25 Outcomes following oncoplastic breast surgery being of the chest’, than patients who underwent volume replacement techniques (median 63 vs 38, P=0.003). Scores in all other domains were comparable. All the results for the BREAST-Q questionnaires are shown in Table 2. BREAST-Q scores of patients with and without complications were compared. Patients without complications had significantly higher scores in the domain ‘satisfaction with the breast’ and ‘satisfaction with information about the surgery’, compared to patients with complications (median 65 (IQR: 56-78) vs 56 (IQR: 43-53), P=0.007 and median 71 (IQR: 64-100) vs 55 (IQR: 46-78), P=0.026, respectively). In the other domains, no significant differences were seen. Table 2. Q scores BREAST-Q BCT domains for total cohort and stratified for volume replacement and volume displacement. Domain Total Volume replacement Volume displacement P-value Psychosocial well-being 63 (51-71) 64 (49-73) 56 (53-66) 0.453 Sexual well-being 56 (46-66) 58 (45-68) 56 (50-66) 0.838 Satisfaction with breasts 65 (55-74) 63 (55-70) 65 (54-83) 0.410 Physical well-being: chest 56 (38-66) 63 (45-71) 38 (20-53) 0.003 Satisfaction with information surgery 71 (59-91) 76 (64-96) 64 (49-76) 0.074 Satisfaction with plastic surgeon 100 (82-100) 100 (86-100) 87 (75-100) 0.173 Data are depicted in median and IQR. Significant P-values are denoted in italic. Patient self-assessment of cosmetic outcomes Fifty patients completed the self-assessment questionnaires for cosmetic outcomes. The individual global aesthetic judgment scores are presented in Table 3. A poor score was reported by two patients (4%), fair by five patients (10%), good by 18 patients (36%) and an excellent score by 25 patients (50%). This resulted in a median global aesthetic judgment score of 3.5. Scarring and areola-nipple symmetry scored 3.0, and breast symmetry scored 2.5. No significant difference was found between patients who underwent OPS with volume replacement versus volume displacement techniques (Table 4). Selfassessment scores in patients with and without complications were compared, showing a significantly higher score for symmetry in patients without complications (median 3.0 (IQR: 2.0-4.0) vs 1.0 (IQR: 1.0-2.0), P=0.001). In the other categories, no significant differences were observed. Panel evaluation of cosmetic outcomes In 40 patients medical photographs could be obtained that were amenable for panel evaluation, with a median postoperative time of 16 months (IQR: 8-43). 2
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