Article

Satisfaction and quality of life in women who undergo breast surgery: A qualitative study

Department of Pediatrics, McMaster University, 3A 1200 Main Street W, Hamilton, ON, L8N 3Z5, Canada.
BMC Women's Health (Impact Factor: 1.66). 02/2009; 9:11. DOI: 10.1186/1472-6874-9-11
Source: PubMed

ABSTRACT In cosmetic and reconstructive breast surgery, measurement of patient-reported outcomes has become increasingly important to research efforts and clinical care. We aimed to describe how breast conditions and breast surgery impact on patient satisfaction and quality of life.
We conducted qualitative, in-depth interviews with 48 women who had undergone either breast reduction (n = 15), breast augmentation (n = 12), or breast reconstruction (n = 21) surgery in order to begin to build a theoretical understanding of patient satisfaction and quality of life in breast surgery patients. Interviews were audio-taped, transcribed verbatim and analyzed thematically.
The patient interviews revealed that breast conditions and breast surgery impact women in the following six main areas: satisfaction with breasts; satisfaction with overall outcome; psychosocial well-being; sexual well-being; physical well-being; and satisfaction with the process of care. We used these six themes to form the basis of a conceptual framework of patient satisfaction and quality of life in women who undergo breast surgery.
Our conceptual framework establishes the main issues of concern for breast surgery patients. This new framework can be used to help develop local guidelines for future clinical assessment, management and measurement, establish the validity of the current management strategies, and develop evidence-based guidance for the development of new patient reported outcome measures for future outcomes research.

Download full-text

Full-text

Available from: Stefan Cano, Aug 10, 2015
0 Followers
 · 
204 Views
  • Source
    • "Their findings show that breast reduction surgery has several positive meanings for the women such as improved physical health, increased self-esteem, selfconfidence , and enhanced body image. We can also see how the results of Klassen et al. (2009) support our findings. Similar to our study, Klassen et al. concluded that women who had undergone a breast augmentation were generally satisfied; however, our study also highlights that surgery is clearly associated with issues and physical and mental problems and questions. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Earlier research shows that breast augmentation is positively correlated with positive psychological states. The aim of this study was to explore the shared values, feelings, and thoughts within the culture of breast enlargement among women visiting Internet-based forums when considering and/or undergoing esthetic plastic surgery. The study used a netnographic method for gathering and analyzing data. The findings show that the women used the Internet forum to provide emotional support to other women. Through electronic postings, they cared for and nursed each others' anxiety and feelings throughout the whole process. Apart from the process, another central issue was that the women's relationships were frequently discussed; specifically their relationship to themselves, their environment, and with the surgeons. The findings suggest that Internet forums represent a channel through which posters can share values, feelings, and thoughts from the position of an agent of action as well as from a position as the object of action. These dual positions and the medium endow the women with a virtual nursing competence that would otherwise be unavailable. By introducing the concept of torrenting as a means of sharing important self-care information, the authors provide a concept that can be further explored in relation to post modern self-care strategies within contemporary nursing theories and practice.
    International Journal of Qualitative Studies on Health and Well-Being 11/2011; 6(4). DOI:10.3402/qhw.v6i4.7378 · 0.93 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Measuring patient-reported outcomes has become increasingly important in cosmetic and reconstructive breast surgery. The objective of this study was to develop a new patient-reported outcome measure to assess the unique outcomes of breast surgery patients. Patient interviews, focus groups, expert panels, and a literature review were used to develop a conceptual framework and a list of questionnaire items. Three procedure-specific questionnaires (augmentation, reduction, and reconstruction) were developed and cognitive debriefing interviews used to pilot each questionnaire. Revised questionnaires were field tested with 1950 women at five centers in the United States and Canada (response rate, 72 percent); 491 patients also completed a test-retest questionnaire. Rasch measurement methods were used to construct scales, and traditional psychometric analyses, following currently recommended procedures and criteria, were performed to allow for comparison with existing measures. The conceptual framework included six domains: satisfaction with breasts, overall outcome, and process of care, and psychosocial, physical, and sexual well-being. Independent scales were constructed for these domains. This new patient-reported outcome measure "system" (the BREAST-Q) contains three modules (augmentation, reconstruction, and reduction), each with a preoperative and postoperative version. Each scale fulfilled Rasch and traditional psychometric criteria (including person separation index 0.76 to 0.95; Cronbach's alpha 0.81 to 0.96; and test-retest reproducibility 0.73 to 0.96). The BREAST-Q can be used to study the impact and effectiveness of breast surgery from the patient's perspective. By quantifying satisfaction and important aspects of health-related quality of life, the BREAST-Q has the potential to support advocacy, quality metrics, and an evidence-based approach to surgical practice.
    Plastic and Reconstructive Surgery 09/2009; 124(2):345-53. DOI:10.1097/PRS.0b013e3181aee807 · 3.33 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: SUMMARY: Qualitative research can explore parts of the subjective patient experience that cannot be detailed with quantitative methods such as surveys. Unfortunately, this powerful methodology is underused in plastic surgery, a specialty where subjective outcomes are more important than traditional outcomes indicators. Qualitative research can be used to add depth to patient satisfaction questionnaires or other quantitative measures. Qualitative methodology can also be used to explore complex issues such as why patients choose to undergo cosmetic surgery or to detail patient experiences following reconstructive surgery. The authors explain the basics of qualitative research, including asking the appropriate research question, applying steps to collect data, data analysis, and practical applications of the results.
    Plastic and Reconstructive Surgery 05/2010; 126(3):1089-97. DOI:10.1097/PRS.0b013e3181e60624 · 3.33 Impact Factor
Show more