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Analysis of Satisfaction and Well-Being Following Breast Augmentation Using a Validated Survey Instrument: the BREAST-Q
Coriddi, Michelle; Bennett, Myla; Taylor, Anne
Ohio State University
2012-01-21
Presenter: Michelle Coriddi
Affidavit:
I certify that the material proposed for presentation in this abstract has not been published in any scientific journal or previously presented at a major meeting. Please make a statement as to how much of the above work represents the original work of the resident.
Director Name: Gregory Pearson
Author Category: Chief Resident Plastic Surgery
Presentation Category: Clinical
Abstract Category: Aesthetics
How does this presentation meet the established conference educational objectives?
This presentation shows the utilization of the Breast-Q survey in everyday practice. The Breast-Q is a current tool in plastic surgery, that can be used for clinical research. Emphasis will be placed on implementation of this questionnaire in the setting of breast augmentation.
How will your presentation be used by practicing physicians in the audience?
Our results will help practicing physicians in the audience by providing evidence of improved quality of life and satisfaction following breast augmentation using a validated survey instrument.
Purpose: Improvements in satisfaction and quality of life following breast augmentation are reported in the literature. However, no study has utilized the most rigorously tested and validated survey instrument, the BREAST-Q. Therefore, the aim of this study was to implement this survey to analyze patient reported satisfaction/dissatisfaction and quality of life following breast augmentation.
Methods: With IRB approval, all patients seen in consultation for breast augmentation between January 2008 and May 2009 by the senior author, AT, were asked to fill out BREAST-Q surveys anonymously during the pre-operative and 6-week post-operative periods. Statistical analysis was performed with a p-value of <0.05 considered significant.
Results: Of 208 total patients, 59(28%) completed the pre-augmentation survey and 70(34%) completed the post-augmentation survey. Significant improvements were seen for the means of every question on satisfaction with breast appearance(p<0.001), psychosocial well-being(p<0.001), and sexual well-being(p<0.01) between pre-augmentation and post-augmentation surveys. Conversely, significant decreases were seen for the means of every question on functional well-being(p<0.001). Satisfaction with overall outcomes most strongly correlated to satisfaction with appearance of breasts(r=0.9), and less strongly with psychosocial well-being, sexual well-being, and satisfaction with care(r=0.6). The weakest correlation was found between satisfaction with overall outcomes and physical well-being(r=0.1).
Conclusion: As the implementation of evidence-based medicine continues to grow in everyday practice, there is increasing pressure to use validated survey instruments to demonstrate patient reported outcomes. Using the BREAST-Q, we have shown that breast augmentation significantly improves satisfaction and well-being, and that overall satisfaction is most strongly correlated with satisfaction in breast appearance.
