assessment, 44 studies were included for qualitative synthesis. This review comprised a total of 16 683 women who underwent breast reconstruction. The results identified a broad collection of 32 empirically based variables associated with several domains of quality of life. These variables were grouped into four categories: (a) surgical, (b) clinical, (c) psychosocial, and (d) sociodemographic variables. Conclusions This systematic review goes beyond surgical factors of morbidity and uses patient‐reported outcomes to scope wider issues that influence quality of life, such as psychosocial and sociodemographic variables. It sustains the need to adopt a more holistic approach and advises the consideration of preoperative psychosocial factors to better understand these patients' quality of life after breast reconstruction and to implement future preventive measures.

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“…Lastly, one study also found that patients who took anxiolytics also presented higher odds of having lower sexual well‐being after breast reconstruction.…”

Section: Resultsmentioning

confidence: 96%

“…Presence of lymphedema was identified as a significant predictor of lower physical well‐being on the chest, role function, cognitive function, and body image…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A systematic review of factors affecting quality of life after postmastectomy breast reconstruction in women with breast cancer

et al. 2019

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Methods in regression analysis in surgical oncology research‐best practice guidelines

Boe,

Vingan,

Kim

et al. 2023

Journal of Surgical Oncology

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BackgroundUsing real working examples, we provide strategies and address challenges in linear and logistic regression to demonstrate best practice guidelines and pitfalls of regression modeling in surgical oncology research.MethodsTo demonstrate our best practices, we reviewed patients who underwent tissue expander breast reconstruction between 2019 and 2021. We assessed predictive factors that affect BREAST‐Q Physical Well‐Being of the Chest (PWB‐C) scores at 2 weeks with linear regression modeling and overall complications and malrotation with logistic regression modeling. Model fit and performance were assessed.ResultsThe 1986 patients were included in the analysis. In linear regression, age [β = 0.18 (95% CI: 0.09, 0.28); p < 0.001], single marital status [β = 2.6 (0.31, 5.0); p = 0.026], and prepectoral pocket dissection [β = 4.6 (2.7, 6.5); p < 0.001] were significantly associated with PWB‐C at 2 weeks. For logistic regression, BMI [OR = 1.06 (95% CI: 1.04, 1.08); p < 0.001], age [OR = 1.02 (1.01, 1.03); p = 0.002], bilateral reconstruction [OR = 1.39 (1.09, 1.79); p = 0.009], and prepectoral dissection [OR = 1.53 (1.21, 1.94); p < 0.001] were associated with increased likelihood of a complication.ConclusionWe provide focused directives for successful application of regression techniques in surgical oncology research. We encourage researchers to select variables with clinical judgment, confirm appropriate model fitting, and consider clinical plausibility for interpretation when utilizing regression models in their research.

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EAR-Q outcomes in healthy adults: determining normative data

Wolters,

de Henau,

Piatkowski de Grzymala

2024

Eur J Plast Surg

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Background Patient reported outcome measures (PROMs) are gaining importance in research and as a clinical tool to measure pre- and post-surgical patient satisfaction. The EAR-Q, an example of a clinically used PROM, focuses on patient satisfaction regarding their ears. However, the absence of EAR-Q scores in adults without external ear conditions causes challenging interpretation of the results in patients with ear conditions. Therefore, this study aims to find normative data for scales of the EAR-Q in healthy adults. Methods This cross-sectional, single centre study included 515 healthy adults without conditions of the external ears. The participants filled in an online questionnaire with questions from the EAR-Q scales. A Rasch score between 0 and 100 was calculated, in which higher scores correlate with more satisfaction of that particular scale. Results Mean scores for the EAR-Q ± standard deviation were: appearance 74 ± 20, adverse effects 94 ± 9, appearance distress 78 ± 14, psychological 64 ± 15 and social 66 ± 13. There was no difference in appearance scale between males and females; however, females scored lower on the appearance distress scale and psychological scale. Participants aged 30 and older scored higher on the appearance scale and appearance distress scale. Conclusions This is the first study to generate normative data for the EAR-Q in an adult population without ear conditions. The presented findings and normal scores support future research and clinical implementation of the EAR-Q. Clinicians can guide decision-making with these normative data as a reference point. Level of Evidence: Not gradable

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Predictive factors of satisfaction and quality of life after immediate breast reconstruction using the BREAST‐Q^©

Cited by 24 publications

References 47 publications

A systematic review of factors affecting quality of life after postmastectomy breast reconstruction in women with breast cancer

A systematic review of factors affecting quality of life after postmastectomy breast reconstruction in women with breast cancer

Methods in regression analysis in surgical oncology research‐best practice guidelines

EAR-Q outcomes in healthy adults: determining normative data

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Predictive factors of satisfaction and quality of life after immediate breast reconstruction using the BREAST‐Q©

Cited by 24 publications

References 47 publications

A systematic review of factors affecting quality of life after postmastectomy breast reconstruction in women with breast cancer

A systematic review of factors affecting quality of life after postmastectomy breast reconstruction in women with breast cancer

Methods in regression analysis in surgical oncology research‐best practice guidelines

EAR-Q outcomes in healthy adults: determining normative data

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Product

Resources

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Predictive factors of satisfaction and quality of life after immediate breast reconstruction using the BREAST‐Q^©