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:: Volume 5, Issue 2 (4-2016) ::
wjps 2016, 5(2): 114-123 Back to browse issues page
Patient Race and Provider Predict Patient Satisfaction Following Post-Mastectomy Breast Reconstruction
Ashkaun Shaterian , Jessica Gandy , Shadi Lalezari , Sarah Smith , Paydar Keyianoosh
University of California Irvine
Abstract:   (2122 Views)


Post-mastectomy breast reconstruction is commonly performed in the United States with numerous options available to patients and providers. This study evaluated patient race and provider in prediction of patient satisfaction following post-mastectomy breast reconstruction.


The patient satisfaction for women who underwent post mastectomy breast reconstruction at University of California, Irvine Medical Center was evaluated between 2012 and 2014,  randomly using Press Ganey Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) surveys. Patient demographics and surgery related variables including type of reconstruction received were determined.


Between 2012 and 2014, ninety breast reconstruction patients completed a HCAHPS satisfaction survey.  Average satisfaction score was 9.67/10. Multivariate linear regression analyses revealed that 34% of the variability in satisfaction scores was accounted for by the variables included in our statistical model.  Analyses revealed race/ethnicity and provider to be independent predictors of satisfaction (p<0.05). Satisfaction scores ranged from 6-10 and varied by 11.7% across different providers and 8.9% across different races.  The following variables were included, but did not influence patient satisfaction: type, timing, or laterality of reconstruction, presence of post-operative complication, body mass index (BMI), age, presence of comorbidity, and insurance type.


Achieving patient satisfaction is an important outcome of breast reconstruction.  This study is one of the first to identify provider and race/ethnicity as predictors of patient satisfaction following breast reconstruction. The information provided here can help inform providers and improve satisfaction for patients undergoing breast reconstruction.

Keywords: Breast reconstruction, Breast surgery, Mastectomy, Breast cancer, Patient satisfaction
Full-Text [PDF 304 kb]   (856 Downloads)    
Type of Study: Original Article | Subject: General
Received: 2015/10/9 | Accepted: 2016/01/30 | Published: 2016/01/30
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Shaterian A, Gandy J, Lalezari S, Smith S, Keyianoosh P. Patient Race and Provider Predict Patient Satisfaction Following Post-Mastectomy Breast Reconstruction. wjps. 2016; 5 (2) :114-123
URL: http://wjps.ir/article-1-191-en.html

Volume 5, Issue 2 (4-2016) Back to browse issues page
مجله جهانی جراحی پلاستیک World Journal of Plastic Surgery
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