Establishing the acceptability of a brief patient reported outcome measure and feasibility of implementing it in a breast device registry – a qualitative study

Author:

Ng Sze,Kirkman Maggie,Fisher Jane,Pusic Andrea,Parker Emily,Cooter Rodney D.,Elder Elisabeth,Moore Colin,McNeil John,Hopper IngridORCID

Abstract

Abstract Background To examine the acceptability of a Patient Reported Outcome Measure (PROM) that assesses perceptions and experiences of implants for breast reconstruction or augmentation, and the feasibility of implementing it in the Australian Breast Device Registry (ABDR). Methods The BREAST-Q Implant Surveillance (BREAST-Q IS) is a 5-question PROM derived from the BREAST-Q questionnaire. It assesses perceptions of breast appearance and sensation, and experiences of pain. Breast implant recipients (recruited via community networks, social media and notices in surgeons’ rooms) and surgeons contributing to the ABDR were invited to review the BREAST-Q-IS. Participation was by individual semi-structured interviews by telephone or email, or by completion of a paper questionnaire. Transcripts of audio recordings and emailed text were analysed thematically. Results Twenty one breast implant recipients (10 after reconstruction and 11 augmentation), 8 surgeons (five plastic, three breast) and 2 medical professionals performing cosmetic surgeries were interviewed. Six themes were identified: Overall impression, Emotional response to the BREAST-Q IS, Method of follow-up, Suggested improvements, Group variation, and Potential Clinical utility. Overall, breast implant recipients and surgeons found the BREAST-Q IS to be acceptable and unlikely to provoke strong emotional reactions. Email was the preferred mode of contact. Most suggested improvements were to add questions. Surgeons expressed concern that subjective responses to the PROM might not accurately reflect experiences and that the PROM would predict need for revision rather than device failure. Conclusion This study supports the acceptability and feasibility of BREAST-Q IS as a PROM for recipients of breast implants. Further validation of the Breast-Q IS is required.

Funder

Department of Health, Australian Government

Publisher

Springer Science and Business Media LLC

Subject

Health Information Management,Health Informatics

Reference26 articles.

1. Australian Commission on Safety and Quality in Health Care. (2014). Framework for Australian clinical quality registries https://www.safetyandquality.gov.au/wp-content/uploads/2014/09/Framework-for-Australian-Clinical-Quality-Registries.pdf . Accessed 12 Oct 2018.

2. Wilcox, N., & McNeil, J. J. (2016). Clinical quality registries have the potential to drive improvements in the appropriateness of care. The Medical Journal of Australia, 205(10), S27–S29.

3. Administration USDoHaHSFaD. (2009). Guidance for industry patient-reported outcome measures: Use in medical product development to support labeling claims https://www.fda.gov/downloads/drugs/guidances/ucm193282.pdf . Accessed 12 Oct 2018.

4. Black, N. (2013). Patient reported outcome measures could help transform healthcare. BMJ, 346(f167). https://www.ncbi.nlm.nih.gov/pubmed/?term=Black+Patient+reported+outcome+measures+could+help+transform+healthcare.+BMJ%2C+346(f167)

5. Rotenstein, L. S., Huckman, R. S., & Wagle, N. W. (2017). Making patients and doctors happier - the potential of patient-reported outcomes. The New England Journal of Medicine, 377(14), 1309–1312.

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3