Table V. Comparison of Breast Reconstruction Studies Utilizing the BREAST-Q.
Reference | Patient Base | Number of patients | Breast-Q Done Preoperatively (y/n) | Breast-Q Postop Time point(s) | Scales | Preoperative Score | Postop Score | ||
---|---|---|---|---|---|---|---|---|---|
Howard 2016 | Nipple Sparing Mastectomy | 48 | y | 2 years | Satisfaction with breasts | 63 | 73 | ||
Psychosocial well-being | 70 | 86 | |||||||
Physical well-being | 85 | 77 | |||||||
Sexual well-being | 57 | 57 | |||||||
Satisfaction with outcome | n/a | 75 | |||||||
Peled 2014 | Total Skin Sparing Mastectomy and Immediate Tissue Expander-Implant Reconstruction | 28 | y | 3, 6, 12 months | Satisfaction with breasts | 69.8 | 67.8 | ||
Psychosocial well-being | 75.7 | 74.9 | |||||||
Physical well-being | 84.3 | 72.5 | |||||||
Sexual well-being | 58.3 | 57.7 | |||||||
Satisfaction with outcome | n/a | 68.1 | |||||||
Jeeven 2014 | Breast recon +/- immediate recon or delayed reconstruction | 7,110 | n | 3-mo, 18 mo | Satisfaction with breasts | 55 | |||
Psychosocial well-being | 65 | ||||||||
Physical well-being | 75 | ||||||||
Sexual well-being | 46 | ||||||||
McCarthy 2010 | Silicone implant subset | 176 gel patients | n | 2.4 years* | Satisfaction with breasts | 58.9 | |||
Salgarello 2012 | Subset of immediate recon patients | 12 | n | “during reconstruction” | Satisfaction with breasts | 62.8 | |||
Psychosocial well-being | 63.3 | ||||||||
Physical well-being | 35.1 | ||||||||
Sexual well-being | 64 | ||||||||
Satisfaction with outcome | 65.8 | ||||||||
No CPM | CPM | ||||||||
Koslow 2013 | Subset of immediate implant-based recon in Contralateral Prophylactic Mastectomy (CPM)vs no CPM studyγ | 294 | n | 4.3 years post-mastectomy | Satisfaction with breasts | 54.9 | 64.4 | ||
Psychosocial well-being | 72.3 | 75.4 | |||||||
Physical well-being | 75 | 77.4 | |||||||
Sexual well-being | 52.3 | 55.1 | |||||||
Satisfaction with outcome | 67.7 | 74.8 | |||||||
Sugrue 2013 | Immediate breast reconstruction following mastectomy | 33 | y, done retrospectively | Not defined | Satisfaction with breasts | 66 | 64 | ||
Psychosocial well-being | 67 | 69 | |||||||
Physical well-being | 81 | 81 | |||||||
Sexual well-being | 52 | 54 | |||||||
Satisfaction with outcome | n/a | Not reported | |||||||
SSM | NSM | ||||||||
Metcalfe 2015 | Bilateral Prophylactic Mastectomy (skin-sparing (SSM) versus nipple-sparing (NSM)) δ | 137 | n | 50 months* | Satisfaction with breasts | 62 | 71 | ||
Psychosocial well-being | 76 | 82 | |||||||
Sexual well-being | 49 | 72 | |||||||
Satisfaction with outcome | 75 | 100 |
mean
Breast-Q reported as CPM versus No CPM
Breast-Q reported as SSM versus NPM