Table 3.
Multivariable regression of BREAST-Q scores
| Satisfaction with breasts (n = 1009) | Psychosocial well-being (n = 1103) | Physical well-being (chest) (n = 990) | Sexual well-being (n = 760) | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Coefficicnt (95% c.i.) | P* | P† | Coefficicnt (95% c.i.) | P* | P† | Coefficicnt (95% c.i.) | P* | P† | Coefficicnt (95% c.i.) | P* | P† | |
| Procedure | ||||||||||||
| Expander/implant (reference) | ||||||||||||
| LD flap | 4.86 (1.92, 7.81) | 0.001 | < 0.001 | 1.60 (−1.26, 4.45) | 0.273 | 0.011 | −2.02 (−4.73, 0.68) | 0.143 | < 0.001 | 3.27 (−0.84, 7.37) | 0.119 | 0.029 |
| Abdominal flap | 13.17 (9.48, 16.87) | < 0.001 | 5.41 (1.80, 9.01) | 0.003 | 5.65 (2.22, 9.09) | 0.001 | 6.79 (1.69, 11.90) | 0.009 | ||||
| Age (years) | ||||||||||||
| < 50 (reference) | ||||||||||||
| 50–59 | 2.81 (0.06, 5.56) | 0.045 | 0.002 | 6.15 (3.46, 8.85) | < 0.001 | < 0.001 | 3.51 (0.95, 6.06) | 0.007 | 0.001 | 3.64 (−0.12, 7.40) | 0.058 | 0.002 |
| ≥ 60 | 6.39 (2.76, 10.02) | 0.001 | 11.30 (7.85, 14.75) | < 0.001 | 5.82 (2.52, 9.11) | 0.001 | 9.37 (3.82, 14.91) | 0.001 | ||||
| Ethnicity | ||||||||||||
| White (reference) | ||||||||||||
| Other | 4.36 (−4.39, 13.12) | 0.328 | 0.328 | −1.40 (−9.42, 6.61) | 0.731 | 0.728 | −11.92 (−19.29, −4.55) | 0.002 | 0.002 | 5.95 (−7.38, 19.28) | 0.381 | 0.381 |
| Region | ||||||||||||
| London (reference) | ||||||||||||
| North East | 1.63 (−6.15, 9.41) | 0.681 | −0.37 (−8.01, 7.28) | 0.925 | −5.24 (−12.63, 2.16) | 0.165 | −5.89 (−16.97, 5.20) | 0.298 | ||||
| North West | 0.69 (−4.62, 5.99) | 0.799 | −1.96 (−7.14, 3.22) | 0.458 | −1.81 (−6.74, 3.12) | 0.471 | −2.24 (−9.60, 5.12) | 0.551 | ||||
| Yorkshire and Humber | 0.10 (−5.33, 5.53) | 0.971 | 0.09 (−5.37, 5.18) | 0.973 | −2.71 (−7.85, 2.42) | 0.300 | −1.76 (−9.29, 5.77) | 0.647 | ||||
| East Midlands | 1.72 (−3.92, 7.35) | 0.550 | 0.984 | 0.77 (−4.72, 6.27) | 0.782 | 0.951 | −2.59 (−7.77, 2.58) | 0.326 | 0.741 | 0.32 (−7.60, 8.23) | 0.937 | 0.925 |
| West Midlands | −0.22 (−5.97, 5.53) | 0.940 | −2.34 (−7.93, 3.24) | 0.410 | −3.72 (−9.05, 1.60) | 0.170 | −1.04 (−8.87, 6.79) | 0.794 | ||||
| East of England | −1.42 (−6.46, 3.62) | 0.580 | 0.17 (−4.72, 5.06) | 0.945 | −1.74 (−6.40, 2.93) | 0.466 | −2.31 (−9.38, 4.77) | 0.523 | ||||
| South East | −0.25 (−4.68, 5.19) | 0.920 | 0.53 (−4.24, 5.31) | 0.827 | −0.88 (−5.38, 3.62) | 0.702 | −3.82 (−10.61, 2.97) | 0.270 | ||||
| South West | 1.54 (−3.79, 6.86) | 0.571 | 1.34 (−3.81, 6.49) | 0.610 | 0.63 (−4.27, 5.54) | 0.800 | −2.77 (−10.19, 4.66) | 0.464 | ||||
| Other | −0.09 (−10.66, 10.48) | 0.987 | 0.72 (−9.43, 10.86) | 0.890 | −3.24 (−12.65, 6.18) | 0.500 | −8.44 (−22.65, 5.78) | 0.244 | ||||
| IMD | ||||||||||||
| Most deprived quintile (reference) | ||||||||||||
| Least deprived four quintiles | 1.08 (−3.65, 5.80) | 0.654 | 0.654 | 6.31 (0.007) | 0.007 | 1.71, 10.91 | −0.70 (−5.09, 3.69) | 0.753 | 0.753 | 5.22 (−1.24, 11.67) | 0.113 | 0.113 |
| Smoker | ||||||||||||
| No (reference) | ||||||||||||
| Yes | −6.51 (−10.49, −2.54) | 0.001 | 0.005 | −7.88 (−11.75, −4.02) | 0.000 | < 0.001 | −6.78 (−10.48, −3.08) | 0.000 | 0.001 | −9.34 (−14.72, −3.96) | 0.001 | 0.001 |
| Prefer not to say | −0.52 (−12.00, 10.96) | 0.929 | −11.21 (−22.86, 0.43) | 0.059 | 2.65 (−8.33, 13.64) | 0.636 | −13.85 (−29.18, 1.47) | 0.076 | ||||
| BMI (kg/m2) | ||||||||||||
| ≤ 30 (reference) | ||||||||||||
| > 30 | −0.78 (−3.86, 2.30) | 0.619 | 0.619 | −2.48 (−5.43, 0.48) | 0.100 | 0.096 | −3.39 (−6.28, −0.50) | 0.022 | 0.022 | −3.81 (−8.21, 0.59) | 0.090 | 0.090 |
| Marital status | ||||||||||||
| Married (reference) | ||||||||||||
| Single | −8.06 (−12.52, −3.61) | 0.000 | −6.86 (−11.06, −2.65) | 0.001 | −2.81 (−6.85, 1.23) | 0.172 | −17.34 (−23.96, −10.71) | 0.000 | ||||
| Divorced or separated | −0.96 (−4.74, 2.82) | 0.617 | 0.002 | −3.94 (−7.60, −0.28) | 0.035 | < 0.001 | −1.33 (−4.84, 2.17) | 0.455 | 0.602 | −14.11 (−19.73, −8.48) | 0.000 | < 0.001 |
| In a relationship | −4.20 (−8.29, −0.10) | 0.045 | −4.62 (−8.63, −0.61) | 0.024 | 0.02 (−3.84, 3.88) | 0.992 | −4.32 (−9.58, 0.95) | 0.108 | ||||
| Prefer not to say | 7.59 (−6.41, 21.60) | 0.288 | 14.79 (−0.45, 30.02) | 0.057 | 3.74 (−9.05, 16.54) | 0.566 | 18.89 (−2.50, 40.27) | 0.083 | ||||
| Complications after surgery | ||||||||||||
| No (reference) | ||||||||||||
| Yes, managed in clinic or by GP | −5.73 (−8.89, −2.58) | < 0.001 | < 0.001 | −3.16 (−6.26, −0.06) | 0.046 | < 0.001 | −6.02 (−8.97, −3.08) | < 0.001 | < 0.001 | −2.63 (−7.02, 1.76) | 0.240 | 0.110 |
| Yes, I needed further surgery | −8.50 (−11.94, −5.06) | < 0.001 | −6.89 (−10.15, −3.63) | < 0.001 | −6.58 (−9.69, −3.47) | < 0.001 | −4.53 (−9.08, 0.31) | 0.052 | ||||
| Further surgery to breasts | ||||||||||||
| Yes (reference) | ||||||||||||
| No | −0.08 (−2.83, 2.67) | 0.955 | 0.955 | 2.39 (−0.27, 5.05) | 0.078 | 0.074 | 3.51 (1.01, 6.02) | 0.006 | 0.006 | 3.52 (−0.38, 7.43) | 0.077 | 0.072 |
LD, latissiumus dorsi; IMD, Indices of multiple deprivation. *P for coefficients of co-variable within each category; †P for likelihood ratio test of impact of co-variable on regression model.