title: Increased Capacity for Work and Productivity After Breast Reduction.
abstract: BACKGROUND
  Breast hypertrophy is a prevalent condition among women worldwide, which can affect different aspects of their quality of life. The physical and emotional impact of breast hypertrophy may harm daily activities, including work.
  
  
  OBJECTIVE
  To assess the impact of reduction mammaplasty on the ability to work and productivity of women with breast hypertrophy.
  
  
  METHODS
  A total of 60 patients with breast hypertrophy, already scheduled for breast reduction, aged 18 to 60 years and who had formal or autonomous employment were prospectively enrolled. The Brazilian versions of two validated tools, Work Productivity and Activity Impairment - General Health (WPAI-GH) and Work Limitations Questionnaire (WLQ) were self-administered at the preoperative evaluation and six months following surgery.
  
  
  RESULTS
  The median age was 33 years, median body mass index was 24 kg/m2, and the median total weight of resected breast tissue was 617.5 g. According to the Brazilian classification of occupation, most patients (53%) had technical, scientific, artistic and similar occupations. There was a significant improvement in work capacity and productivity six months after the reduction mammaplasty, denoted by a decrease in presenteeism, absenteeism, and WLQ Productivity Loss Score (Wilcoxon analysis of variance: P < .0001 for each of these domains).
  
  
  CONCLUSIONS
  Reduction mammaplasty increases the work capacity and productivity of Brazilian women with breast hypertrophy. LEVEL OF EVIDENCE 4.
authors.affiliation: Drs Cabral, Garcia, Pinto, and Veiga-Filho are Plastic Surgeons, Division of Plastic Surgery, Department of Surgery, Universidade do Vale do Sapucaí, Pouso Alegre - MG, Brazil. Ms Sobrinho is an Undergraduate Student, Medical School, Universidade do Vale do Sapucaí, Pouso Alegre - MG, Brazil. Dr Juliano is a Full Professor, Department of Bioestatistics, Universidade do Vale do Sapucaí, Pouso Alegre - MG, Brazil; and Department of Bioestatistics, Universidade Federal de São Paulo, São Paulo - SP, Brazil. Dr Ferreira is a Full Professor, Division of Plastic Surgery, Department of Surgery, Universidade Federal de São Paulo, São Paulo - SP, Brazil. Dr Veiga is an Associate Professor, Professional Master's Program in Science Applied to Health, Universidade do Vale do Sapucaí, Pouso Alegre - MG, Brazil; and an Associate Professor, Division of Plastic Surgery, Department of Surgery, Universidade Federal de São Paulo, São Paulo - SP, Brazil.
authors.forename: Isaias Vieira
authors.initials: IV
authors.lastname: Cabral
authors.affiliation: Drs Cabral, Garcia, Pinto, and Veiga-Filho are Plastic Surgeons, Division of Plastic Surgery, Department of Surgery, Universidade do Vale do Sapucaí, Pouso Alegre - MG, Brazil. Ms Sobrinho is an Undergraduate Student, Medical School, Universidade do Vale do Sapucaí, Pouso Alegre - MG, Brazil. Dr Juliano is a Full Professor, Department of Bioestatistics, Universidade do Vale do Sapucaí, Pouso Alegre - MG, Brazil; and Department of Bioestatistics, Universidade Federal de São Paulo, São Paulo - SP, Brazil. Dr Ferreira is a Full Professor, Division of Plastic Surgery, Department of Surgery, Universidade Federal de São Paulo, São Paulo - SP, Brazil. Dr Veiga is an Associate Professor, Professional Master's Program in Science Applied to Health, Universidade do Vale do Sapucaí, Pouso Alegre - MG, Brazil; and an Associate Professor, Division of Plastic Surgery, Department of Surgery, Universidade Federal de São Paulo, São Paulo - SP, Brazil.
authors.forename: Edgard da Silva
authors.initials: ED
authors.lastname: Garcia
authors.affiliation: Drs Cabral, Garcia, Pinto, and Veiga-Filho are Plastic Surgeons, Division of Plastic Surgery, Department of Surgery, Universidade do Vale do Sapucaí, Pouso Alegre - MG, Brazil. Ms Sobrinho is an Undergraduate Student, Medical School, Universidade do Vale do Sapucaí, Pouso Alegre - MG, Brazil. Dr Juliano is a Full Professor, Department of Bioestatistics, Universidade do Vale do Sapucaí, Pouso Alegre - MG, Brazil; and Department of Bioestatistics, Universidade Federal de São Paulo, São Paulo - SP, Brazil. Dr Ferreira is a Full Professor, Division of Plastic Surgery, Department of Surgery, Universidade Federal de São Paulo, São Paulo - SP, Brazil. Dr Veiga is an Associate Professor, Professional Master's Program in Science Applied to Health, Universidade do Vale do Sapucaí, Pouso Alegre - MG, Brazil; and an Associate Professor, Division of Plastic Surgery, Department of Surgery, Universidade Federal de São Paulo, São Paulo - SP, Brazil.
authors.forename: Rebecca Neponucena
authors.initials: RN
authors.lastname: Sobrinho
authors.affiliation: Drs Cabral, Garcia, Pinto, and Veiga-Filho are Plastic Surgeons, Division of Plastic Surgery, Department of Surgery, Universidade do Vale do Sapucaí, Pouso Alegre - MG, Brazil. Ms Sobrinho is an Undergraduate Student, Medical School, Universidade do Vale do Sapucaí, Pouso Alegre - MG, Brazil. Dr Juliano is a Full Professor, Department of Bioestatistics, Universidade do Vale do Sapucaí, Pouso Alegre - MG, Brazil; and Department of Bioestatistics, Universidade Federal de São Paulo, São Paulo - SP, Brazil. Dr Ferreira is a Full Professor, Division of Plastic Surgery, Department of Surgery, Universidade Federal de São Paulo, São Paulo - SP, Brazil. Dr Veiga is an Associate Professor, Professional Master's Program in Science Applied to Health, Universidade do Vale do Sapucaí, Pouso Alegre - MG, Brazil; and an Associate Professor, Division of Plastic Surgery, Department of Surgery, Universidade Federal de São Paulo, São Paulo - SP, Brazil.
authors.forename: Natália Lana Larcher
authors.initials: NL
authors.lastname: Pinto
authors.affiliation: Drs Cabral, Garcia, Pinto, and Veiga-Filho are Plastic Surgeons, Division of Plastic Surgery, Department of Surgery, Universidade do Vale do Sapucaí, Pouso Alegre - MG, Brazil. Ms Sobrinho is an Undergraduate Student, Medical School, Universidade do Vale do Sapucaí, Pouso Alegre - MG, Brazil. Dr Juliano is a Full Professor, Department of Bioestatistics, Universidade do Vale do Sapucaí, Pouso Alegre - MG, Brazil; and Department of Bioestatistics, Universidade Federal de São Paulo, São Paulo - SP, Brazil. Dr Ferreira is a Full Professor, Division of Plastic Surgery, Department of Surgery, Universidade Federal de São Paulo, São Paulo - SP, Brazil. Dr Veiga is an Associate Professor, Professional Master's Program in Science Applied to Health, Universidade do Vale do Sapucaí, Pouso Alegre - MG, Brazil; and an Associate Professor, Division of Plastic Surgery, Department of Surgery, Universidade Federal de São Paulo, São Paulo - SP, Brazil.
authors.forename: Yara
authors.initials: Y
authors.lastname: Juliano
authors.affiliation: Drs Cabral, Garcia, Pinto, and Veiga-Filho are Plastic Surgeons, Division of Plastic Surgery, Department of Surgery, Universidade do Vale do Sapucaí, Pouso Alegre - MG, Brazil. Ms Sobrinho is an Undergraduate Student, Medical School, Universidade do Vale do Sapucaí, Pouso Alegre - MG, Brazil. Dr Juliano is a Full Professor, Department of Bioestatistics, Universidade do Vale do Sapucaí, Pouso Alegre - MG, Brazil; and Department of Bioestatistics, Universidade Federal de São Paulo, São Paulo - SP, Brazil. Dr Ferreira is a Full Professor, Division of Plastic Surgery, Department of Surgery, Universidade Federal de São Paulo, São Paulo - SP, Brazil. Dr Veiga is an Associate Professor, Professional Master's Program in Science Applied to Health, Universidade do Vale do Sapucaí, Pouso Alegre - MG, Brazil; and an Associate Professor, Division of Plastic Surgery, Department of Surgery, Universidade Federal de São Paulo, São Paulo - SP, Brazil.
authors.forename: Joel
authors.initials: J
authors.lastname: Veiga-Filho
authors.affiliation: Drs Cabral, Garcia, Pinto, and Veiga-Filho are Plastic Surgeons, Division of Plastic Surgery, Department of Surgery, Universidade do Vale do Sapucaí, Pouso Alegre - MG, Brazil. Ms Sobrinho is an Undergraduate Student, Medical School, Universidade do Vale do Sapucaí, Pouso Alegre - MG, Brazil. Dr Juliano is a Full Professor, Department of Bioestatistics, Universidade do Vale do Sapucaí, Pouso Alegre - MG, Brazil; and Department of Bioestatistics, Universidade Federal de São Paulo, São Paulo - SP, Brazil. Dr Ferreira is a Full Professor, Division of Plastic Surgery, Department of Surgery, Universidade Federal de São Paulo, São Paulo - SP, Brazil. Dr Veiga is an Associate Professor, Professional Master's Program in Science Applied to Health, Universidade do Vale do Sapucaí, Pouso Alegre - MG, Brazil; and an Associate Professor, Division of Plastic Surgery, Department of Surgery, Universidade Federal de São Paulo, São Paulo - SP, Brazil.
authors.forename: Lydia Masako
authors.initials: LM
authors.lastname: Ferreira
authors.affiliation: Drs Cabral, Garcia, Pinto, and Veiga-Filho are Plastic Surgeons, Division of Plastic Surgery, Department of Surgery, Universidade do Vale do Sapucaí, Pouso Alegre - MG, Brazil. Ms Sobrinho is an Undergraduate Student, Medical School, Universidade do Vale do Sapucaí, Pouso Alegre - MG, Brazil. Dr Juliano is a Full Professor, Department of Bioestatistics, Universidade do Vale do Sapucaí, Pouso Alegre - MG, Brazil; and Department of Bioestatistics, Universidade Federal de São Paulo, São Paulo - SP, Brazil. Dr Ferreira is a Full Professor, Division of Plastic Surgery, Department of Surgery, Universidade Federal de São Paulo, São Paulo - SP, Brazil. Dr Veiga is an Associate Professor, Professional Master's Program in Science Applied to Health, Universidade do Vale do Sapucaí, Pouso Alegre - MG, Brazil; and an Associate Professor, Division of Plastic Surgery, Department of Surgery, Universidade Federal de São Paulo, São Paulo - SP, Brazil. danielafveiga@gmail.com.
authors.forename: Daniela Francescato
authors.initials: DF
authors.lastname: Veiga
mesh_terms: D000041:Absenteeism; D000328:Adult; D001938:Brazil; D001940:Breast / Q000473:pathology / Q000601:surgery*; D004526:Efficiency; D005260:Female; D006304:Health Status; D006801:Humans; D006984:Hypertrophy; D007587:Job Description; D016462:Mammaplasty; D000069597:Presenteeism; D011446:Prospective Studies; D011788:Quality of Life; D018582:Sick Leave; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome; D014938:Work Capacity Evaluation; D016526:Workload