Measuring Patient Expectations for Breast Reconstruction: Development and Validation of a Patient-Reported Outcomes Instrument
- Develop and validate a questionnaire to evaluate preoperative expectations about breast
reconstruction in women with breast cancer or other conditions.
- Determine variations in expectations related to patient characteristics.
- Develop educational modules to help patients understand realistic outcomes.
- Identify patient groups at risk for dissatisfaction.
OUTLINE: This is a 3-part study.
- Part 1 (first 80 patients): Both preoperative and postoperative patients (50 patients
total) undergo an interview by a research study assistant about their expectations for
breast reconstructive surgery. Some of these patients will also complete a pilot
version of a questionnaire about their expectations for breast reconstructive surgery
(30 patients total).
- Part 2 (next 200 patients): Preoperative patients complete questionnaires (the
preliminary questionnaire developed after part 1 and the MSKCC BREAST-Q [Reconstruction
Module]) about their expectations for breast reconstructive surgery after patient
education about breast reconstructive surgery. Some of these patients (100 patients)
also complete the Brief Cope addressing emotional expression and emotional processing
styles of coping, Impact of Events Scale, and Life Orientation Test-Revised (LOT-R)
- Part 3 (final 200 patients): Preoperative patients complete a questionnaire (final
questionnaire developed after part 2) about their expectations for breast
reconstructive surgery after patient education about breast reconstruction and once
after surgery. Patients also complete the Breast Reconstruction Outcomes Questionnaire
(MSKCC BREAST-Q) once before surgery (after patient education) and once after surgery
measuring patient satisfaction and quality of life. A small group of patients complete
the Body Image Scale (BIS) and the LOT-R addressing body image, sexuality, personal
well-being, and lifestyle.
Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Health Services Research
Andrea L. Pusic, MD, MHS
Memorial Sloan-Kettering Cancer Center
United States: Institutional Review Board
|Memorial Sloan-Kettering Cancer Center||New York, New York 10021|
|New School for Social Research||New York, New York 10003|