Nonresponse data in sexual well-being among breast reconstruction patients—Who are we overlooking? Journal Article
| Authors: | Kim, M.; Vingan, P.; Boe, L. A.; Tadros, A. B.; Nelson, J. A.; Stern, C. S. |
| Article Title: | Nonresponse data in sexual well-being among breast reconstruction patients—Who are we overlooking? |
| Abstract: | Background: Missing data can affect the representativeness and accuracy of survey results, and sexual health-related surveys are especially at a higher risk of nonresponse due to their sensitive nature and stigma. The purpose of this study was to evaluate the proportion of patients who do not complete the BREAST-Q Sexual Well-being relative to other BREAST-Q modules and compare responders versus nonresponders of Sexual Well-being. We secondarily examined variables associated with Sexual Well-being at 1-year. Methods: A retrospective analysis of patients who underwent breast reconstruction from January 2018 to December 2021 and completed any of the BREAST-Q modules postoperatively at 1-year was performed. Results: The 2941 patients were included. Of the four BREAST-Q domains, Sexual Well-being had the highest rate of nonresponse (47%). Patients who were separated (vs. married, OR = 0.69), whose primary language was not English (vs. English, OR = 0.60), and had Medicaid insurance (vs. commercial, OR = 0.67) were significantly less likely to complete the Sexual Well-being. Postmenopausal patients were significantly more likely to complete the survey than premenopausal patients. Lastly, autologous reconstruction patients were 2.93 times more likely to respond than implant-based reconstruction patients (p < 0.001) while delayed (vs. immediate, OR = 0.70, p = 0.022) and unilateral (vs. bilateral, OR = 0.80, p = 0.008) reconstruction patients were less likely to respond. History of psychiatric diagnosis, aromatase inhibitors, and immediate breast reconstruction were significantly associated with lower Sexual Well-being at 1-year. Conclusion: Sexual Well-being is the least frequently completed BREAST-Q domain, and there are demographic and clinical differences between responders and nonresponders. We encourage providers to recognize patterns in nonresponse data for Sexual-Well-being to ensure that certain patient population's sexual health concerns are not overlooked. © 2024 Wiley Periodicals LLC. |
| Keywords: | adult; cancer chemotherapy; controlled study; aged; middle aged; patient satisfaction; retrospective studies; major clinical study; adjuvant therapy; follow up; follow-up studies; antineoplastic agent; sentinel lymph node biopsy; quality of life; breast cancer; mastectomy; aromatase inhibitor; cohort analysis; psychology; breast neoplasms; breast reconstruction; mammaplasty; retrospective study; medicaid; questionnaire; breast tumor; reoperation; surgery; hospital readmission; neoadjuvant chemotherapy; language; postmenopause; nipple-sparing mastectomy; skin-sparing mastectomy; sexual behavior; surveys; medical history; psychiatric diagnosis; autotransplantation; sexual health; missing data; breast-q; nonresponse; humans; prognosis; human; male; female; article; married person; surveys and questionnaires; physical well-being; social well-being; sexual well-being; separated person |
| Journal Title: | Journal of Surgical Oncology |
| Volume: | 129 |
| Issue: | 7 |
| ISSN: | 0022-4790 |
| Publisher: | Wiley Blackwell |
| Date Published: | 2024-06-01 |
| Start Page: | 1192 |
| End Page: | 1201 |
| Language: | English |
| DOI: | 10.1002/jso.27639 |
| PUBMED: | 38583135 |
| PROVIDER: | scopus |
| PMCID: | PMC12132024 |
| DOI/URL: | |
| Notes: | Article -- MSK Cancer Center Support Grant (P30 CA008748) acknowledged in PubMed and PDF -- MSK corresponding author is Carrie Stern -- Source: Scopus |
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