Cohen Wess A, Mundy Lily R, Ballard Tiffany N S, Klassen Anne, Cano Stefan J, Browne John, Pusic Andrea L
Division of Plastic and Reconstructive Surgery, Memorial Sloan Kettering Cancer Center, New York City, NY, USA.
College of Physicians and Surgeons, Columbia University, New York City, NY, USA.
J Plast Reconstr Aesthet Surg. 2016 Feb;69(2):149-62. doi: 10.1016/j.bjps.2015.11.013. Epub 2015 Nov 26.
Health outcomes research has gained considerable traction over the past decade as the medical community attempts to move beyond traditional outcome measures such as morbidity and mortality. Since its inception in 2009, the BREAST-Q has provided meaningful and reliable information regarding health-related quality of life (HRQOL) and patient satisfaction for use in both clinical practice and research. In this study, we review how researchers have used the BREAST-Q and how it has enhanced our understanding and practice of plastic and reconstructive breast surgery.
An electronic literature review was performed to identify publications that used the BREAST-Q to assess patient outcomes. Studies developing and/or validating the BREAST-Q or an alternate patient-reported outcome measure (PROM), review papers, conference abstracts, discussions, comments and/or responses to previously published papers, studies that modified a version of BREAST-Q, and studies not published in English were excluded.
Our literature review yielded 214 unique articles, 49 of which met our inclusion criteria. Important trends and highlights were further examined.
The BREAST-Q has provided important insights into breast surgery highlighted by literature concerning autologous reconstruction, implant type, fat grafting, and patient education. The BREAST-Q has increased the use of PROMs in breast surgery and provided numerous important insights in its brief existence. The increased interest in PROMs as well as the underutilized potential of the BREAST-Q should permit its continued use and ability to foster innovations and improve quality of care.
在过去十年中，随着医学界试图超越发病率和死亡率等传统结局指标，健康结局研究获得了相当大的关注。自2009年问世以来，BREAST-Q提供了有关健康相关生活质量（HRQOL）和患者满意度的有意义且可靠的信息，可用于临床实践和研究。在本研究中，我们回顾了研究人员如何使用BREAST-Q以及它如何增进我们对乳房整形和重建手术的理解与实践。
进行了电子文献综述，以识别使用BREAST-Q评估患者结局的出版物。开发和/或验证BREAST-Q或替代患者报告结局测量（PROM）的研究、综述论文、会议摘要、讨论、对先前发表论文的评论和/或回应、修改BREAST-Q版本的研究以及非英文发表的研究均被排除。
我们的文献综述产生了214篇独特的文章，其中49篇符合我们的纳入标准。对重要趋势和亮点进行了进一步研究。
BREAST-Q为乳房手术提供了重要见解，相关文献涉及自体组织重建、植入物类型、脂肪移植和患者教育等方面。BREAST-Q增加了PROM在乳房手术中的使用，并在其短暂的存在期间提供了许多重要见解。对PROM的兴趣增加以及BREAST-Q未充分利用的潜力应使其能够继续使用，并具备促进创新和提高护理质量的能力。
