Department of Surgery, Máxima Medical Centre, De Run 4600, 5500 MB, Veldhoven, The Netherlands.
Department of Health Promotion, CAPHRI School for Public Health and Primary Care, Maastricht University, PO Box 616, 6200 MD, Maastricht, The Netherlands.
Breast Cancer. 2022 Jan;29(1):114-120. doi: 10.1007/s12282-021-01287-0. Epub 2021 Aug 26.
The aim of this study was to investigate which factors patients considered to be important for determining the degree of cosmetic satisfaction with regards to perceived body image after previous breast-conserving therapy (BCT).
Outcomes considered relevant by the patients were first identified using interviews. A questionnaire based on this group input was then devised and added to the physician-based Sneeuw questionnaire. Next, a quantitative study using this questionnaire was conducted in Dutch patients treated at least 6 months earlier for (non-) invasive breast cancer by BCT. Exclusion criteria were: previous mastectomy or BCT of the contralateral breast, BCT with nipple resection, metastatic disease, local recurrence or (previous) plastic breast surgery. Descriptive statistics were used throughout.
A total of 149 patients (aged 36-87 years) completed the questionnaire. From this focus group input, the top three factors in overall importance (important or very important) for satisfaction were: 'wearability of bra' (67%), 'breast sensitivity' (59%) and 'asymmetry' (51%). Younger patients (< 55 years) considered 'breast size' to be most important, whereas 'wearability of bra' was most frequently reported by older patients (> 55 years). Time since BCT did not significantly influence the rating of relevant factors.
Patients consider 'wearability of bra', 'breast sensitivity' and 'asymmetry' as the most important factors when assessing their satisfaction with regards to cosmetic outcome and body image. These factors should be addressed in routine clinical practice during (pre) counseling.
本研究旨在探讨患者认为哪些因素对其在接受保乳治疗（BCT）后对身体意象的感知美容满意度的重要程度有影响。
首先通过访谈确定患者认为相关的结果。然后根据这组患者的意见设计了一个基于问卷的问题，并将其添加到基于医生的 Sneeuw 问卷中。接下来，在荷兰进行了一项针对至少 6 个月前因（非）浸润性乳腺癌接受 BCT 治疗的患者的问卷调查。排除标准为：之前行乳房切除术或对侧乳房 BCT、BCT 联合乳头切除术、转移性疾病、局部复发或（之前）整形乳房手术。整个过程使用描述性统计数据。
共有 149 名患者（年龄 36-87 岁）完成了问卷。从这个焦点小组的输入中，满意度的前三个最重要因素（重要或非常重要）是：“胸罩的可穿戴性”（67%）、“乳房敏感度”（59%）和“不对称”（51%）。年轻患者（<55 岁）认为“乳房大小”最重要，而年龄较大的患者（>55 岁）则最常报告“胸罩的可穿戴性”。BCT 后的时间并没有显著影响对相关因素的评分。
患者认为“胸罩的可穿戴性”、“乳房敏感度”和“不对称”是评估其对美容效果和身体意象的满意度的最重要因素。这些因素应在（预）咨询的常规临床实践中加以解决。
