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Patient satisfaction with nipple‐sparing mastectomy: A prospective study of patient reported outcomes using the BREAST‐Q
Author(s) -
Howard Michael A.,
Sisco Mark,
Yao Katharine,
Winchester David J.,
Barrera Ermilo,
Warner Jeremy,
Jaffe Jennifer,
Hulick Peter,
Kuchta Kristine,
Pusic Andrea L.,
Sener Stephen F.
Publication year - 2016
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.24364
Subject(s) - medicine , patient satisfaction , breast cancer , psychosocial , mastectomy , prospective cohort study , quality of life (healthcare) , complication , surgery , cancer , nursing , psychiatry
Background and Objectives The authors sought to study patient‐reported outcomes following nipple‐sparing mastectomy (NSM). Methods From 2008 to 2011, the BREAST‐Q was administered to women undergoing NSM surgery for cancer treatment or risk‐reduction prior to surgery and at 2 years after completion of reconstruction. The change in score over time and the impact of surgical indication, complication occurrence, and laterality on scores were analyzed. Results The BREAST‐Q was prospectively administered to 39 women undergoing NSM for cancer treatment (n = 17) or risk‐reduction (RR) (n = 22). At 2 years after operation, median overall satisfaction with breasts was 75 (IQR = 67,100). There were significant postoperative increases in scores for overall satisfaction with breasts (+8, P = 0.021) and psychosocial well‐being (+14, P = 0.003). Postoperatively, RR patients had significantly higher scores for psychosocial wellness, physical impact (chest), and overall satisfaction with outcome compared to cancer treatment patients ( P < 0.05). Also, increase from preoperative to postoperative psychosocial wellness was higher in the RR compared to cancer treatment patients (+17 vs. +1, P = 0.043). Complication occurrence did not significantly impact postoperative scores. Conclusions Following NSM for cancer treatment or RR, patients demonstrated high levels of satisfaction and quality of life as measured by BREAST‐Q. Satisfaction level increased 2 years following operation. J. Surg. Oncol. 2016;114:416–422 . © 2016 Wiley Periodicals, Inc.