title: Patient-Report Satisfaction and Health-Related Quality of Life in TiLOOP® Bra-Assisted or Implant-Based Breast Reconstruction Alone.
abstract: Implant-based breast reconstructions (IBBR) using alternatives to acellular dermal matrixes are increasing. Data on complications are limited, and information concerning health-related quality of life (HR-QoL) following the use of these synthetic meshes do not exist.
  
  
  
  Between January 2006 and January 2013, patients undergoing immediate or delayed-immediate IBBR with or without titanium covered polypropylene mesh (TiLOOP® Bra) were investigated. HR-QoL was assessed using the validated self-reporting BREAST-Q questionnaire. Patient demographics and complications were evaluated retrospectively. Stepwise regression backward elimination analysis was performed to identify influential factors on each BREAST-Q domain.
  
  
  
  Of the 90 women, 42 had IBBR alone and 48 in combination with TiLOOP® Bra. The mean follow-up was 18 months in the TiLOOP® Bra and 17.5 months in the implant alone group (p = 0.827). The overall complication rate was 21.1 %, with 14.6 % in the TiLOOP® Bra and in 28.6 % in the implant alone group (p = 0.105). Capsular contraction rate was 4.4 % in the TiLOOP® Bra and 16.7 % in the implant alone group (p = 0.052). The analysis of the HR-QoL showed no significant differences between the groups. Surgeries prior to IBBR had a positive influence on HR-QoL. TiLOOP® Bra was associated with a negative effect on "satisfaction with breast" (β = -5.72; p < 0.001), as it was no longer observed for "satisfaction with outcome" and other domains.
authors.affiliation: Breast Unit, Department of Obstetrics and Gynecology, Interdisciplinary Breast Center, University of Rostock, Suedring 81, 18059, Rostock, Germany, max.dieterich@uni-rostock.de.
authors.forename: M
authors.initials: M
authors.lastname: Dieterich
authors.forename: J
authors.initials: J
authors.lastname: Angres
authors.forename: A
authors.initials: A
authors.lastname: Stachs
authors.forename: A
authors.initials: A
authors.lastname: Glass
authors.forename: T
authors.initials: T
authors.lastname: Reimer
authors.forename: B
authors.initials: B
authors.lastname: Gerber
authors.forename: J
authors.initials: J
authors.lastname: Stubert
mesh_terms: D000328:Adult; D018427:Breast Implants; D005260:Female; D006801:Humans; D016462:Mammaplasty; D008875:Middle Aged; D017060:Patient Satisfaction; D011126:Polypropylenes; D011474:Prosthesis Design; D011788:Quality of Life; D012189:Retrospective Studies; D057566:Self Report; D013526:Surgical Mesh; D014025:Titanium
chemical_list: D011126:Polypropylenes; D014025:Titanium