乳房缩小术后工作能力和生产力提高。

Increased Capacity for Work and Productivity After Breast Reduction.

作者信息

Cabral Isaias Vieira, Garcia Edgard da Silva, Sobrinho Rebecca Neponucena, Pinto Natália Lana Larcher, Juliano Yara, Veiga-Filho Joel, Ferreira Lydia Masako, Veiga Daniela Francescato

机构信息

Drs Cabral, Garcia, Pinto, and Veiga-Filho are Plastic Surgeons, Division of Plastic Surgery, Department of Surgery, Universidade do Vale do Sapucaí, Pouso Alegre - MG, Brazil. Ms Sobrinho is an Undergraduate Student, Medical School, Universidade do Vale do Sapucaí, Pouso Alegre - MG, Brazil. Dr Juliano is a Full Professor, Department of Bioestatistics, Universidade do Vale do Sapucaí, Pouso Alegre - MG, Brazil; and Department of Bioestatistics, Universidade Federal de São Paulo, São Paulo - SP, Brazil. Dr Ferreira is a Full Professor, Division of Plastic Surgery, Department of Surgery, Universidade Federal de São Paulo, São Paulo - SP, Brazil. Dr Veiga is an Associate Professor, Professional Master's Program in Science Applied to Health, Universidade do Vale do Sapucaí, Pouso Alegre - MG, Brazil; and an Associate Professor, Division of Plastic Surgery, Department of Surgery, Universidade Federal de São Paulo, São Paulo - SP, Brazil.

出版信息

Aesthet Surg J. 2017 Jan;37(1):57-62. doi: 10.1093/asj/sjw175. Epub 2016 Nov 10.

DOI:10.1093/asj/sjw175

PMID:27986772

Abstract

BACKGROUND

Breast hypertrophy is a prevalent condition among women worldwide, which can affect different aspects of their quality of life. The physical and emotional impact of breast hypertrophy may harm daily activities, including work.

OBJECTIVES

To assess the impact of reduction mammaplasty on the ability to work and productivity of women with breast hypertrophy.

METHODS

A total of 60 patients with breast hypertrophy, already scheduled for breast reduction, aged 18 to 60 years and who had formal or autonomous employment were prospectively enrolled. The Brazilian versions of two validated tools, Work Productivity and Activity Impairment - General Health (WPAI-GH) and Work Limitations Questionnaire (WLQ) were self-administered at the preoperative evaluation and six months following surgery.

RESULTS

The median age was 33 years, median body mass index was 24 kg/m, and the median total weight of resected breast tissue was 617.5 g. According to the Brazilian classification of occupation, most patients (53%) had technical, scientific, artistic and similar occupations. There was a significant improvement in work capacity and productivity six months after the reduction mammaplasty, denoted by a decrease in presenteeism, absenteeism, and WLQ Productivity Loss Score (Wilcoxon analysis of variance: P < .0001 for each of these domains).

CONCLUSIONS

Reduction mammaplasty increases the work capacity and productivity of Brazilian women with breast hypertrophy. LEVEL OF EVIDENCE 4.

摘要

背景

乳房肥大是一种在全球女性中普遍存在的病症，会影响她们生活质量的不同方面。乳房肥大对身体和情绪的影响可能会损害日常活动，包括工作。

目的

评估缩乳术对乳房肥大女性工作能力和生产力的影响。

方法

前瞻性纳入了60例已计划进行缩乳手术、年龄在18至60岁之间且有正式或自主工作的乳房肥大患者。在术前评估和术后六个月时，自行填写巴西版的两种经过验证的工具，即工作生产力和活动障碍 - 一般健康（WPAI-GH）和工作限制问卷（WLQ）。

结果

中位年龄为33岁，中位体重指数为24kg/m，切除的乳腺组织总重量中位数为617.5g。根据巴西职业分类，大多数患者（53%）从事技术、科学、艺术及类似职业。缩乳术后六个月，工作能力和生产力有显著改善，表现为出勤主义、旷工率和WLQ生产力损失得分降低（这些领域的Wilcoxon方差分析：每个领域P <.0001）。