Patient-Reported Quality-of-Life Outcomes of Breast Reduction Evaluated with Generic Questionnaires and the Breast Reduction Assessed Severity Scale

Keçeci, Yavuz; Sır, Emin; Güngör, Melike

doi:10.1093/asj/sju017

Cited by 74 publications

(11 citation statements)

References 28 publications

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“…The finding that women with symptomatic breast hypertrophy have a considerable health deficit and impaired quality of life compared with women in the general population is supported by existing studies within the literature 4 14 36–39. These studies also report that surgical intervention provides symptomatic relief and improves HRQoL to levels of the general population.…”

Section: Discussionmentioning

confidence: 73%

Does breast reduction surgery improve health-related quality of life? A prospective cohort study in Australian women

et al. 2020

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Strengths and limitations of this study► This large prospective longitudinal study reports 12-month follow-up using a validated patientreported outcome measure for health-related quality of life assessment. ► The completion rate of the study was 83% for participants who underwent surgery. ► Comparisons were made with a control cohort of women with breast hypertrophy not undergoing surgery, and also to a normative female reference population. ► This was a non-randomised study design. AbStrACtObjectives To assess the health burden of breast hypertrophy and the comparative effectiveness of breast reduction surgery in improving health-related quality of life.Design Prospective cohort study. Setting A major public tertiary care hospital in Australia. Participants Women with symptomatic breast hypertrophy who underwent breast reduction surgery were followed for 12 months. A comparison control cohort comprised women with breast hypertrophy who did not undergo surgery.Interventions Bilateral breast reduction surgery for women in the surgical cohort. Main outcome measures The primary outcome measure was health-related quality of life measured preoperatively and at 3, 6 and 12 months postoperatively using the Short Form-36 (SF-36) questionnaire. Secondary outcome measures included post-surgical complications. results 209 patients in the surgical cohort completed questionnaires before and after surgery. 124 patients in the control hypertrophy cohort completed baseline and 12-month follow-up questionnaires. At baseline, both groups had significantly lower scores compared with population norms across all scales (p<0.001). In the surgical cohort significant improvements were seen across all eight SF-36 scales (p<0.001) following surgery. Within 3 months of surgery scores were equivalent to those of the normal population and this improvement was sustained at 12 months. SF-36 physical and mental component scores both significantly improved following surgery, with a mean change of 10.2 and 9.2 points, respectively (p<0.001). In contrast, SF-36 scores for breast hypertrophy controls remained at baseline across 12 months. The improvement in quality of life was independent of breast resection weight and body mass index. Conclusion Breast reduction significantly improved quality of life in women with breast hypertrophy. This increase was most pronounced within 3 months of surgery and sustained at 12-month follow-up. This improvement in quality of life is comparable to other widely accepted surgical procedures. Furthermore, women benefit from surgery regardless of factors including body mass index and resection weight.

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Section: Discussionmentioning

confidence: 73%

Does breast reduction surgery improve health-related quality of life? A prospective cohort study in Australian women

et al. 2020

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“…The results of this study indicate significant improvements in healthrelated QOL at 4 months after breast reduction in a population of patients with macromastia. The authors also demonstrate excellent responsiveness of the BRASS [22].…”

Section: Discussionmentioning

confidence: 72%

Use of Ultrasound-Assisted Liposuction for the Treatment of Breast Hypertrophy, Surgical Clinical Prospective Study on 45 Cases

2018

Medical &Amp; Clinical Research

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Breasts are a very important part of the woman's body. They have always been considered as a zone impregnated with sensuality and are inevitably associated with feminine harmony and beauty. There is No ideal breast size and beauty standards vary greatly from one person to another. In any case, the most important thing is that the woman feels at comfort with her breasts, that she feels in balance with her body and if that is not the case to seek a medical solution.

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“…Studies using the RSES reported improvements in self-esteem with rates between 12.9% to 17.9% (23,42,49,51,56,62,63,77,80).…”

Section: Resultsmentioning

confidence: 99%

A systematic review of patient reported outcome measures for women with macromastia who have undergone breast reduction surgery

et al. 2019

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Patient satisfaction and outcomes following reduction mammoplasty is important to measure, being a being a reconstructive procedure with physical and cosmetic benefits. This study aimed to evaluate patient satisfaction and the various questionnaires that have been devised for this measurement. A systematic search of literature was performed in PubMed, Cochrane Library, Medline and Scopus databases from 1966 to July 2018 according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. After application of pre-determined inclusion criteria by two authors, 95 articles were included. Data was extracted from included studies relating to demographics, surgical technique, questionnaires used and physical, psychological and aesthetic outcomes. Of the 95 studies included (9,716 patients), 58 studies (5,867 patients) reported on overall satisfaction with a mean rate of 90.26%. Researchers' own nonvalidated questionnaire was most commonly used in 52.6% of studies. Validated questionnaires used were most commonly the SF-36 (25.3%), Rosenberg self-esteem scale (RSES) (9.5%) and BREAST-Q (8.4%). All showed improvement in physical and mental health. Our findings suggest that women who have undergone reduction mammoplasty for breast hypertrophy report postoperative satisfaction and improvement in quality of life. Of the validated questionnaires used, a combination of those assessing both mental, physical and psychosocial health as well as breast-specific surveys were most commonly used and may provide an accurate assessment of patient outcomes.

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Patient-Reported Quality-of-Life Outcomes of Breast Reduction Evaluated with Generic Questionnaires and the Breast Reduction Assessed Severity Scale

Abstract: The results of this study indicate significant improvements in health-related QOL at 4 months after breast reduction in a population of patients with macromastia. The authors also demonstrate excellent responsiveness of the BRASS.

Cited by 74 publications

References 28 publications

Does breast reduction surgery improve health-related quality of life? A prospective cohort study in Australian women

Does breast reduction surgery improve health-related quality of life? A prospective cohort study in Australian women

Use of Ultrasound-Assisted Liposuction for the Treatment of Breast Hypertrophy, Surgical Clinical Prospective Study on 45 Cases

A systematic review of patient reported outcome measures for women with macromastia who have undergone breast reduction surgery

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