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Satisfaction and quality of life in women who undergo breast surgery: a qualitative study to develop conceptual model

Klassen, AF; Pusic, AL; Scott, A; Klok, J; Cano, SJ; (2009) Satisfaction and quality of life in women who undergo breast surgery: a qualitative study to develop conceptual model. BMC Womens Health , 9 , Article 11. 10.1186/1472-6874-9-11. Green open access

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Abstract

Background: In cosmetic and reconstructive breast surgery, measurement of patient-reported outcomes has become increasingly important to research efforts and clinical care. We aimed to describe how breast conditions and breast surgery impact on patient satisfaction and quality of life. Methods: We conducted qualitative, in-depth interviews with 48 women who had undergone either breast reduction (n = 15), breast augmentation (n = 12), or breast reconstruction (n = 21) surgery in order to begin to build a theoretical understanding of patient satisfaction and quality of life in breast surgery patients. Interviews were audio-taped, transcribed verbatim and analyzed thematically. Results: The patient interviews revealed that breast conditions and breast surgery impact women in the following six main areas: satisfaction with breasts; satisfaction with overall outcome; psychosocial well-being; sexual well-being; physical well-being; and satisfaction with the process of care. We used these six themes to form the basis of a conceptual framework of patient satisfaction and quality of life in women who undergo breast surgery. Conclusion: Our conceptual framework establishes the main issues of concern for breast surgery patients. This new framework can be used to help develop local guidelines for future clinical assessment, management and measurement, establish the validity of the current management strategies, and develop evidence-based guidance for the development of new patient reported outcome measures for future outcomes research.

Type: Article
Title: Satisfaction and quality of life in women who undergo breast surgery: a qualitative study to develop conceptual model
Open access status: An open access version is available from UCL Discovery
DOI: 10.1186/1472-6874-9-11
Publisher version: http://dx.doi.org/10.1186/1472-6874-9-11
Language: English
Additional information: © 2009 Klassen et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
URI: https://discovery.ucl.ac.uk/id/eprint/47146
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