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

Hannah Matthews, Natalie Carroll, Derek Renshaw, Andrew Turner, Alan Park, Jo Skillman, Kate McCarthy, Elizabeth A. Grunfeld

    Research output: Contribution to journalArticle

    6 Citations (Scopus)

    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 hundredforty-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% forquality of life. Psychosocial well-being emerged as a significant predictor of satisfaction with breast appearance (β =.322) and outcome satisfaction (β =.406). Deep inferior epigastric perforator flap patients reported greater satisfaction with breast appearance (β =.120) and outcome satisfaction (β =.167). Conclusions: This study extends beyond the limited research by distinguishing between satisfaction with breast appearance and outcome satisfaction. The study provides evidence for the role of psychosocial factors predicting key patient reported outcomes and demonstrates the importance of psychosocial well-being and reconstruction type. The findings also highlight the need for healthcare providers to consider the psychosocial well-being of patients both preoperatively and post operatively and provide preliminary evidence for the use of deep inferior epigastric perforator reconstructions over other types of reconstructive procedures.

    Original languageEnglish
    Pages (from-to)1860-1865
    Number of pages6
    JournalPsycho-Oncology
    Volume26
    Issue number11
    Early online date13 Feb 2017
    DOIs
    Publication statusPublished - 1 Nov 2017

    Fingerprint

    Mammaplasty
    Mastectomy
    Quality of Life
    Breast
    Psychology
    Perforator Flap
    Visual Analog Scale
    Health Personnel
    Cicatrix
    Regression Analysis

    Keywords

    • breast cancer
    • breast reconstruction
    • cancer
    • oncology
    • quality of life
    • satisfaction and survivorship

    ASJC Scopus subject areas

    • Experimental and Cognitive Psychology
    • Oncology
    • Psychiatry and Mental health

    Cite this

    Predictors of satisfaction and quality of life following post-mastectomy breast reconstruction. / Matthews, Hannah; Carroll, Natalie; Renshaw, Derek; Turner, Andrew; Park, Alan; Skillman, Jo; McCarthy, Kate; Grunfeld, Elizabeth A.

    In: Psycho-Oncology, Vol. 26, No. 11, 01.11.2017, p. 1860-1865.

    Research output: Contribution to journalArticle

    Matthews, H, Carroll, N, Renshaw, D, Turner, A, Park, A, Skillman, J, McCarthy, K & Grunfeld, EA 2017, 'Predictors of satisfaction and quality of life following post-mastectomy breast reconstruction' Psycho-Oncology, vol. 26, no. 11, pp. 1860-1865. https://doi.org/10.1002/pon.4397
    Matthews, Hannah ; Carroll, Natalie ; Renshaw, Derek ; Turner, Andrew ; Park, Alan ; Skillman, Jo ; McCarthy, Kate ; Grunfeld, Elizabeth A. / Predictors of satisfaction and quality of life following post-mastectomy breast reconstruction. In: Psycho-Oncology. 2017 ; Vol. 26, No. 11. pp. 1860-1865.
    @article{f5820c8dcd3e4ac7a6780780cb5175a7,
    title = "Predictors of satisfaction and quality of life following post-mastectomy breast reconstruction",
    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 hundredforty-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{\%} forquality of life. Psychosocial well-being emerged as a significant predictor of satisfaction with breast appearance (β =.322) and outcome satisfaction (β =.406). Deep inferior epigastric perforator flap patients reported greater satisfaction with breast appearance (β =.120) and outcome satisfaction (β =.167). Conclusions: This study extends beyond the limited research by distinguishing between satisfaction with breast appearance and outcome satisfaction. The study provides evidence for the role of psychosocial factors predicting key patient reported outcomes and demonstrates the importance of psychosocial well-being and reconstruction type. The findings also highlight the need for healthcare providers to consider the psychosocial well-being of patients both preoperatively and post operatively and provide preliminary evidence for the use of deep inferior epigastric perforator reconstructions over other types of reconstructive procedures.",
    keywords = "breast cancer, breast reconstruction, cancer, oncology, quality of life, satisfaction and survivorship",
    author = "Hannah Matthews and Natalie Carroll and Derek Renshaw and Andrew Turner and Alan Park and Jo Skillman and Kate McCarthy and Grunfeld, {Elizabeth A.}",
    year = "2017",
    month = "11",
    day = "1",
    doi = "10.1002/pon.4397",
    language = "English",
    volume = "26",
    pages = "1860--1865",
    journal = "Psycho-Oncology",
    issn = "1057-9249",
    publisher = "Wiley",
    number = "11",

    }

    TY - JOUR

    T1 - Predictors of satisfaction and quality of life following post-mastectomy breast reconstruction

    AU - Matthews, Hannah

    AU - Carroll, Natalie

    AU - Renshaw, Derek

    AU - Turner, Andrew

    AU - Park, Alan

    AU - Skillman, Jo

    AU - McCarthy, Kate

    AU - Grunfeld, Elizabeth A.

    PY - 2017/11/1

    Y1 - 2017/11/1

    N2 - 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 hundredforty-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% forquality of life. Psychosocial well-being emerged as a significant predictor of satisfaction with breast appearance (β =.322) and outcome satisfaction (β =.406). Deep inferior epigastric perforator flap patients reported greater satisfaction with breast appearance (β =.120) and outcome satisfaction (β =.167). Conclusions: This study extends beyond the limited research by distinguishing between satisfaction with breast appearance and outcome satisfaction. The study provides evidence for the role of psychosocial factors predicting key patient reported outcomes and demonstrates the importance of psychosocial well-being and reconstruction type. The findings also highlight the need for healthcare providers to consider the psychosocial well-being of patients both preoperatively and post operatively and provide preliminary evidence for the use of deep inferior epigastric perforator reconstructions over other types of reconstructive procedures.

    AB - 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 hundredforty-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% forquality of life. Psychosocial well-being emerged as a significant predictor of satisfaction with breast appearance (β =.322) and outcome satisfaction (β =.406). Deep inferior epigastric perforator flap patients reported greater satisfaction with breast appearance (β =.120) and outcome satisfaction (β =.167). Conclusions: This study extends beyond the limited research by distinguishing between satisfaction with breast appearance and outcome satisfaction. The study provides evidence for the role of psychosocial factors predicting key patient reported outcomes and demonstrates the importance of psychosocial well-being and reconstruction type. The findings also highlight the need for healthcare providers to consider the psychosocial well-being of patients both preoperatively and post operatively and provide preliminary evidence for the use of deep inferior epigastric perforator reconstructions over other types of reconstructive procedures.

    KW - breast cancer

    KW - breast reconstruction

    KW - cancer

    KW - oncology

    KW - quality of life

    KW - satisfaction and survivorship

    UR - http://www.scopus.com/inward/record.url?scp=85014437390&partnerID=8YFLogxK

    U2 - 10.1002/pon.4397

    DO - 10.1002/pon.4397

    M3 - Article

    VL - 26

    SP - 1860

    EP - 1865

    JO - Psycho-Oncology

    JF - Psycho-Oncology

    SN - 1057-9249

    IS - 11

    ER -