Optimal assessment tools in assessing breast surgery: patient reported outcome measures (PROMs) vs. objective measures

Morley, Rachel; Leech, Tristan

doi:10.21037/gs.2019.02.04

Cited by 15 publications

(8 citation statements)

References 49 publications

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“…This study extends on previous knowledge of patients' satisfaction, 20 by providing subjective perspectives and further highlighting the various aspects of breast augmentation that led to satisfaction. In healthcare, satisfaction can be considered as the extent to which the participants feel they have received high-quality healthcare.…”

Section: Discussionsupporting

confidence: 53%

“…Traditionally, the outcome of breast device surgeries was evaluated by surgeons; however, patients' perspectives of their own experiences of breast devices can provide arguably a more important end-user perspective. 20 In breast device surgery, validated PROMs such as the BREAST-Q are commonly used to assess surgical outcomes. Although the BREAST-Q gives detailed data across a number of domains, the disadvantage is the time required to complete it.…”

Section: Discussionmentioning

confidence: 99%

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Patient Reported Outcome Measures After Breast Augmentation – Using the BREAST-Q IS

Jayasinghe¹,

Ruseckaite²,

Gartoulla³

et al. 2022

PROM

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Purpose: Cosmetic breast augmentation procedures are commonly performed breast device surgeries. The Australian Breast Device Registry (ABDR) administers a five-question patient reported outcome measure (PROM), the BREAST-Q Implant Surveillance module (BREAST-Q IS), to patients 1, 2 and 5 years after breast device surgery. The measure includes an open-ended question to add any comments. This study aimed to use the responses to this open-ended question to assess participants' experiences of breast devices 1 and 2 years after breast augmentation. The secondary objective was to identify emerging and important issues relating to breast augmentation and devices. Patients and Methods: This qualitative descriptive study was conducted using a randomly selected sample of 268 responses to the open-ended question in the BREAST-Q IS, from the ABDR database. These responses were from patients who underwent breast augmentation between 2015 and 2018. Comments were analyzed using conventional content analysis in NVivo 12. Results: Four major themes were identified: satisfaction following breast augmentation, dissatisfaction following breast augmentation, complications and breast symptoms following breast augmentation and other comments. Two dominant themes were regarding satisfaction (n = 112) with overall surgical outcome, medical team, and post-operative appearance and complications and breast symptoms (n = 177) following breast augmentation. Emerging issues identified were rippling of breast implants and breast implant illness (BII). Conclusion:PROMs can be used to understand patients' perspectives on various aspects of their own surgical experiences. Participants provided responses regarding complications and breast symptoms experienced, and rippling of the breast implants and BII are emerging issues after breast augmentation.

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Section: Discussionsupporting

confidence: 53%

Section: Discussionmentioning

confidence: 99%

Patient Reported Outcome Measures After Breast Augmentation – Using the BREAST-Q IS

Jayasinghe¹,

Ruseckaite²,

Gartoulla³

et al. 2022

PROM

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“…PROMs may fail to capture a patient's initial functional decline after surgery and have been associated more strongly with pain than objective measures of functional performance in TJA recovery [84][85][86][87]. It has also been suggested that PROMs are not sensitive to the risk of adverse events, which could allow risks for arthrofibrosis or infection to go undetected [88].…”

Section: Instrumented Insoles: Use Of Real-time Feedback To Improve Patient Outcomesmentioning

confidence: 99%

How New Technology Is Improving Physical Therapy

Owens¹,

Rauzi

Kittelson

et al. 2020

Curr Rev Musculoskelet Med

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Purpose of Review As rehabilitation patient volume across the age spectrum increases and reimbursement rates decrease, clinicians are forced to produce favorable outcomes with limited resources and time. The purpose of this review is to highlight new technologies being utilized to improve standardization and outcomes for patients rehabilitating orthopedic injuries ranging from sports medicine to trauma to joint arthroplasty. Recent Findings A proliferation of new technologies in rehabilitation has recently occurred with the hope of improved outcomes, better patient compliance and safety, and return to athletic performance. These include technologies applied directly to the patient such as exoskeletons and instrumented insoles to extrinsic applications such as biofeedback and personalized reference charts. Well-structured randomized trials are ongoing centered around the efficacy and safety of these new technologies to help guide clinical necessity and appropriate application. Summary We present a range of new technologies that may assist a diverse population of orthopedic conditions. Many of these interventions are already supported by level 1 evidence and appear safe and feasible for most clinical settings.

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“…Existing literature examining PROMs for breast cancer surgery patients has focused primarily on general quality of life and satisfaction, not on chronic pain experiences (Cordova et al, 2019; Morley & Leech, 2019). This was the observation of Gartner et al when they zdeveloped the Breast Cancer Pain Questionnaire (BCPQ) (Gärtner et al, 2009).…”

Section: Discussionmentioning

confidence: 99%

Chronic pain in breast cancer patients post mastectomy with alloplastic reconstruction: A scoping review

Rogowsky

Illmann

Isaac

2022

European J Cancer Care

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Introduction: Women diagnosed with breast cancer are receiving mastectomy with implant-based reconstruction at an increasing rate. Chronic post-surgical pain can be a major concern for these patients. This review sought to address the knowledge gap on the prevalence, severity and characteristics of chronic pain in this population.Methods: A scoping review was conducted using the Arksey and O'Malley framework. Five databases were searched using keywords. Two independent reviewers performed selection and data extraction of studies that met inclusion criteria.Results: Seventeen studies were included in this review. Ten studies reported prevalence of chronic pain which ranged from 7.3%-90.9% with pooled prevalence of 26.3%. Nine studies reported severity of chronic pain using various scales and methodology; most patients' pain was not severe. Risk factors for chronic pain included axillary dissection, lack of perioperative local anaesthetic, younger age and use of a tissue expander. No studies reported on possible correlation between ethnicity and pain. Eleven different assessment tools were used to measure pain. Conclusion:Chronic pain following post-mastectomy implant-based breast reconstruction is prevalent, associated with specific risk factors and poorly characterised.There is a need to investigate and evaluate chronic pain in this population using validated breast cancer specific pain assessment tools.

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Optimal assessment tools in assessing breast surgery: patient reported outcome measures (PROMs) vs. objective measures

Cited by 15 publications

References 49 publications

Patient Reported Outcome Measures After Breast Augmentation – Using the BREAST-Q IS

Patient Reported Outcome Measures After Breast Augmentation – Using the BREAST-Q IS

How New Technology Is Improving Physical Therapy

Chronic pain in breast cancer patients post mastectomy with alloplastic reconstruction: A scoping review

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