title: Comparison of Patient-reported Outcomes after Implant Versus Autologous Tissue Breast Reconstruction Using the BREAST-Q.
abstract: BACKGROUND
  The demand for reconstructive breast procedures of various types has accelerated in recent years. Coupled with increased patient expectations, it has fostered the development of oncoplastic and reconstructive techniques in breast surgery. In the setting of postmastectomy reconstruction, patient satisfaction and quality of life are the most significant outcome variables when evaluating surgical success. The aim of this study was to evaluate the quality of life after implant breast reconstruction compared with autologous breast reconstruction.
  
  
  METHODS
  A cross-sectional study design was used. A total of 65 women who had completed postmastectomy implant-based or autologous reconstruction in the participating center were asked to complete the BREAST-Q (Reconstruction Module).
  
  
  RESULTS
  Data analysis demonstrated that women with autologous breast reconstruction were significantly more satisfied with their breasts (P= 0.0003) and with the overall outcome (P= 0.0001) compared with women with implant breast reconstruction. All other BREAST-Q parameters that were considered and observed were not significantly different between the 2 patient groups.
  
  
  CONCLUSIONS
  Through statistical analysis, our results showed that patients who underwent autologous tissue reconstruction had better satisfaction with the reconstructed breast and the outcome, while both techniques appear to equally improve psychosocial well-being, sexual well-being, and chest satisfaction.
authors.affiliation: Plastic Surgery Unit, School of Medicine, University of Padova, Padova, Italy; Department of Plastic Surgery, Bulovka Hospital, 1st Medical Faculty, Charles University in Prague, Prague, Czech Republic; and Department of Plastic Surgery, University Hospital Kralovske Vinohrady, 3rd Medical Faculty, Charles University in Prague, Prague, Czech Republic.
authors.forename: Ortensia
authors.initials: O
authors.lastname: Pirro
authors.affiliation: Plastic Surgery Unit, School of Medicine, University of Padova, Padova, Italy; Department of Plastic Surgery, Bulovka Hospital, 1st Medical Faculty, Charles University in Prague, Prague, Czech Republic; and Department of Plastic Surgery, University Hospital Kralovske Vinohrady, 3rd Medical Faculty, Charles University in Prague, Prague, Czech Republic.
authors.forename: Ondrej
authors.initials: O
authors.lastname: Mestak
authors.affiliation: Plastic Surgery Unit, School of Medicine, University of Padova, Padova, Italy; Department of Plastic Surgery, Bulovka Hospital, 1st Medical Faculty, Charles University in Prague, Prague, Czech Republic; and Department of Plastic Surgery, University Hospital Kralovske Vinohrady, 3rd Medical Faculty, Charles University in Prague, Prague, Czech Republic.
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Vindigni
authors.affiliation: Plastic Surgery Unit, School of Medicine, University of Padova, Padova, Italy; Department of Plastic Surgery, Bulovka Hospital, 1st Medical Faculty, Charles University in Prague, Prague, Czech Republic; and Department of Plastic Surgery, University Hospital Kralovske Vinohrady, 3rd Medical Faculty, Charles University in Prague, Prague, Czech Republic.
authors.forename: Andrej
authors.initials: A
authors.lastname: Sukop
authors.affiliation: Plastic Surgery Unit, School of Medicine, University of Padova, Padova, Italy; Department of Plastic Surgery, Bulovka Hospital, 1st Medical Faculty, Charles University in Prague, Prague, Czech Republic; and Department of Plastic Surgery, University Hospital Kralovske Vinohrady, 3rd Medical Faculty, Charles University in Prague, Prague, Czech Republic.
authors.forename: Veronika
authors.initials: V
authors.lastname: Hromadkova
authors.affiliation: Plastic Surgery Unit, School of Medicine, University of Padova, Padova, Italy; Department of Plastic Surgery, Bulovka Hospital, 1st Medical Faculty, Charles University in Prague, Prague, Czech Republic; and Department of Plastic Surgery, University Hospital Kralovske Vinohrady, 3rd Medical Faculty, Charles University in Prague, Prague, Czech Republic.
authors.forename: Alena
authors.initials: A
authors.lastname: Nguyenova
authors.affiliation: Plastic Surgery Unit, School of Medicine, University of Padova, Padova, Italy; Department of Plastic Surgery, Bulovka Hospital, 1st Medical Faculty, Charles University in Prague, Prague, Czech Republic; and Department of Plastic Surgery, University Hospital Kralovske Vinohrady, 3rd Medical Faculty, Charles University in Prague, Prague, Czech Republic.
authors.forename: Lenka
authors.initials: L
authors.lastname: Vitova
authors.affiliation: Plastic Surgery Unit, School of Medicine, University of Padova, Padova, Italy; Department of Plastic Surgery, Bulovka Hospital, 1st Medical Faculty, Charles University in Prague, Prague, Czech Republic; and Department of Plastic Surgery, University Hospital Kralovske Vinohrady, 3rd Medical Faculty, Charles University in Prague, Prague, Czech Republic.
authors.forename: Franco
authors.initials: F
authors.lastname: Bassetto