title: Satisfaction and quality of life in women who undergo breast surgery: a qualitative study.
abstract: BACKGROUND
  In cosmetic and reconstructive breast surgery, measurement of patient-reported outcomes has become increasingly important to research efforts and clinical care. We aimed to describe how breast conditions and breast surgery impact on patient satisfaction and quality of life.
  
  
  METHODS
  We conducted qualitative, in-depth interviews with 48 women who had undergone either breast reduction (n = 15), breast augmentation (n = 12), or breast reconstruction (n = 21) surgery in order to begin to build a theoretical understanding of patient satisfaction and quality of life in breast surgery patients. Interviews were audio-taped, transcribed verbatim and analyzed thematically.
  
  
  RESULTS
  The patient interviews revealed that breast conditions and breast surgery impact women in the following six main areas: satisfaction with breasts; satisfaction with overall outcome; psychosocial well-being; sexual well-being; physical well-being; and satisfaction with the process of care. We used these six themes to form the basis of a conceptual framework of patient satisfaction and quality of life in women who undergo breast surgery.
  
  
  CONCLUSIONS
  Our conceptual framework establishes the main issues of concern for breast surgery patients. This new framework can be used to help develop local guidelines for future clinical assessment, management and measurement, establish the validity of the current management strategies, and develop evidence-based guidance for the development of new patient reported outcome measures for future outcomes research.
authors.affiliation: Department of Pediatrics, McMaster University, 3A 1200 Main Street W, Hamilton, ON, L8N 3Z5, Canada. aklass@mcmaster.ca
authors.forename: Anne F
authors.initials: AF
authors.lastname: Klassen
authors.forename: Andrea L
authors.initials: AL
authors.lastname: Pusic
authors.forename: Amie
authors.initials: A
authors.lastname: Scott
authors.forename: Jennifer
authors.initials: J
authors.lastname: Klok
authors.forename: Stefan J
authors.initials: SJ
authors.lastname: Cano
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000523:psychology*; D008875:Middle Aged; D017060:Patient Satisfaction; D010809:Physical Fitness; D036301:Qualitative Research; D011788:Quality of Life; D012725:Sexual Behavior; D055815:Young Adult