Methods/Technique: A retrospective chart review was performed on 600 consecutive patients at a single institution from (2000-2010). Patients were mailed The Breast Q questionnaire to complete. Demographic, surgical data were collected and entered into a data base. Descriptive Statistical analysis were conducted using SAS Software with statistical significance determined at p<0.05.
Results/Complications: A total of 178 surveys were returned ( response rate of 29.6%) Patient data included a mean BMI of 28.3 ± 4.6 (kg/m2), and mean total amount of breast tissue removed of 1220.9 ± 665.4 (grams). The primary indications for patients having breast surgery were for: symptomatic macromastia (85%). The Breast Q questionnaire demonstrated patients were satisfied with their breast surgery. The mean response was 2.8 with a standard deviation of 0.47 (where 1=disagree; 2 = somewhat agree; 3 = definitely agree). Patient BMI and total amount of breast tissue removed had a statistically significant positive correlation (0.479; P<0.0001). There was no statistically significant difference between the amount of total breast tissue removed and patient response . (p=0.57).
Conclusion: The study supports a positive outcome. Over 95% of the patients surveyed were satisfied. It demonstrates the improvement of the patient’s quality of life regardless of the amount of breast tissue removed. Furthermore, it suggests that the size and weight of the patient has no impact on this outcome. As we face new government and insurance restrictions, patient reported outcome studies may have an influence on future third party payer commitments.