Comparison of Patient-reported Outcomes after Implant Versus Autologous Tissue Breast Reconstruction Using the BREAST-Q.

Plast Reconstr Surg Glob Open

Plastic Surgery Unit, School of Medicine, University of Padova, Padova, Italy; Department of Plastic Surgery, Bulovka Hospital, 1st Medical Faculty, Charles University in Prague, Prague, Czech Republic; and Department of Plastic Surgery, University Hospital Kralovske Vinohrady, 3rd Medical Faculty, Charles University in Prague, Prague, Czech Republic.

Published: January 2017

Background: The demand for reconstructive breast procedures of various types has accelerated in recent years. Coupled with increased patient expectations, it has fostered the development of oncoplastic and reconstructive techniques in breast surgery. In the setting of postmastectomy reconstruction, patient satisfaction and quality of life are the most significant outcome variables when evaluating surgical success. The aim of this study was to evaluate the quality of life after implant breast reconstruction compared with autologous breast reconstruction.

Materials And Methods: A cross-sectional study design was used. A total of 65 women who had completed postmastectomy implant-based or autologous reconstruction in the participating center were asked to complete the BREAST-Q (Reconstruction Module).

Results: Data analysis demonstrated that women with autologous breast reconstruction were significantly more satisfied with their breasts ( = 0.0003) and with the overall outcome ( = 0.0001) compared with women with implant breast reconstruction. All other BREAST-Q parameters that were considered and observed were not significantly different between the 2 patient groups.

Conclusions: Through statistical analysis, our results showed that patients who underwent autologous tissue reconstruction had better satisfaction with the reconstructed breast and the outcome, while both techniques appear to equally improve psychosocial well-being, sexual well-being, and chest satisfaction.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5293311PMC
http://dx.doi.org/10.1097/GOX.0000000000001217DOI Listing

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