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    Predictors of satisfaction and quality of life following post-mastectomy breast reconstruction

    Matthews, H. and Carroll, N. and Renshaw, D. and Turner, A. and Park, A. and Skillman, J. and McCarthy, K. and Grunfeld, Elizabeth (2017) Predictors of satisfaction and quality of life following post-mastectomy breast reconstruction. Psycho-Oncology 26 (11), pp. 1860-1865. ISSN 1099-1611.

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    Abstract

    Objective: Breast reconstruction is associated with multiple psychological benefits. However, few studies have identified clinical and psychological factors associated with improved satisfaction and quality of life. This study examined factors which predict satisfaction with breast appearance, outcome satisfaction and quality of life following post-mastectomy breast reconstruction. Methods: Women who underwent post-mastectomy breast reconstruction between 2010 and 2016 received a postal questionnaire consisting of: The BREAST-Q Patient Reported Outcomes Instrument, The European Organisation for Research and Treatment of Cancer QLQ-30 Questionnaire, The Patient and Observer Scar Assessment Scale and a series of Visual-Analogue Scales. One hundred and forty eight women completed the questionnaire, a 56% response rate. Results: Hierarchical multiple regression analyses revealed psychosocial factors accounted for 75% of the variance in breast satisfaction, 68% for outcome satisfaction and 46% for quality of life. Psychosocial wellbeing emerged as a significant predictor of satisfaction with breast appearance (β=.322) and outcome satisfaction (β=.406). Deep inferior epigastric perforator flap (DIEP) patients reported greater satisfaction with breast appearance (β=.120) and outcome satisfaction (β=.167). Conclusions: This study extends beyond limited research by distinguishing between satisfaction with breast appearance and outcome satisfaction. The study provides preliminary evidence for the role of psychosocial factors predicting key patient reported outcomes and demonstrates the importance of psychosocial wellbeing and reconstruction type. Healthcare providers could assess psychosocial wellbeing prior to reconstruction to support optimal recovery. Clinicians could also use the findings of this study to justify the use of DIEP over implant reconstructions.

    Metadata

    Item Type: Article
    Additional Information: This is the peer reviewed version of the article, which has been published in final form at the link above. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.
    School: Birkbeck Schools and Departments > School of Science > Psychological Sciences
    Depositing User: Professor Elizabeth Grunfeld
    Date Deposited: 09 Oct 2017 13:23
    Last Modified: 07 Mar 2018 01:10
    URI: http://eprints.bbk.ac.uk/id/eprint/19932

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