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预测手术后对乳房的满意度:手术前的BREAST-Q得分有多重要?

Minji Kim¹, Evan Matros¹, Lillian A Boe²

¹Plastic and Reconstructive Surgery Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.

Annals of surgical oncology

|August 1, 2024

概括

手术前对乳房的满意度得分显著预测了乳房重建患者手术后的结果. 在手术前收集这些分数可以帮助优化结果和患者满意度.

科学领域:

整形外科整形外科整形外科
患者报告的结果
乳房重建乳房重建

背景情况:

术前患者满意度对乳房切除术后乳房重建 (PMBR) 结果的影响尚不清楚.
这项研究调查了手术前的满意度作为术后结果的预测因素.

研究的目的:

确定手术前的乳房满意度得分是否可以独立预测PMBR后的术后满意度.
评估包括手术前分数在预测模型中的影响.

主要方法:

在2017-2021年间对2324名接受PMBR治疗的患者进行分析.
利用多个线性回归模型,比较具有和没有手术前的乳房满意度得分的模型.
为了缺少手术前数据,采用多重归算.

主要成果:

手术前对乳房的满意度得分与1年后的术后得分有显著关联 (β = 0.09,p < 0.001).
包括手术前的分数,显著改善了模型的适应性 (p = 0.0021).
手术前的分数比一些临床因素更重要,但不如重建类型或精神病诊断.

结论:

手术前对乳房的满意度得分是PMBR后手术后满意度的关键独立预测指标.
建议收集手术前的满意度得分,以优化患者的结果,类似于生命体征.

关键词:

乳房重建乳房重建患者报告的结果.预测性的预测性的在手术前进行手术.满意度是一种满足感.

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