Journal of Biosciences and Medicines, 2021, 9, 94-105
https://www.scirp.org/journal/jbm
ISSN Online: 2327-509X
ISSN Print: 2327-5081
DOI: 10.4236/jbm.2021.96009 Jun. 18, 2021 94 Journal of Biosciences and Medicines
Patient Satisfaction Index and Quality of Life
Measurement with Breast-Q after Breast
Reconstruction in a Plastic Surgery Center
in Mexico
Jose C. Martinez-López, Jaime A. García-Espinoza, David Flores-Soto,
Carlos I. Navarro-Delgadillo, Cuahutemoc Márquez-Espriella, Rodrigo Dávila-Diaz,
Esteban I. Campos-Serna, Víctor H. Avalos-Gómez
Division of Plastic and Reconstructive Surgery, Hospital Central Sur de Alta Especialidad de Petróleos Mexicanos, Mexico City,
Mexico
Abstract
Introduction: Cancer is one of the most devastating pathologies to affect the
breast. Mastectomy stigmas are associated with depression, body image dys-
morphia, and decreasing quality of life. BREAST-Q is a PROM (Patient Re-
ported Outcome Measures) that has proven useful in measuring satisfaction
with breast reconstruction results from the patient’s point of view. Objec-
tives: To measure the satisfaction index and improvement in quality of life
after breast reconstruction for breast cancer sequelae in our hospital in the
last 5 years. Materials and Methods: Descriptive Study that includes patients
with Breast cancer diagnosis that underwent mastectomy and breast recon-
struction (prosthesis or autologous tissue) in “Hospital Central Sur de Petro-
leos Mexicanos” (January 2015 to January 2020), whose satisfaction index was
measured with BREAST-Q one year after reconstruction. Results: 153 pa-
tients were included in the analysis. Mean global satisfaction was 74 points.
We observed a tendency towards higher psychosocial, sexual and appearance
satisfaction in patients who underwent reconstruction with autologous tissue.
The mean satisfaction with provided information was 64 points and with the
medical team > 90 points. Conclusion: Breast reconstruction is associated to
a high satisfaction index and quality of life improvement regardless of the
technique. BREAST-Q proved to be useful in evaluating patient experience
and it helped us identify areas of opportunity to improve our care.
Keywords
BREAST-Q, Breast Reconstruction, PROM’s, Satisfaction Index,
How to cite this paper: Martinez-López,
J.C., García-Espinoza, J.A., Flores-Soto, D.,
Navarro-Delgadillo, C.I., Márquez-Espriella,
C., Dávila-Diaz, R., Campos-Serna, E.I. and
Avalos-Gómez, V.H. (2021) Patient Satisfa-
ction Index and Quality of Life Measure-
ment with Breast-Q after Breast Recon-
struction in a Plastic Surgery Center in
Mexico. Journal of Biosciences and
Medicines, 9, 94-105.
https://doi.org/10.4236/jbm.2021.96009
Received: May 2, 2021
Accepted: June 15, 2021
Published: June 18, 2021
Copyright © 2021 by author(s) and
Scientific Research Publishing Inc.
This work is licensed under the Creative
Commons Attribution International
License (CC BY 4.0).
http://creativecommons.org/licenses/by/4.0/
Open Access