TY - JOUR
T1 - Normative data for the BREAST-Q Reconstruction module in an Australian population and comparison with US norms and breast reconstruction patient outcomes
AU - Crittenden, Tamara A.
AU - Smallman, Andrea
AU - Dean, Nicola R.
PY - 2022/7
Y1 - 2022/7
N2 - Background: Normative data for interpreting the BREAST-Q reconstruction module are currently limited to the US population. This study aimed to generate normative BREAST-Q data from women in the Australian general population and compare it to US norms. Secondary aims were to compare normative scores to those of women undergoing breast reconstruction post-mastectomy. Methods: Women aged 18 years and older without a history of breast cancer or breast surgery were recruited according to the Australian Census-derived population distribution. Participants completed the pre-operative BREAST-Q Reconstruction module and provided socio-demographic information. A comparison was made to a breast reconstruction patient cohort and published US norms. Results: BREAST-Q data were obtained from 500 women. Mean BREAST-Q scores were as follows: Satisfaction with Breasts (Aus. 50.4 ± 15.2, US 57.8 ± 18.4), Psychosocial Well-being (Aus. 55.4 ± 15.8, US 70.7 ± 17.6), Physical Well-being Chest (Aus. 78.5 ± 14.8, US 92.6 ± 10.7), Physical Well-being Abdomen (Aus. 76.1 ± 19.6, US 78.1 ± 20.3) and Sexual Well-being (Aus. 41.5 ± 20.6, US 56.5 ± 8.2). Australian women with a higher BMI or chronic health condition reported lower scores for four of the five BREAST-Q scales. Lower scores were reported by younger women for Psychosocial Well-being and Sexual Well-being. Mean BREAST-Q scores for the Australian population were significantly lower than US norms in four of the five scales. When compared to normative data, breast reconstruction patients had significantly higher BREAST-Q scores post-operatively in all scales except for Physical Well-being Chest. Conclusion: This study derived only the second set of normative scores for the BREAST-Q reconstruction module reported globally and found that significant differences exist between populations.
AB - Background: Normative data for interpreting the BREAST-Q reconstruction module are currently limited to the US population. This study aimed to generate normative BREAST-Q data from women in the Australian general population and compare it to US norms. Secondary aims were to compare normative scores to those of women undergoing breast reconstruction post-mastectomy. Methods: Women aged 18 years and older without a history of breast cancer or breast surgery were recruited according to the Australian Census-derived population distribution. Participants completed the pre-operative BREAST-Q Reconstruction module and provided socio-demographic information. A comparison was made to a breast reconstruction patient cohort and published US norms. Results: BREAST-Q data were obtained from 500 women. Mean BREAST-Q scores were as follows: Satisfaction with Breasts (Aus. 50.4 ± 15.2, US 57.8 ± 18.4), Psychosocial Well-being (Aus. 55.4 ± 15.8, US 70.7 ± 17.6), Physical Well-being Chest (Aus. 78.5 ± 14.8, US 92.6 ± 10.7), Physical Well-being Abdomen (Aus. 76.1 ± 19.6, US 78.1 ± 20.3) and Sexual Well-being (Aus. 41.5 ± 20.6, US 56.5 ± 8.2). Australian women with a higher BMI or chronic health condition reported lower scores for four of the five BREAST-Q scales. Lower scores were reported by younger women for Psychosocial Well-being and Sexual Well-being. Mean BREAST-Q scores for the Australian population were significantly lower than US norms in four of the five scales. When compared to normative data, breast reconstruction patients had significantly higher BREAST-Q scores post-operatively in all scales except for Physical Well-being Chest. Conclusion: This study derived only the second set of normative scores for the BREAST-Q reconstruction module reported globally and found that significant differences exist between populations.
KW - Breast reconstruction
KW - BREAST-Q
KW - Mastectomy
KW - Patient satisfaction
KW - Patient-reported outcome measures
KW - Quality of life
UR - http://www.scopus.com/inward/record.url?scp=85124824252&partnerID=8YFLogxK
U2 - 10.1016/j.bjps.2022.01.033
DO - 10.1016/j.bjps.2022.01.033
M3 - Article
C2 - 35184998
AN - SCOPUS:85124824252
SN - 1748-6815
VL - 75
SP - 2219
EP - 2228
JO - Journal of Plastic, Reconstructive and Aesthetic Surgery
JF - Journal of Plastic, Reconstructive and Aesthetic Surgery
IS - 7
ER -