[Patient-reported outcome of their breast reconstruction after mastectomy].
BACKGROUND
The overall care of patients with breast cancer is a major public health issue. Breast reconstruction is a part of it, and could be modulated by factors related to their personal life or surgical management. The aim of our study was to investigate a statistical link between these factors of variability, and overall satisfaction after breast reconstruction.


METHODS
We evaluated in a retrospective study patients' satisfaction in Plastic, Reconstructive and Aesthetic Surgery Department of the University Hospital, Poitiers, after breast reconstruction using different sources of variability: elements of life at the moment of reconstruction decision, reconstruction management and the feeling of involvement in decisions related to reconstruction. Satisfaction was quantified by modified BREAST-Q pre- and postoperative questionnaires ("reconstruction" module) complemented by an open question to address patients experience.


RESULTS
From January 2005 to May 2011, 148 patients underwent surgery, 60.1% accepted to complete the survey (89 patients). Postoperative overall satisfaction was 89.1 out of 100. Satisfaction gradually decreased (P=0.022), postoperative overall satisfaction was non-significantly higher with autologous reconstruction, regardless of the variability factor studied. Secondary reconstruction with autologous reconstruction enhanced physical well-being (P<0.001). Patients expressed a high request for information about the different kinds of reconstruction, postoperative, as well as support groups.


CONCLUSIONS
This study shows that patients are generally very satisfied, but do not explain the causes of dissatisfaction. It paves the way for development of satisfaction with breast reconstruction databases.
Service de chirurgie plastique, reconstructrice et esthétique, CHU de Poitiers, 2, rue de la Milétrie, BP 577, 86021 Poitiers cedex, France. Electronic address: cyrusrobiolle@hotmail.com.
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Robiolle
Réseau Onco-Poitou-Charentes, CHU de Poitiers, 2, rue de la Milétrie, BP 577, 86021 Poitiers cedex, France.
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Quillet
Service de chirurgie plastique, reconstructrice et esthétique, CHU de Poitiers, 2, rue de la Milétrie, BP 577, 86021 Poitiers cedex, France.
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Dagregorio
Service de chirurgie plastique, reconstructrice et esthétique, CHU de Poitiers, 2, rue de la Milétrie, BP 577, 86021 Poitiers cedex, France. Electronic address: vincent.huguier@chu-poitiers.fr.
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Huguier
D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D016462:Mammaplasty; D008408:Mastectomy; D008875:Middle Aged; D017060:Patient Satisfaction; D012189:Retrospective Studies
Amélioration de la satisfaction; BREAST-Q; Postmastectomy breast reconstruction; Quality of life; Qualité de vie; Reconstruction mammaire après mammectomie; Satisfaction improvement