Outcomes analysis of breast reduction in Brazilian women using the BREAST-Q® questionnaire: a cross-sectional controlled study

Andrade, Adriana Corbolan; Veiga, Daniela Francescato; Aguiar, Isabella de Carvalho; Juliano, Yára; Sabino-Neto, Miguel; Ferreira, Lydia Masako

doi:10.6061/clinics/2018/e313

Cited by 14 publications

(19 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A gigantomastia é uma condição que afeta mulheres jovens e adultas em todas as faixas etárias, trazendo uma série de prejuízos e impactos físicos e psicossociais negativos, sendo as doenças musculoesqueléticas e a dor crônica como resultados do aumento das mamas (1) . Em alguns casos de gigantomastia, a mama pode crescer 13-23 kg, levando a uma significativa carga física e mental, o que pode diminuir drasticamente a qualidade de vida dessas mulheres (1)(2) .…”

Section: Resultsunclassified

“…Não se conhece a incidência e prevalência da gigantomastia e muito menos a morbimortalidade. Estima-se que as complicações mais comumente incluem mastalgia, ulceração da mama e infecção, problemas posturais, dor nas costas e lesão traumática crônica aos nervos intercostais 4º / 5º / 6º, com perda resultante da sensação do mamilo e diminuição do crescimento fetal durante a gravidez (1)(2) , complicações que podem diminuir significativamente a qualidade de vida de mulheres acometidas.…”

Section: Introductionunclassified

“…As principais queixas das mulheres com gigantomastia, e que levam à indicação da mamoplastia redutora, incluem desde a melhoria da forma das mamas a sintomas somáticos. Embora existam evidências de que esta cirurgia melhore significantemente esses sintomas, com melhora da qualidade de vida das pacientes, ainda assim, em muitos casos, a realização deste procedimento tem sido considerada uma intervenção muito mais estética do que terapêutica (2)(3) .…”

Section: Introductionunclassified

See 2 more Smart Citations

Efeitos Da Mamoplastia Redutora Na Função Pulmonar E Qualidade De Vida De Mulheres Submetidas À Gigantoplastia

et al. 2019

View full text Add to dashboard Cite

Objetivo: avaliar os efeitos da mamoplastia redutora na função pulmonar e qualidade de vida demulheres com gigantomastia.Método: estudo observacional do tipo série de casos que analisou retrospectivamente o prontuáriode 14 casos de mulheres submetidas à mamoplastia redutora nos últimos 12 meses no serviço declínica cirúrgica de um hospital universitário do Rio de Janeiro.Resultados: a média de idade, altura e peso das mulheres submetidas à mamoplastia foirespectivamente, 44,5 anos, 1,58 m e 93,8 kg. O índice de massa corporal evidenciou obesidadede graus I a III. Em média a espirometria variou de 92,76% do valor teórico predito antes da cirurgia,para 94,74% e 91,77%, 30 e 60 dias após a cirurgia respectivamente.Conclusão: a mamoplastia de redução pode melhorar a qualidade de vida das mulheres, conformeautorrelato. Não houve associação da mamoplastia com a melhora da função respiratória.

show abstract

Section: Resultsunclassified

Section: Introductionunclassified

See 1 more Smart Citation

Efeitos Da Mamoplastia Redutora Na Função Pulmonar E Qualidade De Vida De Mulheres Submetidas À Gigantoplastia

et al. 2019

View full text Add to dashboard Cite

show abstract

“…Part of SF-36 (range 0.29–1.00, higher score = higher function) 15D : Finish QoL questionnaire (higher score = better health, range 0–1) ?/ + ? + Andrade 2018 Brazil [ 42 ] Non-randomized controlled study 100 I: 50 C: 50 NR Breast-Q Median (range) Satisfaction with breasts: 70 (30–100) Psychosocial well-being: 92 (0–100) Sexual well-being: 88 (21–100) Physical well-being: 79 (48–100) Breast-Q Median (range) Satisfaction with breasts: 23 (0–50) p = 0.001 Psychosocial well-being: 33 (0–71) p = 0.001 Sexual well-being: 29 (0–78) p = 0.001 Physical well-being: 48 (0–83) p = 0.001 Breast-Q: Total scores ranging from 0–100. Higher score indicates greater satisfaction or better quality of life + − ?/ + Hermans 2005 Netherlands [ 43 ] Non-randomized controlled study 165 I: 94 C: 71 10 I: 10 C: 0 SF-36 Physical function: 84.76 Pain: 77.65 Vitality: 67.01 Social activities: 83.69 Emotional status: 80.95 Mental health: 75.22 Physical activities: 76.19 Health perceptions: 72.26 EQ-5D Pain: No problems: 51.2% Some problems: 44.0% Many problems: 4.8% Daily activities: No problems: 72.3% Some problems: 25.3% Many problems: 2.4% SF-36 Physical function: 77.46, p < 0.05 Pain: 57.00, p < 0.001 Vitality: 56.83, p < 0.01 Social activities: 68.30, p < 0.001 Emotional status: 64.32, p < 0.01 Mental health: 66.42, p < 0.01 Physical activities: 65.85, p = NR Health perceptions: 65.42, p < 0.05 EQ-5D Pain: No problems: 14.1%, p < 0.001 Some problems: 78.9% Many problems: 7.0% Daily activities: No problems: 46.5%, p < 0.005 Some problems: 50.7% Many problems: 2.8% SF-36: Short Form-36 Health survey (higher score = better health, range 0–100) EQ-5D: The...…”

Section: Methodsmentioning

confidence: 99%

A systematic review and meta-analysis of risks and benefits with breast reduction in the public healthcare system: priorities for further research

et al. 2021

View full text Add to dashboard Cite

Background There is no consensus for when publicly funded breast reduction is indicated and recommendations in guidelines vary greatly, indicating a lack of evidence and unequal access. The primary aim of this review was to examine risks and benefits of breast reduction to treat breast hypertrophy. Secondary aims were to examine how the studies defined breast hypertrophy and indications for a breast reduction. Methods A systematic literature search was conducted in PubMed, MEDLINE All, Embase, the Cochrane Library, and PsycInfo. The included articles were critically appraised, and certainty of evidence was assessed using the GRADE approach. Meta-analyses were performed when possible. Results Fifteen articles were included; eight reporting findings from four randomised controlled trials, three non-randomised controlled studies, three case series, and one qualitative study. Most studies had serious study limitations and problems with directness. Few of the studies defined breast hypertrophy. The studies showed significantly improved health-related quality of life and sexuality-related outcomes in patients who had undergone breast reduction compared with controls, as well as reduced depressive symptoms, levels of anxiety and pain. Most effect sizes exceeded the reported minimal important difference for the scale. Certainty of evidence for the outcomes above is low (GRADE ⊕ ⊕). Although four studies reported significantly improved physical function, the effect is uncertain (very low certainty of evidence, GRADE ⊕). None of the included studies reported data regarding work ability or sick leave. Three case series reported a 30-day mortality of zero. Reported major complications after breast reduction ranged from 2.4 to 14% and minor complications from 2.4 to 69%. Conclusion There is a lack of high-quality studies evaluating the results of breast reduction. A breast reduction may have positive psychological and physical effects for women, but it is unclear which women benefit the most and which women should be offered a breast reduction in the public healthcare system. Several priorities for further research have been identified. Pre-registration The study is based on a Health Technology Assessment report, pre-registered and then published on the website of The Regional HTA Centre of Region Västra Götaland, Sweden.

show abstract

“…Patient satisfaction is of importance in these operations; while the decrease in the breast volume decreases patient complaints, the breasts’ being too small could cause psychological trauma. Having perky breasts is of importance for visuality [6]. This study aims to compare breast volume changes and other anthropometric measurements by using before and after breast reduction pictures of women who underwent breast reduction operation in Plastic and Reconstructive Surgery clinic and by performing measurements from the anatomic points indicated in the literature.…”

Section: Introductionmentioning

confidence: 99%

Investigation of the Anthropometric Changes in Breast Volume and Measurements After Breast Reduction

Muslu¹,

Demir²,

Özdemir³

et al. 2019

Cureus

View full text Add to dashboard Cite

Objective This study aims to compare breast volume changes and other anthropometric measurements by using before and after breast reduction pictures of women who underwent breast reduction operation in Plastic and Reconstructive Surgery clinic and by performing measurements from the anatomic points indicated in the literature. Background Landmarks (previously identified as anatomic points) that show the success of breast reduction operation are not sufficient. Anthropometric points and their identification are of great importance for choosing the landmarks and identifying the statistical approaches to be used. Methods A total of 40 women were measured breast anthropometric measurements in pre- and post-operative breast reduction surgery changes by a photographic technique using Image J programme from the anatomical points determined in the literature. Comparison of right and left breast anthropometric measurements before and after the operation was performed using the paired t test or Wilcoxon signed rank test. The intraclass correlation coefficient (ICC) and Bland-Altman plots were used to determine the agreement between each pair of measurements. Results There was a statistically significant agreement between all the measurements (p<0.001). According to the Bland-Altman graphics, right and left breast measurements after the operation were within the limits of agreement according to all measurement points. Conclusion This study presented anthropometric measurements to show and guide patient satisfaction and aesthetic success of the operations performed by plastic surgeons.

show abstract

Outcomes analysis of breast reduction in Brazilian women using the BREAST-Q® questionnaire: a cross-sectional controlled study

Cited by 14 publications

References 30 publications

Efeitos Da Mamoplastia Redutora Na Função Pulmonar E Qualidade De Vida De Mulheres Submetidas À Gigantoplastia

Efeitos Da Mamoplastia Redutora Na Função Pulmonar E Qualidade De Vida De Mulheres Submetidas À Gigantoplastia

A systematic review and meta-analysis of risks and benefits with breast reduction in the public healthcare system: priorities for further research

Investigation of the Anthropometric Changes in Breast Volume and Measurements After Breast Reduction

Contact Info

Product

Resources

About