Measuring the patient perspective on latissimus dorsi donor site outcomes following breast reconstruction
| Autor: | Carmel Gulliver-Clarke, Christopher M. Caddy, Stefan J. Cano, J.H. Pereira, John Browne, Anne F. Klassen, Ranjeet Jeevan, Andrea L. Pusic |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
medicine.medical_specialty Adolescent Esthetics Psychometrics Mammaplasty medicine.medical_treatment Breast Neoplasms 030230 surgery Transplant Donor Site Outcome measures Surgical Flaps 03 medical and health sciences Latissimus Dorsi Myocutaneous Flap 0302 clinical medicine Breast cancer Surveys and Questionnaires medicine Humans Breast reconstruction Prospective Studies Prospective cohort study Mastectomy Rasch model business.industry Recovery of Function Middle Aged medicine.disease United Kingdom Surgery body regions Treatment Outcome 030220 oncology & carcinogenesis Superficial Back Muscles Physical therapy Female Implant business |
| Zdroj: | Journal of Plastic, Reconstructive & Aesthetic Surgery. 71:336-343 |
| ISSN: | 1748-6815 |
| DOI: | 10.1016/j.bjps.2017.08.028 |
| Popis: | BACKGROUND: There is little evidence about the long-term donor site outcome of latissimus dorsi breast reconstruction and no patient-reported outcome measures designed specifically for the procedure. METHODS: A prospective cohort of breast cancer patients having latissimus dorsi reconstruction after a mastectomy was recruited from 270 hospitals in the United Kingdom. An 18-month follow up questionnaire containing two novel scales was sent to consenting patients. The prevalence of aesthetic and functional morbidity at the donor site was described. The two new scales were refined using the Rasch measurement model and subsequently validated. RESULTS: 1,096 women completed the new scales. 78% of patients reported that no back appearance issues had bothered them "most of the time" or "all of the time" in the past two weeks. The equivalent figure for functional morbidity was 60%. Four items were eliminated following initial psychometric testing. This produced an 8-item Back Appearance scale and an 11-item Back and Shoulder Function scale. Both scales showed adequate fit to the Rasch measurement model. Higher levels of aesthetic and functional bother were observed for completely autologous procedures versus those where latissimus dorsi reconstruction was used to cover an implant (p |
| Databáze: | OpenAIRE |
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