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学科主题临床医学
Chinese Women′s Preferences and Concerns regarding Incision Location for Breast Augmentation Surgery: A Survey of 216 Patients
Sun, Jingjing1; Liu, Chunjun1; Mu, Dali1; Wang, Keming2; Zhu, Sainan3; He, Yi1; Luan, Jie1
关键词Augmentation mammaplasty Incision location Chinese women Decision-making process
刊名AESTHETIC PLASTIC SURGERY
2015-04-01
DOI10.1007/s00266-015-0457-0
39期:2页:214-226
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Surgery
研究领域[WOS]Surgery
关键词[WOS]NIPPLE-AREOLA COMPLEX ; CAPSULAR CONTRACTURE ; IMPLANTS CORE ; MAMMAPLASTY ; OUTCOMES ; SENSITIVITY ; PERIAREOLAR ; EXPERIENCE ; CHOICE
英文摘要

The axillary approach is the dominant incision used in China for breast augmentation. Systematic preoperative education regarding incision locations for breast augmentation is scarce in China. In this study, we surveyed Chinese patients to ascertain their preferences and concerns for incision location based on a comprehensive understanding of different incisions.

We used a literature review, patient interviews, and expert panels to develop the preoperative education material and questionnaire regarding different incision locations. The respondents were requested to choose one incision location before and after they received the preoperative education. Their initial choices and final decisions as well as the reasons for these choices were recorded and analyzed. Multinomial logistic regression was preformed to analyze the affecting factors on the incision choice.

A total of 216 Chinese women participated in the study between 2012.5 and 2014.1. Initially, 176 (81.48 %) women chose axillary incision, 27 (12.50 %) chose periareolar incision, and 13 (6.02 %) chose inframammary fold (IMF) incision. After they received preoperative education on incisions, the axillary and periareolar approaches decreased to 117 (54.17 %) and 13 (6.02 %), respectively, while IMF increased to 86 (39.81 %). The easily hidden scar (43.98 %), lower capsular contracture rate (23.15 %), and lower possibility of injury to the breast parenchyma (17.13 %) ranked as the top 3 reasons for the incision choice. Patients with a preoperative cup size of AA were 12.316 times more likely to choose the axillary approach relative to the IMF approach compared with those with a B cup (P = 0.044; 95 % confidence interval [CI] 1.069-141.923). For each one-unit increase in BMI, the odds that a patient would choose the axillary versus the periareolar approach decreased by 32.4 % (P = 0.049; 95 % CI 0.457-0.999).

The systematic and objective preoperative education material and questionnaire regarding different incision locations helped the Chinese patients make truly informed decisions and express their personal requirements. The axillary approach was the first option for more than half of Chinese women mainly because an easily hidden scar was considered the primary concern during the decision-making process. The patients with a low BMI and a small preoperative breast cup size were more likely to choose an axillary incision. However, a considerable number of Chinese women would choose the IMF incision and value its superiority in terms of a lower capsular contracture rate, less tissue trauma, and lower possibility of injury to the breast parenchyma.

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

语种英语
WOS记录号WOS:000351146500006
项目编号2013-1002-10
资助机构Peking Union Medical College Graduate Students Creation Fund
引用统计
被引频次:6[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/64379
专题北京大学第一临床医学院_医学统计室
作者单位1.Chinese Acad Med Sci, Peking Union Med Coll, Plast Surg Hosp, Dept Aesthet & Reconstruct Breast Surg, Beijing 100144, Peoples R China
2.Chinese Acad Med Sci, Peking Union Med Coll, Plast Surg Hosp, VIP Dept, Beijing 100144, Peoples R China
3.Peking Univ, Hosp 1, Dept Biostat, Beijing 100871, Peoples R China
推荐引用方式
GB/T 7714
Sun, Jingjing,Liu, Chunjun,Mu, Dali,et al. Chinese Women′s Preferences and Concerns regarding Incision Location for Breast Augmentation Surgery: A Survey of 216 Patients[J]. AESTHETIC PLASTIC SURGERY,2015,39(2):214-226.
APA Sun, Jingjing.,Liu, Chunjun.,Mu, Dali.,Wang, Keming.,Zhu, Sainan.,...&Luan, Jie.(2015).Chinese Women′s Preferences and Concerns regarding Incision Location for Breast Augmentation Surgery: A Survey of 216 Patients.AESTHETIC PLASTIC SURGERY,39(2),214-226.
MLA Sun, Jingjing,et al."Chinese Women′s Preferences and Concerns regarding Incision Location for Breast Augmentation Surgery: A Survey of 216 Patients".AESTHETIC PLASTIC SURGERY 39.2(2015):214-226.
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