Young V Leroy, Watson Marla, Centeno Robert F, Boswell C B
Aesthet Surg J. 2004 May-Jun;24(3):229-43. doi: 10.1016/j.asj.2003.12.004.
The first Online Breast Augmentation Survey (Aesthetic Surg J 2004;24:117-135) reported on women who had undergone or who were considering breast augmentation with regard to motivation for surgery, patient satisfaction with results, and other issues. The Food and Drug Administration and others have also raised questions concerning informed consent, follow-up, health insurance, and related issues dealing with breast augmentation.
An Online Breast Augmentation Follow-Up Survey was designed to collect data from women who had undergone breast augmentation with regard to informed consent, follow-up, complications and problems following breast augmentation, and health insurance.
The survey comprised 56 questions, many of which were presented in a multiple-part format. Women who visited the Web site www.implantinfo.com and who had undergone breast augmentation were invited to participate in the survey. An independent research firm, Industry Insights, Inc. (Columbus, OH), assisted with the final design and collected and analyzed the data.
The survey was posted from April 8-June 30, 2003. Surveys were submitted by 1350 women. Ninety-two percent of respondents said that surgeons asked them to return for regular follow-up during the first postoperative year. Ninety percent said they would return to the original surgeon if a problem developed. Almost all respondents (94%) said that they had been informed by the surgeon, the surgeon's staff, or both of specific problems or complications that might be associated with breast implants and augmentation; 89% said that the information they received was adequate. Eighty percent said they complied with the surgeon's recommendations for follow-up visits, although compliance declined after the first postoperative year. The survey also showed that most women who undergo breast augmentation seek out information about the procedure before surgery from independent sources, in most cases from Web sites. Eighty-eight percent of respondents said they were involved in some way in deciding on implant size; 88% said they were satisfied with breast size after surgery. Fourteen percent of respondents reported additional implant-related surgery after the original augmentation.
Our data indicate that almost all patients are advised to return for follow-up visits, that most comply with their surgeons' recommendations for follow-up in the first postoperative year, and that the main reason for noncompliance is an absence of problems with implants. The survey also indicates that patients receive adequate informed consent from the surgeon or the surgeon's staff and that they also seek out information on their own. Finally, the data suggest that women who have undergone augmentation have a realistic appreciation of the problems involved and are willing to tolerate minor complications.
首次在线隆胸调查（《美容外科杂志》2004年；24卷：117 - 135页）报告了接受过或正在考虑隆胸手术的女性在手术动机、对手术效果的患者满意度及其他问题方面的情况。美国食品药品监督管理局及其他机构也对隆胸手术的知情同意、随访、医疗保险及相关问题提出了疑问。
设计一项在线隆胸随访调查，以收集接受过隆胸手术的女性在知情同意、随访、隆胸术后并发症及问题以及医疗保险方面的数据。
该调查包含56个问题，其中许多问题以多部分形式呈现。邀请访问过网站www.implantinfo.com且接受过隆胸手术的女性参与调查。一家独立的研究公司，行业洞察公司（俄亥俄州哥伦布市）协助进行了最终设计并收集和分析数据。
该调查于2003年4月8日至6月30日发布。1350名女性提交了调查问卷。92%的受访者表示外科医生要求她们在术后第一年定期复诊。90%的受访者表示如果出现问题会回到原外科医生处。几乎所有受访者（94%）表示外科医生、外科医生的工作人员或两者都告知过她们可能与乳房植入物和隆胸相关的特定问题或并发症；89%的受访者表示她们收到的信息足够。80%的受访者表示她们遵守了外科医生关于复诊的建议，不过在术后第一年之后依从性有所下降。该调查还显示，大多数接受隆胸手术的女性在手术前会从独立来源，多数情况下是从网站上寻找有关该手术的信息。88%的受访者表示她们在某种程度上参与了植入物大小的决定；88%的受访者表示她们对术后乳房大小感到满意。14%的受访者报告在初次隆胸后还进行了与植入物相关的其他手术。
我们的数据表明，几乎所有患者都被建议复诊，大多数患者在术后第一年遵守外科医生的复诊建议，不遵守的主要原因是植入物没有问题。该调查还表明患者从外科医生或外科医生的工作人员那里获得了充分的知情同意，并且她们也自行寻找信息。最后，数据表明接受隆胸手术的女性对所涉及的问题有现实的认识，并且愿意容忍轻微的并发症。
