Quality of life and satisfaction after breast augmentation: a systematic review and meta-analysis of Breast-Q patient-reported outcomes
Background - Breast augmentation ranks among the most popular plastic surgery procedures. Yet, reports on post-operative patient-reported quality of life (QoL) and satisfaction remain conflicting. - Methods - A systematic review was conducted following the PRISMA guidelines. Three databases were sea...
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| Hauptverfasser: | , , , , , , , , , , , , |
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
August 2024
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| In: |
Journal of plastic, reconstructive & aesthetic surgery
Year: 2024, Jahrgang: 95, Pages: 300-318 |
| ISSN: | 1878-0539 |
| DOI: | 10.1016/j.bjps.2024.06.016 |
| Online-Zugang: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.bjps.2024.06.016 Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S1748681524003516 
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| Verfasserangaben: | Samuel Knoedler, Leonard Knoedler, Martin Kauke-Navarro, Michael Alfertshofer, Doha Obed, Niclas Broer, Bong-Sung Kim, Sören Könneker, Adriana C. Panayi, Gabriel Hundeshagen, Ulrich Kneser, Bohdan Pomahac, Valentin Haug |
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| 245 | 1 | 0 | |a Quality of life and satisfaction after breast augmentation |b a systematic review and meta-analysis of Breast-Q patient-reported outcomes |c Samuel Knoedler, Leonard Knoedler, Martin Kauke-Navarro, Michael Alfertshofer, Doha Obed, Niclas Broer, Bong-Sung Kim, Sören Könneker, Adriana C. Panayi, Gabriel Hundeshagen, Ulrich Kneser, Bohdan Pomahac, Valentin Haug |
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| 520 | |a Background - Breast augmentation ranks among the most popular plastic surgery procedures. Yet, reports on post-operative patient-reported quality of life (QoL) and satisfaction remain conflicting. - Methods - A systematic review was conducted following the PRISMA guidelines. Three databases were searched for eligible studies that reported pre-and/or post-operative Breast-Q™ augmentation scores for patient QoL (psychosocial, sexual, and physical well-being) and/or satisfaction. - Results - A total of 39 studies (53 patient cohorts and 18,322 patients) were included in the quantitative synthesis. The pairwise meta-analysis revealed significant improvements in patient-reported psychosocial (MD: +38.10) and sexual well-being (MD: +40.20) as well as satisfaction with breast (MD: +47.88) (all p < 0.00001). Physical well-being improved slightly after breast augmentation (MD: +6.97; p = 0.42). The single-arm meta-analysis yielded comparable results, with Breast-Q™ scores in psychosocial and sexual well-being as well as satisfaction with breast increasing from 37.2, 31.1, and 26.3 to 75.0, 70.6, and 72.7, respectively (all p < 0.00001). Physical well-being improved by 8.1 (75.8 pre-operatively to 83.9 post-operatively; p = 0.17). Subgroup analyses highlighted higher QoL and satisfaction following breast augmentation for purely esthetic purposes and alloplastic mammaplasty. Although patient-reported physical and sexual well-being increased in the long term, psychosocial well-being was the highest in the short term. - Conclusion - Patient satisfaction with breast, psychosocial, and sexual well-being increased significantly after breast augmentation. In contrast, patient-reported physical well-being yielded ambivalent results, varying by mammaplasty technique and post-operative follow-up time. Plastic surgeons should be sensitized about our findings to refine eligibility criteria and gain a deeper understanding of the patients’ perceived surgical experience. - Prospero trial registration no - CRD42023409605. | ||
| 650 | 4 | |a Augmentation mammaplasty | |
| 650 | 4 | |a Breast augmentation | |
| 650 | 4 | |a Breast-Q | |
| 650 | 4 | |a Patient-reported outcomes | |
| 650 | 4 | |a Quality of life | |
| 650 | 4 | |a Satisfaction | |
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| 700 | 1 | |a Pomahac, Bohdan |e VerfasserIn |4 aut | |
| 700 | 1 | |a Haug, Valentin |e VerfasserIn |0 (DE-588)1069071935 |0 (DE-627)821235672 |0 (DE-576)425309274 |4 aut | |
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