title: Patient Race and Provider Predict Patient Satisfaction Following Post-Mastectomy Breast Reconstruction.
abstract: BACKGROUND
  Post-mastectomy breast reconstruction is commonly performed in the United States with numerous options available to patients and providers. This study evaluated patient race and provider in prediction of patient satisfaction following post-mastectomy breast reconstruction.
  
  
  METHODS
  The patient satisfaction for women who underwent post mastectomy breast reconstruction at University of California, Irvine Medical Center was evaluated between 2012 and 2014, randomly using Press Ganey Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) surveys. Patient demographics and surgery related variables including type of reconstruction received were determined.
  
  
  RESULTS
  Between 2012 and 2014, ninety breast reconstruction patients completed a HCAHPS satisfaction survey. Average satisfaction score was 9.67/10. Multivariate linear regression analyses revealed that 34% of the variability in satisfaction scores was accounted for by the variables included in our statistical model. Analyses revealed race/ethnicity and provider to be independent predictors of satisfaction (p<0.05). Satisfaction scores ranged from 6-10 and varied by 11.7% across different providers and 8.9% across different races. The following variables were included, but did not influence patient satisfaction: type, timing, or laterality of reconstruction, presence of post-operative complication, body mass index (BMI), age, presence of comorbidity, and insurance type.
  
  
  CONCLUSIONS
  Achieving patient satisfaction is an important outcome of breast reconstruction. This study is one of the first to identify provider and race/ethnicity as predictors of patient satisfaction following breast reconstruction. The information provided here can help inform providers and improve satisfaction for patients undergoing breast reconstruction.
authors: Department of Plastic Surgery, Aesthetic and Plastic Surgery Institute, University of California, California, Irvine, USA.
authors: Ashkaun
authors: A
authors: Shaterian
authors: Department of Plastic Surgery, Aesthetic and Plastic Surgery Institute, University of California, California, Irvine, USA.
authors: Jessica
authors: J
authors: Gandy
authors: Department of Plastic Surgery, Aesthetic and Plastic Surgery Institute, University of California, California, Irvine, USA.
authors: Shadi
authors: S
authors: Lalezari
authors: Department of Plastic Surgery, Aesthetic and Plastic Surgery Institute, University of California, California, Irvine, USA.
authors: Sarah
authors: S
authors: Smith
authors: Department of Plastic Surgery, Aesthetic and Plastic Surgery Institute, University of California, California, Irvine, USA.
authors: Keyianoosh
authors: K
authors: Paydar
keywords: Breast cancer; Breast reconstruction; Breast surgery; Mastectomy; Patient satisfaction