BREAST-Q measurement of the patient perspective in oncoplastic breast surgery: a systematic review

Liu, Liang Q. and Branford, Olivier A. and Mehigan, Sinead (2018) BREAST-Q measurement of the patient perspective in oncoplastic breast surgery: a systematic review. Plastic and Reconstructive Surgery-Global Open, 6 (8). e1904. ISSN 2169-7574

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Abstract

Background: Since BREAST-Q was developed in 2009, it has been widely used by clinicians and researchers to capture information regarding health-related quality of life (HRQoL) and patient satisfaction related to breast surgery. Yet clinical guidelines regarding the use of BREAST-Q for assessment of success of surgery in women with breast cancer remain limited. In order to maximise the benefits of using BREAST-Q to inform clinical decision making, this systematic review aimed to identify and appraise current evidence on patient reported outcomes (PROs) assessed by BREAST-Q associated with breast oncoplastic surgery.

Methods: A detailed search strategy was implemented and electronic databases searched include PubMed, MEDLINE, CINAHL and PsycINFO. Review was limited to peer-reviewed studies published in English from 2009 to January 2018. Any interventional and observational studies that used BREAST-Q to assess PROs in the assessment of breast oncoplastic surgery were included.

Results: Fifty-four peer-reviewed articles met inclusion criteria. Fifty-three studies were observational, one study was interventional. Current comparative studies using BREAST-Q indicated that abdominal flap, buttock flap or thigh flap reconstruction offered highest satisfaction with breast; contralateral prophylactic mastectomy with immediate reconstruction offered higher levels of satisfaction with breast, but poor post-surgical physical well-being. Silicone implant and no radiation therapy offered higher level satisfaction and HRQoL.

Conclusions: Current evidence showed that BREAST-Q can effectively measure patient’s satisfaction and HRQoL in relation to different type of breast oncoplastic surgeries. BREAST-Q captured meaningful and reliable information from the patients’ perspective. and may be useful for clinical decision making.

Item Type: Article
Additional Information: Article number = e1904
Research Areas: A. > School of Health and Education > Adult, Child and Midwifery
Item ID: 24429
Notes on copyright: Copyright © 2018 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited
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Depositing User: Liang Liu
Date Deposited: 02 Jul 2018 11:21
Last Modified: 11 Nov 2018 10:38
URI: http://eprints.mdx.ac.uk/id/eprint/24429

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