A breast reconstruction after mastectomy, either due to breast cancer or a high lifetime risk for cancer, is performed to increase the patient's quality of life. However, there are studies that show that some women regret their decision to have breast reconstruction. There are also studies demonstrating similarities in the general patterns of psychosocial adjustment and quality of life among women with breast cancer who have undergone breast-conserving surgery, mastectomy alone, and mastectomy combined with breast reconstruction. Hence, it is unclear which women actually benefit from a breast reconstruction. The concept of quality of life is connected to patient satisfaction and body image/investment. Therefore, the aim of this project is to examine the effects of patient expectations and body image on the patient reported outcomes of breast reconstruction, to improve preoperative information and postoperative care for women considering a breast reconstruction.
Study Type
OBSERVATIONAL
Enrollment
500
All types of implant based breast reconstructions
All types of autologous breast reconstructions
All types of breast reconstructions combining autologous and implant based techniques
Sahlgrenska university hospital
Gothenburg, Sweden
RECRUITINGPatient satisfaction with breast reconstruction measured with Breast Q reconstruction
Breast Q reconstruction includes two domains and six different modules: health-related quality of life (HR-QOL; including physical, psychosocial, and sexual well-being) and patient satisfaction (including satisfaction with breasts, outcome, and care). Each scale produces an independent score from 0-100. A higher score means greater satisfaction or better QOL.
Time frame: 2 years
Patient expectations measured with Breast Q expectations
Breast Q expectations.The scale consists of five modules: expectations for support from medical staff , expectations for pain, expectations for coping, expectations for breast appearance when clothed and expectations for breast sensation. The score for each independent scale range from 0-100. A higher score means greater expectations.
Time frame: 2 years
Body image measured with Multidimensional body-self relations questionnaire- appearance scales (MBSRQ-AS)
MBSRQ-AS - Multidimensional body-self relations questionnaire- appearance scales.It is a 34-item self-report questionnaire designed to measure appearance related components of body-image. In consists of five subscales: appearance evaluation, appearance orientation, body areas satisfaction, overweight preoccupation, and self-classified weight. It is a 5-point Likert-scale ranging from 1 to 5.
Time frame: 2 years
Body image investment measured with Appearance schemas inventory-revised (ASI-R)
ASI-R - Appearance schemas inventory-revised: is a 20-item self-report questionnaire designed to measure body-image investment. It consists of two subscales, self-evaluative salience (SES) and motivational salience (MS). It is a 5-point Likert-scale ranging from 1 (strongly disagree) to 5 (strongly agree). Twelve items relate to SES and eight items relate to MS. The total score is the mean of the 20 items, and the score of the subscales is the mean of the items relating to each subscale. A high score indicates greater body-image investment.
Time frame: 2 years
Satisfaction with preoperative information measured with Breast Q reconstruction
Measured with one of the sub scales of Breast Q reconstruction
Time frame: 2 years
Pain measured with a visual analogue scale
Measured with a post-operative pain dairy with VAS scales (o means no pain and 10 means the worst possible pain imaginable)
Time frame: 2 weeks
Sick leave according to authorities
Actual sick leave according to the Swedish authorities
Time frame: 1 year
Number of out-patient visits according to the medical charts
Actual number of out-patient visits, according to the medical chart
Time frame: 1 year
Depression and anxiety measured with Hospital Anxiety and Depression Scale (HADS)
HADS - Hospital Anxiety and Depression Scale: is a 14-item self-report questionnaire that is designed to measure anxiety and depression. It has two domains, where seven items relate to anxiety and seven relate to depression. It is a 4-point Likert-scale ranging from 0-3. Each domain has a maximum score of 21. For both domains, scores of less than 7 indicate non-cases, whereas scores of 8-10 indicate mild anxiety or depression, 11-14 moderate and 15-21 severe.
Time frame: 2 years
Demographic factors and medical factors according to medical charts
Demographic factors that might affect expectations and satisfaction, such as age, comorbidity, and previous cosmetic breast surgery, and medical factors such as timing of reconstructions, reason for mastectomy, type of cancer and cancer treatment received.
Time frame: 2 years
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