Division of Plastic and Reconstructive Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, USA; Division of Plastic Surgery, Department of Surgery, Texas Children's Hospital, Houston, TX, USA.
Division of Plastic Surgery, Department of Surgery, Texas Children's Hospital, Houston, TX, USA.
J Pediatr Surg. 2022 Mar;57(3):538-543. doi: 10.1016/j.jpedsurg.2021.06.008. Epub 2021 Jul 6.
While functional breast reduction surgery has been shown to lead to increased quality of life in adult patients, the effects of this operation has not been investigated as thoroughly in adolescent patients. This study uses the BREAST-Q, a validated, surgery-specific questionnaire, to measure changes in adolescent patient well-being and satisfaction following reduction mammaplasty.
All patients presenting for breast reduction consultation between February and December 2016 were asked to complete the BREAST-Q. Post-operative surveys were completed at three-month follow up. A matched control cohort was established using patients who completed a pre-operative survey and were deemed appropriate surgical candidates, but then were denied by insurance and did not undergo surgery.
Of the 28 adolescent patients who presented for breast reduction consultation, 15 met inclusion criteria; 11 patients underwent reduction mammaplasty, and 4 patients were included in the control cohort. When these groups were compared, statistically significant improvements were observed in all BREAST-Q categories except for sexual well-being. Overall patient satisfaction correlated most highly to satisfaction with information.
This study examines quality of life outcomes in adolescent breast reduction patients using the BREAST-Q survey. Our findings indicate that adolescent patients have an improved quality of life following breast reduction, but that their satisfaction stems from different sources from those of adult patients. Further characterization of outcomes specific to young patients with surgically managed symptomatic macromastia will increase the practice of tailored, evidence-based medicine for adolescent patients.
Treatment Study, Level III.
功能性乳房缩小术已被证明可提高成年患者的生活质量，但尚未对青少年患者进行过如此彻底的手术效果研究。本研究使用 BREAST-Q（一种经过验证的、针对手术的问卷）来衡量乳房缩小成形术后青少年患者的幸福感和满意度的变化。
所有于 2016 年 2 月至 12 月期间因乳房缩小就诊的患者均被要求完成 BREAST-Q。术后调查在三个月的随访时完成。使用完成术前调查且被认为是合适手术候选人的患者建立了匹配的对照组，但因保险原因而被拒绝且未进行手术。
在 28 名接受乳房缩小咨询的青少年患者中，有 15 名符合纳入标准；11 名患者接受了乳房缩小成形术，4 名患者被纳入对照组。当比较这些组时，除了性健康外，所有 BREAST-Q 类别均观察到统计学上显著的改善。总体患者满意度与信息满意度相关性最高。
本研究使用 BREAST-Q 调查检查了青少年乳房缩小患者的生活质量结果。我们的发现表明，青少年患者乳房缩小后生活质量得到改善，但他们的满意度源自与成年患者不同的来源。进一步描述针对接受手术治疗的有症状巨乳症的年轻患者的特定结果将增加针对青少年患者的个性化、循证医学实践。
治疗研究，III 级。
