Show simple item record

dc.contributor.authorMatthews, Hannah
dc.contributor.authorTurner, A
dc.contributor.authorWilliamson, I
dc.contributor.authorClyne, Wendy
dc.date.accessioned2020-09-15T09:07:54Z
dc.date.available2020-09-15T09:07:54Z
dc.date.issued2018-05
dc.identifier.issn1359-107X
dc.identifier.issn2044-8287
dc.identifier.urihttp://hdl.handle.net/10026.1/16318
dc.descriptionFile replaced (docx to pdf) on 27.4.23 by NK (LDS)
dc.description.abstract

<jats:sec><jats:title>Objective</jats:title><jats:p>In the United Kingdom, the number of women undergoing post‐mastectomy breast reconstruction is increasing. Consequently, exploring patient‐reported outcomes in breast surgery has become increasingly important. This study investigated satisfaction and quality of life following post‐mastectomy breast reconstruction.</jats:p></jats:sec><jats:sec><jats:title>Design</jats:title><jats:p>Qualitative research design.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>In‐depth, semi‐structured telephone interviews were conducted with 25 women (age, <jats:italic>M</jats:italic> = 53.08, <jats:italic>SD</jats:italic> = 8.41) following breast reconstruction in the United Kingdom. Data were analysed using template analysis which produced three‐first‐level, 13 second‐level, and 19 third‐level themes.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Following reconstruction, women reported improved emotional functioning, although this was often accompanied by deterioration in physical, sexual, and/or social functioning. Women positively appraised their breast appearance, although some reported a decline in satisfaction over time, attributing this decline to their chosen reconstructive technique. Many women accepted the inevitability of scarring and most perceived their scars as a representation of their journey, signifying survival. Generally, women were satisfied with the outcome of their reconstruction, although on reflection some would not have opted for reconstruction. Following breast reconstruction, women were increasingly likely to experience the fear of recurrence, attributed to no longer being able to have a mammogram on the affected breast(s).</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>This study provides new insights into post‐mastectomy breast reconstruction and is a novel application of template analysis. The analysis demonstrates only slight variation in some categories of experience among women, despite a heterogeneous sample. The findings allow researchers and clinicians to focus on specific dimensions of satisfaction and quality of life to support the needs of women following reconstruction.</jats:p></jats:sec><jats:sec><jats:label /><jats:p> <jats:boxed-text content-type="box" position="anchor"><jats:caption><jats:title>Statement of contribution</jats:title></jats:caption><jats:p> <jats:italic> <jats:bold>What is already known on this subject?</jats:bold> </jats:italic> </jats:p><jats:p> <jats:list list-type="bullet"> <jats:list-item><jats:p>Patient satisfaction and quality of life are key patient‐reported outcomes of breast reconstruction, although relatively few studies distinguish between types of satisfaction.</jats:p></jats:list-item> <jats:list-item><jats:p>The number of women electing to undergo reconstructive surgery is steadily increasing. As a consequence, exploring patient‐reported outcomes in reconstructive breast surgery has become increasingly important for research and clinical practice.</jats:p></jats:list-item> <jats:list-item><jats:p>It is often suggested that breast reconstruction offers psychosocial benefits, although within the literature some mixed findings have been reported. Therefore, a qualitative exploration has the potential to add some clarity to the experiences of women following post‐mastectomy breast reconstruction.</jats:p></jats:list-item> </jats:list> </jats:p><jats:p> <jats:italic> <jats:bold>What does this study add?</jats:bold> </jats:italic> </jats:p><jats:p> <jats:list list-type="bullet"> <jats:list-item><jats:p>To our knowledge, this is the first study to employ template analysis to explore the experiences of women following post‐mastectomy breast reconstruction. Template analysis demonstrated that there was only slight variation in some categories of experience among women, despite a heterogeneous sample.</jats:p></jats:list-item> <jats:list-item><jats:p>This study distinguishes between the patient‐reported outcomes breast satisfaction and outcome satisfaction to identify the key factors that are involved in determining satisfaction. The findings allow researchers and clinicians to focus on specific dimensions of satisfaction and quality of life which require improvement to support the unmet needs of women following breast reconstruction.</jats:p></jats:list-item> <jats:list-item><jats:p>The study presents two novel findings. Women attributed the fear of cancer recurrence to no longer being able to have a mammogram on the affected breast(s). Women also reported a decline in appearance‐related satisfaction over time due to either the ptotic nature of autologous‐based reconstruction or the fuller projected breast implant‐based reconstruction affords.</jats:p></jats:list-item> </jats:list> </jats:p></jats:boxed-text> </jats:p></jats:sec>

dc.format.extent455-475
dc.format.mediumPrint-Electronic
dc.languageen
dc.language.isoeng
dc.publisherWiley
dc.subjectbreast reconstruction
dc.subjectcancer
dc.subjectoncology
dc.subjectquality of life
dc.subjectsatisfaction
dc.title‘It's a silver lining’: A template analysis of satisfaction and quality of life following post‐mastectomy breast reconstruction
dc.typejournal-article
dc.typeJournal Article
plymouth.author-urlhttps://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000428990500014&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=11bb513d99f797142bcfeffcc58ea008
plymouth.issue2
plymouth.volume23
plymouth.publication-statusPublished
plymouth.journalBritish Journal of Health Psychology
dc.identifier.doi10.1111/bjhp.12299
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/Faculty of Health
plymouth.organisational-group/Plymouth/Faculty of Health/Peninsula Medical School
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA03 Allied Health Professions, Dentistry, Nursing and Pharmacy
plymouth.organisational-group/Plymouth/Users by role
plymouth.organisational-group/Plymouth/Users by role/Academics
dc.publisher.placeEngland
dc.identifier.eissn2044-8287
dc.rights.embargoperiodNot known
rioxxterms.versionofrecord10.1111/bjhp.12299
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.typeJournal Article/Review


Files in this item

Thumbnail
Thumbnail

This item appears in the following Collection(s)

Show simple item record


All items in PEARL are protected by copyright law.
Author manuscripts deposited to comply with open access mandates are made available in accordance with publisher policies. Please cite only the published version using the details provided on the item record or document. In the absence of an open licence (e.g. Creative Commons), permissions for further reuse of content should be sought from the publisher or author.
Theme by 
Atmire NV