Measuring Quality of Life in Cosmetic and Reconstructive Breast Surgery: A Systematic Review of Patient-Reported Outcomes Instruments

Pusic, Andrea L.; Chen, Constance M.; Cano, Stefan; Klassen, Anne F.; McCarthy, Colleen M.; Collins, E. Dale; Cordeiro, Peter G.

doi:10.1097/01.prs.0000278162.82906.81

Cited by 235 publications

(139 citation statements)

References 208 publications

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“…4,7,8,24,53 The prospective study design provided longitudinal data and the opportunity to compare the progress and evolution of outcomes in our patient sample with each patient acting as her own control. In addition, because we designed this study to obtain measurements at specified time intervals after breast reconstruction (3 weeks and 3 months), this approach avoided the potential bias inherent in assessing Hr-QOL at various lengths of time after surgery.…”

Section: Discussionmentioning

confidence: 99%

Patient satisfaction and health‐related quality of life after autologous tissue breast reconstruction

Zhong

McCarthy

Min

et al. 2011

Cancer

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174

100

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were asked to complete the BREAST-Q, Hospital Anxiety and Depression Scale (HADS), and Impact of Event Scale (IES) questionnaires before surgery and at 3 weeks and 3 months after surgery. A repeated-measures design was used to compare scores between baseline and postoperative time points. RESULTS: Fifty-one of 55 women completed the questionnaires (response rate, 93%). BREAST-Q subscale scores (breast, sexual well being, and psychosocial well being) improved significantly (P < .05) postoperatively. The other subscale scores related to physical well being of the chest and abdomen dropped significantly 3 weeks after reconstruction; and, by 3 months after reconstruction, both scores improved significantly (P < .05). Large effect sizes for improvements in satisfaction, psychosocial well being, and sexual well being were observed (1.88, 1.2, and 1.31, respectively); whereas deterioration in the effect size for abdominal donor site was reported (À1.56). After adjusting for postoperative complications, there were statistically significant changes in BREAST-Q subscale scores. Changes observed on the HADS and IES provided external validation of the findings obtained on the BREAST-Q. CONCLUSIONS: The current results suggested that the gains in breast satisfaction, psychosocial well being, and sexual well being after patients undergo either free muscle-sparing transverse rectus abdominis myocutaneous flap reconstruction or deep inferior epigastric artery flap reconstruction are statistically significant and clinically meaningful to the patient as early as 3 weeks after surgery. However, these gains are accompanied by significant deterioration in physical well being of the abdominal donor site. Cancer 2012;118:1701-

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Section: Discussionmentioning

confidence: 99%

Patient satisfaction and health‐related quality of life after autologous tissue breast reconstruction

Zhong

McCarthy

Min

et al. 2011

Cancer

Self Cite

174

100

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“…Recentemente, foi demonstrado que a assimetria da mama, medido pelo BCTOS, está significativamente relacionada com um mau funcionamento psicossocial após a CC 29 . Instrumentos genéricos podem desempenhar um papel complementar nos resultados relatados pelo pacientes, mas que não são suficientemente sensíveis para detectar a gama de alterações que ocorrem após cirurgias estéticas e reconstrutivas de mama 23 . O BREAST-Q é um instrumento específico para avaliação do paciente dos resultados em cirurgia estética e reconstrutiva da mama.…”

Section: Resultados Estéticosunclassified

“…A base psicométrica dos instrumentos utilizados no MBROS Body-Image Questionnaire incluiu dois questionários sobre a saúde relacionada à QV: o SF-36 e o FACT-B 56 . O BREAST-Q é um questionário elaborado para avaliar a satisfação e a QV relacionadas à cirurgia 23 . A BCTOS é uma escala designada para a avaliação subjetiva dos resultados estéticos e funcionais após o tratamento do câncer de mama 22 .…”

Section: Fact-b 44unclassified

Avaliação dos resultados estéticos e de qualidade de vida após tratamento cirúrgico do câncer de mama

Santos¹,

Úrban²,

Edelweiss³

et al. 2013

Rev. Bras. Mastol.

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RESUMONos últimos anos, observamos tratamentos cada vez mais conservadores, tanto na mama, como na axila, com uma ampliação nos critérios de cirurgias conservadoras, associação das técnicas de oncoplástica, tratamentos radioterápicos mais direcionados e tratamentos quimioterápicos e hormonais menos agressivos. Todos esses esforços têm como objetivo central melhorar os resultados estéticos e a qualidade de vida das pacientes com câncer de mama. Portanto, tanto a avaliação dos resultados estéticos como da qualidade de vida podem auxiliar os profissionais de saúde e as pacientes nas tomadas de decisões e na abordagem de problemas específicos. Entretanto ainda existem limitações importantes nos métodos existentes de avaliação e o objetivo desta revisão foi apresentar os mesmos, bem como trazer suas principais vantagens e dificuldades para sua aplicação. ABSTRACT In the past years, it is observed that breast cancer treatment is becoming more conservative in the breast

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“…Como señalamos al principio de este trabajo, se percibe su necesidad ya que distintos autores de habla española han usado instrumentos ad hoc (6) o instrumentos desarrollados en otros ámbitos y con otros fines, sin que se haya procedido a su adaptación lingüística o cultural (7) Aunque existen instrumentos específicos de CVRS para CP en el medio anglosajón desde fines del siglo pasado, su uso tampoco está demasiado difundido. Pusic (21) en una revisión realizada a finales de la década pasada encontró 227 instrumentos de CVRS usados en artículos en que se hacía investigación cualitativa en CP y/o Estética de la mama; de todos ellos, solo uno cumplía con los criterios de la Scientific Advisoty Committee del Medical Outcomes Trust for Health-Related Outcomes Measures sobre las cualidades psicométricas que estos instrumentos deben exhibir.…”

Section: Discussionunclassified

Ca-CiP31: Elaboración y validación del primer instrumento de calidad de vida en Cirugía Plástica en español

Kessler

Tudela

Ibáñez-Gual

et al. 2012

Cir. plást. iberolatinoam.

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ResumenLa medición de los resultados percibidos por los pacientes (patient-reported outcomes) ha incrementado notablemente su importancia en Cirugía Estética y Reconstructiva. El objetivo de este estudio es elaborar un nuevo instrumento de medida de Calidad de Vida Relacionada con la Salud (CVRS), para evaluar los resultados que son propios de los pacientes sometidos a Cirugía Plástica en lengua española.Desarrollamos un marco conceptual basado en una revisión de la literatura, grupos focales y entrevistas con pacientes, creando como consecuencia un listado de ítems para un cuestionario inicial. De este cuestionario se eliminaron ítems confusos o sinóni-mos posteriormente se sometió a examen por el grupo focal y se probó en una pequeña muestra de pacientes, que eliminaron ítems poco relevantes, poco claros u ofensivos. El cuestionario revisado fue probado con 240 pacientes de un hospital público y 4 consultas privadas en España. Se seleccionaron otros 40 pacientes no expuestos a cirugía para la prueba test-retest. Se realizaron los tradicionales análisis psicométricos seguidos de los procedimientos y criterios recomendados en la actualidad para comparación con otros instrumentos ya existentes.El análisis factorial mostró hasta 5 factores subyacentes, pero las grandes correlaciones entre ellos los confundían, lo que por congruencia clínica llevó a considerar un único factor que englobaría el concepto de CVRS de los pacientes de Cirugía Plástica. Los resultados obtenidos confirmaron la validez, fiabilidad, aceptabilidad y sensibilidad a los cambios del cuestionario.En conclusión, el Ca-Cip 31 es un nuevo instrumento de CVRS en español para pacientes que se someten a intervenciones de Cirugía Plástica, válido, fiable y sensible a los cambios, útil para usarlo antes y después de la cirugía y capaz de discriminar a pacientes de otros tipos de cirugías; también resulta útil para su uso en la clínica y en estudios observacionales y experimentales.Palabras clave Calidad de vida relacionada con la salud, Valoración de calidad de vida, Calidad de vida en Cirugía Plástica, Cuestionarios. Código numérico 103-1420 AbstractThe measurement of the patient-reported outcomes has been increasing its importance in Cosmetic and Reconstructive surgery. The aim of this study is to develop a new instrument to measure Health Related Quality of Life(HRQoL) to assess the results that are unique to Plastic Surgery patients of Spanish language A conceptual framework was developed, based on a literature review, focus groups, interviews with patients, thus creating a list of items for an initial questionnaire. This questionnaire items were removed when looking confused and then was reviewed by the focus group and tested on a small sample of patients, which eliminated irrelevant items, unclear or offensive.The revised questionnaire was tested with 240 patients from a public hospital and 4 private offices of plastic surgeons in Spain. Another 40 patients not exposed to surgery were selected for the test-retest. There were traditional psychometr...

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Measuring Quality of Life in Cosmetic and Reconstructive Breast Surgery: A Systematic Review of Patient-Reported Outcomes Instruments

Cited by 235 publications

References 208 publications

Patient satisfaction and health‐related quality of life after autologous tissue breast reconstruction

Patient satisfaction and health‐related quality of life after autologous tissue breast reconstruction

Avaliação dos resultados estéticos e de qualidade de vida após tratamento cirúrgico do câncer de mama

Ca-CiP31: Elaboración y validación del primer instrumento de calidad de vida en Cirugía Plástica en español

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