Patient-reported satisfaction and health-related quality of life following breast reconstruction: A comparison of shaped cohesive gel and round cohesive gel implant recipients Journal Article


Authors: MacAdam, S. A.; Ho, A. L.; Lennox, P. A.; Pusic, A. L.
Article Title: Patient-reported satisfaction and health-related quality of life following breast reconstruction: A comparison of shaped cohesive gel and round cohesive gel implant recipients
Abstract: BACKGROUND:: Decision-making in breast reconstruction is complicated as women are offered an increasingly large range of options. Alloplastic surgery continues to evolve with the introduction of new prostheses to the breast reconstruction market but with limited patient-reported outcomes data. Evaluating the outcomes of surgical interventions and their impact on patients is imperative to improve the patient decision-making process and to improve quality of care. The authors evaluated the effect of the two most commonly used silicone prostheses on patient-reported satisfaction and health-related quality of life following alloplastic breast reconstruction. METHODS:: Patients were deemed eligible if they had completed alloplastic reconstruction at least 1 year before study initiation. Patients were contacted by mail with the BREAST-Q questionnaire, a contact letter, and an incentive gift card. BREAST-Q scores were compared between shaped cohesive and round cohesive silicone gel implant recipients. RESULTS:: Sixty-five round, cohesive, non-form-stable and 63 shaped, cohesive, form-stable silicone gel implant recipients responded, for an overall response rate of 75 percent. BREAST-Q responses showed no difference on any scale, including overall satisfaction with breast and outcome. Item-wise analysis revealed that implant recipients find shaped cohesive form-stable implants to be significantly firmer than cohesive round implants. No difference was found in implant rippling. CONCLUSION:: Although previous studies have shown silicone implant recipients to be more satisfied overall than saline implant recipients after alloplastic breast reconstruction, this study showed that patients do not differ in terms of satisfaction with outcome when compared regarding reconstruction using round versus shaped cohesive silicone gel implants. CLINICAL QUESTION/LEVEL OF EVIDENCE:: Therapeutic, III. Copyright © 2013 by the American Society of Plastic Surgeons.
Keywords: adult; aged; middle aged; patient satisfaction; comparative study; prospective study; prospective studies; quality of life; breast reconstruction; mammaplasty; questionnaires; questionnaire; cross-sectional study; cross-sectional studies; breast implants; prosthesis; prosthesis design; silicone gel; silicone gels; breast implant
Journal Title: Plastic and Reconstructive Surgery
Volume: 131
Issue: 3
ISSN: 0032-1052
Publisher: Lippincott Williams & Wilkins  
Date Published: 2013-03-01
Start Page: 431
End Page: 441
Language: English
DOI: 10.1097/PRS.0b013e31827c6d55
PUBMED: 23142936
PROVIDER: scopus
DOI/URL:
Notes: --- - "Export Date: 19 July 2013" - "CODEN: PRSUA" - "Source: Scopus"
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  1. Andrea Pusic
    292 Pusic