title: Patient satisfaction with nipple-sparing mastectomy: A prospective study of patient reported outcomes using the BREAST-Q.
abstract: OBJECTIVE
  The authors sought to study patient-reported outcomes following nipple-sparing mastectomy (NSM).
  
  
  METHODS
  From 2008 to 2011, the BREAST-Q was administered to women undergoing NSM surgery for cancer treatment or risk-reduction prior to surgery and at 2 years after completion of reconstruction. The change in score over time and the impact of surgical indication, complication occurrence, and laterality on scores were analyzed.
  
  
  RESULTS
  The BREAST-Q was prospectively administered to 39 women undergoing NSM for cancer treatment (n = 17) or risk-reduction (RR) (n = 22). At 2 years after operation, median overall satisfaction with breasts was 75 (IQR = 67,100). There were significant postoperative increases in scores for overall satisfaction with breasts (+8, P = 0.021) and psychosocial well-being (+14, P = 0.003). Postoperatively, RR patients had significantly higher scores for psychosocial wellness, physical impact (chest), and overall satisfaction with outcome compared to cancer treatment patients (P < 0.05). Also, increase from preoperative to postoperative psychosocial wellness was higher in the RR compared to cancer treatment patients (+17 vs. +1, P = 0.043). Complication occurrence did not significantly impact postoperative scores.
  
  
  CONCLUSIONS
  Following NSM for cancer treatment or RR, patients demonstrated high levels of satisfaction and quality of life as measured by BREAST-Q. Satisfaction level increased 2 years following operation. J. Surg. Oncol. 2016;114:416-422. © 2016 Wiley Periodicals, Inc.
authors.affiliation: Division of Plastic Surgery, NorthShore University Health System, Evanston, Illinois.
authors.forename: Michael A
authors.initials: MA
authors.lastname: Howard
authors.affiliation: Division of Plastic Surgery, NorthShore University Health System, Evanston, Illinois.
authors.forename: Mark
authors.initials: M
authors.lastname: Sisco
authors.affiliation: Department of Surgery, NorthShore University Health System, Evanston, Illinois.
authors.forename: Katharine
authors.initials: K
authors.lastname: Yao
authors.affiliation: Department of Surgery, NorthShore University Health System, Evanston, Illinois.
authors.forename: David J
authors.initials: DJ
authors.lastname: Winchester
authors.affiliation: Department of Surgery, NorthShore University Health System, Evanston, Illinois.
authors.forename: Ermilo
authors.initials: E
authors.lastname: Barrera
authors.affiliation: Division of Plastic Surgery, NorthShore University Health System, Evanston, Illinois.
authors.forename: Jeremy
authors.initials: J
authors.lastname: Warner
authors.affiliation: Department of Surgery, NorthShore University Health System, Evanston, Illinois.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Jaffe
authors.affiliation: Division of Medical Genetics NorthShore, Evanston, Illinois.
authors.forename: Peter
authors.initials: P
authors.lastname: Hulick
authors.affiliation: Center for Biomedical Research Informatics, NorthShore University Health System, Evanston, Illinois.
authors.forename: Kristine
authors.initials: K
authors.lastname: Kuchta
authors.affiliation: Division of Plastic and Reconstructive Surgery, Memorial Sloan-Kettering Cancer Center, New York, New York.
authors.forename: Andrea L
authors.initials: AL
authors.lastname: Pusic
authors.affiliation: Department of Surgery, Keck School of Medicine University of Southern California, Los Angeles, California.
authors.forename: Stephen F
authors.initials: SF
authors.lastname: Sener
mesh_terms: D000328:Adult; D001943:Breast Neoplasms / Q000523:psychology / Q000601:surgery*; D005260:Female; D006801:Humans; D008408:Mastectomy / Q000379:methods*; D008875:Middle Aged; D009558:Nipples / Q000601:surgery*; D000071066:Patient Reported Outcome Measures; D017060:Patient Satisfaction; D011446:Prospective Studies; D011788:Quality of Life; D057566:Self Report
keywords: BREAST-Q; mastectomy; nipple-sparing mastectomy; outcomes; satisfaction