Kebede Sara N, Martin Morgan S, Baker Nusaiba F, Saad Omar A, Losken Albert
From the Emory University Division of Plastic and Reconstructive Surgery, Atlanta, Ga.
Seidel Plastic Surgery, Cullman, Ala.
Plast Reconstr Surg Glob Open. 2023 Jul 17;11(7):e5124. doi: 10.1097/GOX.0000000000005124. eCollection 2023 Jul.
A patient's preoperative satisfaction with their breasts and baseline psychosocial, sexual, and physical well-being are important considerations when planning breast reconstruction. We sought to elucidate variances in preoperative responses among patients undergoing postmastectomy breast reconstruction.
Preoperative BREAST-Q responses and demographic data, including race, generation, median household incomeinstitutional review board and body mass index (BMI) were collected from breast cancer patients scheduled for mastectomy. Associations between demographic group and survey response were analyzed by chi-square or independent -tests.
In total, 646 of 826 patients identified had complete data and were included in the final analysis. Patients in BMI group 1 (16-24.9) were more likely to report feeling "very satisfied" with how they looked unclothed compared with patients in other BMI groups ( = 0.031). Conversely, patients in groups 3 and 4 (35+), reported lower satisfaction ( = 0.037) and felt less attractive without clothes ( = 0.034). Asian women were less likely to feel attractive ( = 0.007), and Black patients were less likely to feel of equal worth to other women ( < 0.001). Finally, patients were less likely to report confidence in social settings if they were Black ( < 0.001), Asian ( < 0.001), from the millennial generation ( = 0.017), or living in zip codes with median household income less than $55,000 ( = 0.042).
Breast cancer patients' feelings toward their natural breasts vary widely between demographic groups. Understanding baseline psychosocial factors in this population is key to informing preoperative discussions and interpreting postoperative satisfaction.
在计划乳房重建时，患者术前对其乳房的满意度以及基线心理社会、性和身体状况是重要的考虑因素。我们试图阐明接受乳房切除术后乳房重建患者术前反应的差异。
从计划接受乳房切除术的乳腺癌患者中收集术前BREAST-Q反应和人口统计学数据，包括种族、代际、家庭收入中位数、机构审查委员会和体重指数（BMI）。通过卡方检验或独立检验分析人口统计学组与调查反应之间的关联。
总共826名已识别患者中有646名拥有完整数据并纳入最终分析。与其他BMI组的患者相比，BMI第1组（16 - 24.9）的患者更有可能报告对自己裸体外观“非常满意”（P = 0.031）。相反，第3组和第4组（35及以上）的患者报告满意度较低（P = 0.037），并且裸体时感觉吸引力较小（P = 0.034）。亚洲女性感觉有吸引力的可能性较小（P = 0.007），黑人患者感觉与其他女性价值平等的可能性较小（P < 0.001）。最后，如果患者是黑人（P < 0.001）、亚洲人（P < 0.001）、千禧一代（P = 0.017）或居住在家庭收入中位数低于55,000美元的邮政编码地区（P = 0.042），则他们在社交场合报告有信心的可能性较小。
乳腺癌患者对其天然乳房的感受在不同人口统计学组之间差异很大。了解该人群的基线心理社会因素是进行术前讨论和解释术后满意度的关键。
