European journal of oncology nursing : the official journal of European Oncology Nursing Society · 2026
Garment-related patient-reported outcomes: a longitudinal pre-post comparison of autologous versus implant-based breast reconstruction.
СтатьяСравнительное исследованиеНазвание и аннотация: Перевод в очереди
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Liu Yen-Tung, Chopra Deepti, Moix Marie Karen Bravo, Chen Tzuan A, Reece Gregory P, Markey Mia K, Roubaud Margaret J
Аннотация
PURPOSE: Quantitative and qualitative methods have been used to explore breast cancer survivors' experience with bras, but there are limited studies using validated patient-reported outcome instruments. While BREAST-Q includes garment-related items, analyses of these items are rarely reported. This study aims to assess pre- and post-reconstruction changes in the garment-related items of BREAST-Q for patients who underwent autologous and implant-based breast reconstruction.
METHOD: This longitudinal study included 81 patients who underwent autologous or implant-based breast reconstruction. Patients completed the BREAST-Q Breast Cancer modules, Appearance Schemas Inventory-Revised (ASI-R), and Body Image Scale (BIS) both pre-mastectomy and post-reconstruction. Robust regression was used to investigate associations between preoperative characteristics (age, BMI, ASI-R, surgery type) and postoperative patient-reported outcomes.
RESULTS: Positive changes were observed in all garment-related BREAST-Q outcomes from pre-to post-reconstruction, regardless of reconstruction type, with greater improvements in the autologous reconstruction group. Regression analysis showed mixed associations between preoperative characteristics and postoperative garment-related outcomes. While BMI and ASI-R were not significant predictors, age and surgery type influenced satisfaction with "how you look in the mirror clothed", with autologous reconstruction associated with higher satisfaction.
CONCLUSIONS: The study found that garment experiences improved post-reconstruction for breast cancer patients. However, the limited garment-related items in BREAST-Q underscore the need for a dedicated, validated tool to better assess these experiences.
METHOD: This longitudinal study included 81 patients who underwent autologous or implant-based breast reconstruction. Patients completed the BREAST-Q Breast Cancer modules, Appearance Schemas Inventory-Revised (ASI-R), and Body Image Scale (BIS) both pre-mastectomy and post-reconstruction. Robust regression was used to investigate associations between preoperative characteristics (age, BMI, ASI-R, surgery type) and postoperative patient-reported outcomes.
RESULTS: Positive changes were observed in all garment-related BREAST-Q outcomes from pre-to post-reconstruction, regardless of reconstruction type, with greater improvements in the autologous reconstruction group. Regression analysis showed mixed associations between preoperative characteristics and postoperative garment-related outcomes. While BMI and ASI-R were not significant predictors, age and surgery type influenced satisfaction with "how you look in the mirror clothed", with autologous reconstruction associated with higher satisfaction.
CONCLUSIONS: The study found that garment experiences improved post-reconstruction for breast cancer patients. However, the limited garment-related items in BREAST-Q underscore the need for a dedicated, validated tool to better assess these experiences.