BREAST-Q measurement of the patient perspective in oncoplastic breast surgery: a systematic review

Article


Liu, L., Branford, O. and Mehigan, S. 2018. BREAST-Q measurement of the patient perspective in oncoplastic breast surgery: a systematic review. Plastic and Reconstructive Surgery-Global Open. 6 (8), pp. 1-8. https://doi.org/10.1097/GOX.0000000000001904
TypeArticle
TitleBREAST-Q measurement of the patient perspective in oncoplastic breast surgery: a systematic review
AuthorsLiu, L., Branford, O. and Mehigan, S.
Abstract

Background: Since BREAST-Q was developed in 2009, it has been widely used by clinicians and researchers to capture information regarding health-related quality of life (HRQoL) and patient satisfaction related to breast surgery. Yet clinical guidelines regarding the use of BREAST-Q for assessment of success of surgery in women with breast cancer remain limited. In order to maximise the benefits of using BREAST-Q to inform clinical decision making, this systematic review aimed to identify and appraise current evidence on patient reported outcomes (PROs) assessed by BREAST-Q associated with breast oncoplastic surgery.
Methods: A detailed search strategy was implemented and electronic databases searched include PubMed, MEDLINE, CINAHL and PsycINFO. Review was limited to peer-reviewed studies published in English from 2009 to January 2018. Any interventional and observational studies that used BREAST-Q to assess PROs in the assessment of breast oncoplastic surgery were included.
Results: Fifty-four peer-reviewed articles met inclusion criteria. Fifty-three studies were observational, one study was interventional. Current comparative studies using BREAST-Q indicated that abdominal flap, buttock flap or thigh flap reconstruction offered highest satisfaction with breast; contralateral prophylactic mastectomy with immediate reconstruction offered higher levels of satisfaction with breast, but poor post-surgical physical well-being. Silicone implant and no radiation therapy offered higher level satisfaction and HRQoL.
Conclusions: Current evidence showed that BREAST-Q can effectively measure patient’s satisfaction and HRQoL in relation to different type of breast oncoplastic surgeries. BREAST-Q captured meaningful and reliable information from the patients’ perspective. and may be useful for clinical decision making.

LanguageEnglish
PublisherLippincott, Williams and Wilkins
JournalPlastic and Reconstructive Surgery-Global Open
ISSN2169-7574
Publication dates
Print01 Aug 2018
Publication process dates
Deposited02 Jul 2018
Submitted12 Jun 2018
Accepted26 Jun 2018
Output statusPublished
Publisher's version
License
Copyright Statement

Copyright © 2018 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited

Additional information

Article number = e1904

Digital Object Identifier (DOI)https://doi.org/10.1097/GOX.0000000000001904
PubMed ID30254830
PubMed Central ID6143323
Web of Science identifierWOS:000444969900033
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