Development of a Breast Reconstruction Satisfaction Questionnaire (BRECON): Dimensionality and Clinical Importance of Breast Symptoms, Donor Site Issues, Patient Expectations, and Relationships

作者：Temple Claire L F^*; Cook E Francis; Ross Douglas C; Bettger Hahn Margo; Macdermid Joy

来源：Journal of Surgical Oncology, 2010, 101(3): 209-216.

DOI：10.1002/jso.21477

• breast reconstruction
• satisfaction
• questionnaire
• breast cancer

Objectives: To develop a valid. reliable and responsive, self-administered questionnaire to assess women's satisfaction with breast reconstruction.
Methods: Three sources for item generation were utilized: focus groups, expert panel, and literature review.
Item reduction: Item impact scores were derived from patients and experts each ranking the importance and frequency of each item. Correlation between patient and expert scores was calculated. The highest impact questions were maintained.
Results: Four focus groups comprising 20 wornen generated 515 items. 10 experts developed 171 items, Mid literature review produced 227 items. These 913 potential iterns were reduced to 183 by combining redundancy. The 183 items underwent formal reduction by assessing importance and frequency of each itern. Thirty-two of 40 reconstructed women and 19 of 19 experts responded to the mali-out. Seventy-seven items of the women's top 100 also made the experts' top 100 list. Intraclass correlation between patients and experts was 0.7 [0.62 0.77], indicating "good" but not "excellent" agreement, reinforcing the importance of patient involvement in questionnaire development. Women tated abdominal donor site issues higher than experts. and experts rated breast softness and symmetry higher than women,
Conclusions: A 100-item pilot questionnaire for breast reconstruction satisfaction was developed for psychometric testing. J. Surg. Oncol. 2010:101:209-216.

• 出版日期2010-3-1