Predictive factors of satisfaction and quality of life after immediate breast reconstruction using the BREAST-Q

Cereijo-Garea, Carmen; Pita-Fernández, Salvador; Acea-Nebril, Benigno; Rey-Villar, Raquel; García-Novoa, Alejandra; Varela-Lamas, Cristina; Builes-Ramirez, Sergio; Seoane-Pillado, Teresa; Balboa Barreiro, Vanesa

Abstract:

Aims and objectives: To analyse quality of life and satisfaction after immediate breast reconstruction due to cancer and its determining factors. Background: Studying breast reconstruction is important because of its frequency and variability. In addition to the surgical results, it is necessary to analyse the quality of life and patient satisfaction using a specific tool. Design methods: An ambispective design was used (n=101; =0.05; precision=10%), studying anthropometric, sociocultural data, Fagerstrom test and the BREAST-Q (c) questionnaire. A logistic regression analysis was performed to identify variables associated with quality of life and satisfaction. Results: Mean age of the patients on diagnosis was 44.878.5years. Forty-one of the patients were carried out a skin-sparing mastectomy (42.7%). Immediate reconstruction was performed with implant in 73 (74.5%). The domains on the BREAST-Q (c) for quality of life with the lowest scores were physical well-being chest (74) and sexual well-being (61.5). The satisfaction domain with the lowest score was with the breast (59). The variables associated with the worst quality of life in the physical well-being chest domain were the skin-sparing mastectomy (OR, 4.2; 95% confidence interval (CI), 1.2-14.1) and lymphedema (OR, 12.9; 95% CI, 1.0-159.9). Antibody treatment was associated with a worse score on the psychosocial well-being domain (OR, 4.25; 95% CI, 1.0-18.0) and sexual well-being domain (OR, 7.34; 95% CI, 0.9-54.6). Satisfaction was associated with nicotine dependence on the breast and outcome scale. The higher the dependence on nicotine, the greater the dissatisfaction with the breasts (OR, 2.41; 95% CI, 1.1-5.3) and with the result (OR, 2.45; 95% CI, 1.0-5.9). Conclusions: The type of treatment and lymphedema modify the patients' quality of life. Nicotine dependence is associated with lower satisfaction with the breast and with the outcome.

Year:

2018

Type of Publication:

Article

Keywords:

breast neoplasms; breast reconstruction; patient satisfaction; quality of life; PATIENT-REPORTED OUTCOMES; BODY-MASS INDEX; IMPLANT RECONSTRUCTION; PROSPECTIVE-COHORT; FOLLOW-UP; MASTECTOMY; CANCER; RISK; WOMEN; INFORMATION

Journal:

JOURNAL OF CLINICAL NURSING

Volume:

27

Number:

7-8

Pages:

1464-1474

Month:

April

DOI:

10.1111/jocn.14291