BREAST-Q REACT: Clinical reference values for the BREAST-Q in post-mastectomy breast reconstruction patients Journal Article
| Authors: | Nelson, J. A.; Chu, J. J.; McCarthy, C. M.; Stern, C. S.; Shamsunder, M. G.; Pusic, A. L.; Mehrara, B. J. |
| Article Title: | BREAST-Q REACT: Clinical reference values for the BREAST-Q in post-mastectomy breast reconstruction patients |
| Abstract: | Background: The BREAST-Q is the most commonly used patient-reported outcome measure (PROM) for breast reconstruction research. However, clinical implementation of this PROM has been impeded by a lack of context for score interpretation. The aim of this study was to define reference values for the BREAST-Q at discrete timepoints following surgery, generating a tool for real-time score interpretation. Methods: BREAST-Q scores were prospectively obtained in women who underwent implant or autologous post-mastectomy breast reconstruction preoperatively and for 2 years following surgery at Memorial Sloan Kettering Cancer Center (MSK). Descriptive statistics were used to create reference values for BREAST-Q satisfaction and quality-of-life subscales. Reference values were externally validated by comparing patient characteristics and BREAST-Q scores between the MSK and the Mastectomy Reconstruction Outcomes Consortium (MROC) study cohorts. Results: Overall, 3268 MSK patients and 2814 MROC patients were included for analysis. When MSK and MROC cohorts were compared for validation, there were some statistical differences in BREAST-Q scores; however, most of these differences did not meet the minimal clinically important difference of 4 points. Reference values were used to create the BREAST-Q Real-time Engagement and Communication Tool (REACT). Conclusions: Using a large cohort of patients, we have defined BREAST-Q reference values for post-mastectomy breast reconstruction patients for use in clinical practice. The BREAST-Q REACT will help breast reconstruction providers gauge patient wellbeing and satisfaction relative to the “average” breast reconstruction patient and determine which patients may benefit from additional intervention. © 2022, Society of Surgical Oncology. |
| Keywords: | adult; controlled study; middle aged; patient satisfaction; cancer surgery; major clinical study; postoperative period; cancer patient; cancer radiotherapy; outcome assessment; antineoplastic agent; preoperative evaluation; prospective study; clinical practice; quality of life; breast cancer; mastectomy; cohort analysis; breast neoplasms; breast reconstruction; mammaplasty; retrospective study; breast tumor; reference values; communication; interpersonal communication; clinical decision making; breast endoprosthesis; breast implants; patient reported outcome measures; reference value; autologous reconstruction; patient-reported outcome; patient reported outcomes; implant reconstruction; breast-q; humans; human; female; article; patient history of chemotherapy; psychological well-being; minimal clinically important difference; breast q real time engagement and communication tool; psychological wellbeing assessment |
| Journal Title: | Annals of Surgical Oncology |
| Volume: | 29 |
| Issue: | 8 |
| ISSN: | 1068-9265 |
| Publisher: | Springer |
| Date Published: | 2022-08-01 |
| Start Page: | 5280 |
| End Page: | 5293 |
| Language: | English |
| DOI: | 10.1245/s10434-022-11521-4 |
| PUBMED: | 35415816 |
| PROVIDER: | scopus |
| PMCID: | PMC10337694 |
| DOI/URL: | |
| Notes: | Article -- Export Date: 1 August 2022 -- Source: Scopus |
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