Comparison of post-operative patient satisfaction and health-related quality of life following latissimus dorsi (LD) flap breast reconstruction, deep inferior epigastric perforator (DIEP) flap breast reconstruction and bilateral therapeutic mammoplasty using BREAST-Q questionnaire.
Association of Breast Surgery ePoster Library. Wolska J. 05/13/19; 257079; P035
Ms. Joanna Wolska
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P035
Topic: Breast surgery
Introduction: Patients' post-operative wellbeing determines their perceptions of the impact and effectiveness of breast surgical procedures. The aim of this study is to evaluate and compare patient-reported outcomes following the 3 different types of breast reconstruction. Methods :Patients (n=182) who underwent bilateral therapeutic mammoplasty, LD flap and DIEP flap breast reconstruction at our unit were identified from a retrospective register and were sent BREAST-Q questionnaires. The collected data was analysed using Q-SCORE software to compare post-operative patient satisfaction with breast, outcome and care, and physical, psychosocial and sexual wellbeing. Results: :Seventy-five (41%) responses were received: 26 LD flaps, 26 DIEP flaps and 23 therapeutic mammoplasties. Bilateral therapeutic mammoplasty patients had higher BREAST-Q scores in post-operative satisfaction with breast and psychosocial well-being compared to DIEP flap patient cohort. However, there was no significant difference in physical or sexual wellbeing between these two groups. The LD flap group had relatively high satisfaction with post-operative back appearance. Satisfaction with information, surgeon and office staff was maintained across both DIEP flap and bilateral therapeutic mammoplasty groups but satisfaction with medical team varied. Detailed analysis of specific quality of life scores in correlation with clinical characteristics of each group will be presented. Conclusions:The most important goal of breast reconstruction is to improve quality of life. This study demonstrates patients' perception of body image following breast reconstruction and highlights the importance of post-surgical psychological impact.It suggests that women who undergo bilateral therapeutic mammoplasty report higher satisfaction and quality of life outcomes following surgery.
Topic: Breast surgery
Introduction: Patients' post-operative wellbeing determines their perceptions of the impact and effectiveness of breast surgical procedures. The aim of this study is to evaluate and compare patient-reported outcomes following the 3 different types of breast reconstruction. Methods :Patients (n=182) who underwent bilateral therapeutic mammoplasty, LD flap and DIEP flap breast reconstruction at our unit were identified from a retrospective register and were sent BREAST-Q questionnaires. The collected data was analysed using Q-SCORE software to compare post-operative patient satisfaction with breast, outcome and care, and physical, psychosocial and sexual wellbeing. Results: :Seventy-five (41%) responses were received: 26 LD flaps, 26 DIEP flaps and 23 therapeutic mammoplasties. Bilateral therapeutic mammoplasty patients had higher BREAST-Q scores in post-operative satisfaction with breast and psychosocial well-being compared to DIEP flap patient cohort. However, there was no significant difference in physical or sexual wellbeing between these two groups. The LD flap group had relatively high satisfaction with post-operative back appearance. Satisfaction with information, surgeon and office staff was maintained across both DIEP flap and bilateral therapeutic mammoplasty groups but satisfaction with medical team varied. Detailed analysis of specific quality of life scores in correlation with clinical characteristics of each group will be presented. Conclusions:The most important goal of breast reconstruction is to improve quality of life. This study demonstrates patients' perception of body image following breast reconstruction and highlights the importance of post-surgical psychological impact.It suggests that women who undergo bilateral therapeutic mammoplasty report higher satisfaction and quality of life outcomes following surgery.
P035
Topic: Breast surgery
Introduction: Patients' post-operative wellbeing determines their perceptions of the impact and effectiveness of breast surgical procedures. The aim of this study is to evaluate and compare patient-reported outcomes following the 3 different types of breast reconstruction. Methods :Patients (n=182) who underwent bilateral therapeutic mammoplasty, LD flap and DIEP flap breast reconstruction at our unit were identified from a retrospective register and were sent BREAST-Q questionnaires. The collected data was analysed using Q-SCORE software to compare post-operative patient satisfaction with breast, outcome and care, and physical, psychosocial and sexual wellbeing. Results: :Seventy-five (41%) responses were received: 26 LD flaps, 26 DIEP flaps and 23 therapeutic mammoplasties. Bilateral therapeutic mammoplasty patients had higher BREAST-Q scores in post-operative satisfaction with breast and psychosocial well-being compared to DIEP flap patient cohort. However, there was no significant difference in physical or sexual wellbeing between these two groups. The LD flap group had relatively high satisfaction with post-operative back appearance. Satisfaction with information, surgeon and office staff was maintained across both DIEP flap and bilateral therapeutic mammoplasty groups but satisfaction with medical team varied. Detailed analysis of specific quality of life scores in correlation with clinical characteristics of each group will be presented. Conclusions:The most important goal of breast reconstruction is to improve quality of life. This study demonstrates patients' perception of body image following breast reconstruction and highlights the importance of post-surgical psychological impact.It suggests that women who undergo bilateral therapeutic mammoplasty report higher satisfaction and quality of life outcomes following surgery.
Topic: Breast surgery
Introduction: Patients' post-operative wellbeing determines their perceptions of the impact and effectiveness of breast surgical procedures. The aim of this study is to evaluate and compare patient-reported outcomes following the 3 different types of breast reconstruction. Methods :Patients (n=182) who underwent bilateral therapeutic mammoplasty, LD flap and DIEP flap breast reconstruction at our unit were identified from a retrospective register and were sent BREAST-Q questionnaires. The collected data was analysed using Q-SCORE software to compare post-operative patient satisfaction with breast, outcome and care, and physical, psychosocial and sexual wellbeing. Results: :Seventy-five (41%) responses were received: 26 LD flaps, 26 DIEP flaps and 23 therapeutic mammoplasties. Bilateral therapeutic mammoplasty patients had higher BREAST-Q scores in post-operative satisfaction with breast and psychosocial well-being compared to DIEP flap patient cohort. However, there was no significant difference in physical or sexual wellbeing between these two groups. The LD flap group had relatively high satisfaction with post-operative back appearance. Satisfaction with information, surgeon and office staff was maintained across both DIEP flap and bilateral therapeutic mammoplasty groups but satisfaction with medical team varied. Detailed analysis of specific quality of life scores in correlation with clinical characteristics of each group will be presented. Conclusions:The most important goal of breast reconstruction is to improve quality of life. This study demonstrates patients' perception of body image following breast reconstruction and highlights the importance of post-surgical psychological impact.It suggests that women who undergo bilateral therapeutic mammoplasty report higher satisfaction and quality of life outcomes following surgery.
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