Miho Saiga1,2, Naruto Taira3, Yoshihiro Kimata4, Satoko Watanabe4, Yuko Mukai4, Kojiro Shimozuma5, Taeko Mizoo3, Tomohiro Nogami3, Takayuki Iwamoto3, Takayuki Motoki3, Tadahiko Shien3, Junji Matsuoka3, Hiroyoshi Doihara3. 1. Department of Plastic and Reconstructive Surgery, Okayama University Hospital, Okayama, Japan. gmd20076@s.okayama-u.ac.jp. 2. Department of Plastic Surgery, Okayama University Hospital, 2-5-1 Shikata-cho, Okayama, 700-8558, Japan. gmd20076@s.okayama-u.ac.jp. 3. Department of Breast and Endocrine Surgery, Okayama University Hospital, Okayama, Japan. 4. Department of Plastic and Reconstructive Surgery, Okayama University Hospital, Okayama, Japan. 5. Department of Biomedical Sciences, College of Life Sciences, Ritsumeikan University, Shiga, Kusatsu, Japan.
Abstract
BACKGROUND: An understanding of health-related quality of life (HRQOL) is of utmost importance in both oncological and esthetic breast surgery. The BREAST-Q is a patient-reported outcome (PRO) measure that investigates HRQOL and patient satisfaction before and after breast surgery. The aim of this study was to develop a Japanese version of the BREAST-Q including the mastectomy module, the reconstruction module, the augmentation module and the reduction/mastopexy module, and to assess the psychometric properties of the mastectomy module among Japanese women. METHODS: The Japanese version of the BREAST-Q was developed through forward translation, backward translation and patient testing. Traditional psychometric testing of the mastectomy module was administered to 45 post-mastectomy patients. RESULTS: The mastectomy, reconstruction, augmentation and reduction/mastopexy modules were formally developed into Japanese. Despite cultural difference between Japanese women and original target population, the contents were considered to be valid among Japanese woman. With the exception of the sexual well-being subscale, good reliability and validity were evident for the mastectomy module (Test-retest reliability 0.76-0.95, Chronbach's alpha coefficient 0.77-0.98). CONCLUSIONS: The BREAST-Q Japanese version is a useful PRO measure for investigating the impact of breast surgery on HRQOL and patient satisfaction. Further validation in younger Japanese women is needed to determine the usefulness of the sexual well-being subscale.
BACKGROUND: An understanding of health-related quality of life (HRQOL) is of utmost importance in both oncological and esthetic breast surgery. The BREAST-Q is a patient-reported outcome (PRO) measure that investigates HRQOL and patient satisfaction before and after breast surgery. The aim of this study was to develop a Japanese version of the BREAST-Q including the mastectomy module, the reconstruction module, the augmentation module and the reduction/mastopexy module, and to assess the psychometric properties of the mastectomy module among Japanese women. METHODS: The Japanese version of the BREAST-Q was developed through forward translation, backward translation and patient testing. Traditional psychometric testing of the mastectomy module was administered to 45 post-mastectomy patients. RESULTS: The mastectomy, reconstruction, augmentation and reduction/mastopexy modules were formally developed into Japanese. Despite cultural difference between Japanese women and original target population, the contents were considered to be valid among Japanese woman. With the exception of the sexual well-being subscale, good reliability and validity were evident for the mastectomy module (Test-retest reliability 0.76-0.95, Chronbach's alpha coefficient 0.77-0.98). CONCLUSIONS: The BREAST-Q Japanese version is a useful PRO measure for investigating the impact of breast surgery on HRQOL and patient satisfaction. Further validation in younger Japanese women is needed to determine the usefulness of the sexual well-being subscale.
Entities:
Keywords:
BREAST-Q; Breast cancer; Breast reconstruction; Health-related quality of life; Satisfaction
Authors: Lotte Poulsen; Anne Klassen; Michael Rose; Kirsten K Roessler; Claus Bogh Juhl; René Klinkby Støving; Stefan Cano; Jens Ahm Sørensen Journal: Plast Reconstr Surg Glob Open Date: 2017-10-20