Patient-reported outcomes measured by BREAST-Q after implant-based breast reconstruction: A cross-sectional controlled study in Brazilian patients.
OBJECTIVE
The purpose of this study was to assess patient-reported outcomes of breast reconstruction with implants, using the BREAST-Q, in the late postoperative period.


METHODS
A total of 114 women previously operated due to breast cancer, in the late postoperative period (range 6-24 months) were enrolled in this cross-sectional study, and were allocated to either the mastectomy group (MG, n = 57) or reconstruction group (RG, n = 57). Patients in MG and RG, respectively, completed the Brazilian versions of Mastectomy and Reconstruction Modules of the BREAST-Q.


RESULTS
The mean age of patients was 46.6 and 44.3 years in MG and RG, respectively. All patients underwent chemotherapy and 6% and 11% of patients underwent radiotherapy in MG and RG, respectively. Patients in the RG reported higher satisfaction with surgical outcome (P < 0.0001). However, no significant between-group differences were found in physical and sexual well-being, or satisfaction with the plastic surgeon, medical team, and office staff.


CONCLUSIONS
Breast reconstruction with implants increased patient satisfaction with the surgical outcome, but did not influence patients' physical and sexual well-being or their satisfaction with the treatment received.
Translational Surgery Graduate Program, Universidade Federal de São Paulo - UNIFESP, Rua Napoleão de Barros, 715 - 4o. andar, São Paulo, SP, CEP 04024-002, Brazil. Electronic address: isabella.carvalhoaguiar@gmail.com.
Isabella de Carvalho
IC
Aguiar
Translational Surgery Graduate Program, Universidade Federal de São Paulo - UNIFESP, Rua Napoleão de Barros, 715 - 4o. andar, São Paulo, SP, CEP 04024-002, Brazil; Division of Plastic Surgery, Universidade do Vale do Sapucaí - UNIVAS, Av. Prefeito Tuany Toledo, 470, Pouso Alegre, MG, CEP 37550-000, Brazil. Electronic address: danielafveiga@gmail.com.
Daniela Francescato
DF
Veiga
Universidade do Vale do Sapucaí - UNIVAS, Av. Prefeito Tuany Toledo, 470, Pouso Alegre, MG, CEP 37550-000, Brazil. Electronic address: thaline_f_m@hotmail.com.
Thaline Figueiredo
TF
Marques
Department of Biostatistics, Universidade do Vale do Sapucai - UNIVAS, Av. Prefeito Tuany Toledo, 470, Pouso Alegre, MG, CEP 37550-000, Brazil. Electronic address: nnovo@unisa.br.
Neil Ferreira
NF
Novo
Translational Surgery Graduate Program, Universidade Federal de São Paulo - UNIFESP, Rua Napoleão de Barros, 715 - 4o. andar, São Paulo, SP, CEP 04024-002, Brazil. Electronic address: msabino@uol.com.br.
Miguel
M
Sabino Neto
Translational Surgery Graduate Program, Universidade Federal de São Paulo - UNIFESP, Rua Napoleão de Barros, 715 - 4o. andar, São Paulo, SP, CEP 04024-002, Brazil; Plastic Surgery Division, Translational Surgery Graduate Program, Universidade Federal de São Paulo - UNIFESP, Rua Napoleão de Barros, 715 - 4o. andar, São Paulo, SP, CEP 04024-002, Brazil. Electronic address: lydiamferreira@gmail.com.
Lydia Masako
LM
Ferreira
D000328:Adult; D001938:Brazil; D019928:Breast Implantation / Q000523:psychology* / Q000706:statistics & numerical data; D001943:Breast Neoplasms / Q000523:psychology / Q000601:surgery*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008408:Mastectomy / Q000523:psychology / Q000706:statistics & numerical data; D008875:Middle Aged; D000071066:Patient Reported Outcome Measures; D017060:Patient Satisfaction; D011184:Postoperative Period; D011788:Quality of Life; D011795:Surveys and Questionnaires
Breast implants; Breast neoplasms; Mastectomy; Patient outcome assessment; Patient satisfaction