ABSTRACT
Breast hypertrophy has been associated with a significant impact on quality of life. Aim: To validate a specific scale to evaluate quality of life of Chilean women with symptomatic breast hypertrophy. Material and Methods: We included 80 women, 40 patients (20 undergoing reduction mammoplasty) and 40 controls. The Breast Related Symptoms (BRS) questionnaire in Spanish was used. The results are expressed as a score ranging from 0 to 100, with higher values representing better specific quality of life. Internal consistency, reliability and validity of the test were evaluated. The results of patients and controls and the scores of patients undergoing reduction mammoplasty, before and after surgery, were compared. A receiver operating characteristic (ROC) curve was constructed to define the score cutoff point defining symptomatic breast hypertrophy. Results: The Cronbach´s alpha was 0.96, linear weighed kappa test-retest was 0.87 [95% confidence intervals (CI) 0.31-1] and inter-observer variability was 0.79 [95% CI 0.71-0.87]. Participants with breast hypertrophy had a lower specific quality of life than the control group (25 (2-71) and 91 (25-100) respectively, p < 0.01). In patients undergoing surgery, the preoperative score was lower than the postoperative figures (37 (12-71) and 96 [94-100] respectively, p < 0.01). The area under the ROC curve was 0.97 (p < 0,001) and the cutoff point for symptomatic breast hypertrophy was a score below 72.1. Conclusions: The Spanish version of the BRS questionnaire is a valid and reliable instrument to measure specific quality of life in Chilean women with mammary hypertrophy.
Subject(s)
Adult , Female , Humans , Breast/pathology , Mammaplasty/psychology , Quality of Life , Surveys and Questionnaires , Case-Control Studies , Cross-Sectional Studies , Hypertrophy/pathology , Hypertrophy/psychology , Language , Reproducibility of Results , TranslatingABSTRACT
O presente trabalho tem como objetivo apresentar as condutas adotadas, os resultados obtidos e as conclusões, do tratamento das Hipertrofias Mamárias, do Serviço de Cirurgia Plástica do Hospital Regional Hans Dieter Schmidt, de Joinville, Santa Catarina. Foram analisada 110 pacientes submetidas à cirurgia no período de abril/2005 à dezembro/2006. Relatou-se os tipos mamários mais encontrados e o tratamento proposto. Concluiu-se a necessidade do diagnóstico preciso e a correta indicação da técnica cirúrgica.
The present work has as objective to introduce the adopted conducts, the obtained results and the conclusions, of the treatment of Mamary Hipertrophy, of the Plastic Surgery Service of Hospital Regional Hans Dieter Schmidt, of Joinville, Santa Catarina. They were going analyzed 110 submitted patients to the surgery in the period of april/2005 to the december/ 2006.It related the founder mammary types and the proposed treatment. It concluded the need to diagnosis precise and the surgical technique correct indication.