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Symptomatic Macromastia and Days Lost from Work.

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Summary
This summary is machine-generated.

Women with symptomatic macromastia lost significantly fewer work days after breast reduction surgery compared to conservative management. Surgical treatment for breast hypertrophy reduces lost work days and improves productivity.

Keywords:
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Area of Science:

  • Plastic Surgery
  • Orthopedics
  • Occupational Health

Background:

  • Symptomatic macromastia, characterized by excessively large breasts, often causes debilitating back and neck pain in working women.
  • Conservative management strategies for macromastia include physical therapy, weight loss, and analgesics, often serving as a prerequisite for surgical intervention.
  • The impact of macromastia on work productivity and economic loss due to pain-related absences is a significant concern.

Purpose of the Study:

  • To quantitatively compare the number of work days lost by women with symptomatic macromastia under conservative management versus after undergoing breast reduction surgery.
  • To assess the economic implications of lost work days associated with macromastia and its treatment.

Main Methods:

  • A prospective study involving 123 working women with symptomatic macromastia.
  • Participants recorded lost work days due to back/neck pain during a 6-month conservative management period.
  • Lost work days were subsequently recorded for 6 months following breast reduction mammoplasty.

Main Results:

  • Women lost a mean of 6 days per 6 months with conservative management versus 1 day per 6 months after surgery (p<0.05).
  • Conservative management resulted in an estimated annual economic loss of $1,642 per woman due to lost productivity.
  • Breast reduction surgery led to a statistically significant reduction in work absences.

Conclusions:

  • Surgical treatment for breast hypertrophy significantly decreases the number of work days lost.
  • Conservative management of symptomatic macromastia incurs substantial costs due to lost work productivity.
  • Breast reduction surgery is an effective intervention for improving work capacity and reducing economic burden in women with macromastia.