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Factors Affecting Patient Satisfaction and Well-being Following Autologous Breast Reconstruction
Michelle Coriddi, MD
Nikhil Agrawal, BS
Ibhrahim Khansa, MD
Pankaj Tiwari, MD
The Ohio State University
2014-02-24
Presenter: Michelle Coriddi, MD
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: Resident Plastic Surgery
Presentation Category: Clinical
Abstract Category: Breast (Aesthetic and Recon.)
Background: Following autologous tissue breast reconstruction, the literature has shown improvements in satisfaction and quality of life. However, few studies have examined possible influences on this finding. Therefore, we chose to examine the effect of patient factors and possible motivations contributing to satisfaction and quality of life in patients undergoing autologous reconstruction with abdominal tissue following mastectomy.
Methods: All patients between one and two years post abdominal tissue autologous breast reconstruction were mailed BREAST-Q post-operative reconstruction surveys to complete and return. Patient factors including BMI, age, laterality, major complications and minor complications were collected. Statistical analysis was performed using student's t-test and Pearson's correlation coefficient.
Results: Fifty-three surveys were filled out and returned. Average BMI was 28.3(±4.6). Average age was 51.4(±7.8). Seventeen patients experienced a major complication (32%), and 11 patients had a minor complication (21%). Twenty-three (43%) patients had bilateral reconstruction with the remaining 30 (57%) patients having unilateral reconstruction. None of these factors significantly influenced satisfaction with overall outcome, satisfaction with the appearance of breasts, sexual well-being, psychosocial well-being, or physical well-being of either the abdomen or chest. When analyzing satisfaction with overall outcomes, we found strong positive correlations with satisfaction with breast appearance(r=0.7), psychosocial well-being(r=0.6) and sexual well-being(r=0.7).
Conclusions: In this study we found that following autologous breast reconstruction, the patients who are most satisfied overall are those who are greatly satisfied with the appearance of their breasts, and have high psychosocial and physical well being; regardless of BMI, age, complications or laterality.
