The BREAST-Q Implant Surveillance Module (BREAST-Q IS) as a Predictor of Breast Implant Revision Surgery.

Abstract

Background: The Australian Breast Device Registry (ABDR) records breast implant surgeries Australia-wide. In addition to clinical data, the ABDR has collected Patient Reported Outcome Measures (PROMs), to better understand patient outcomes following implant surgery.

Objectives: Our objective was to assess the association between postoperative PROMs and revision surgery due to complications for reconstructive and cosmetic breast implant patients.

Methods: A cohort study design was used. All primary breast augmentation and breast reconstruction implant insertion procedures with 2-years of follow-up after PROMs response, and with at least one PROM completed between 30th October 2017 and 16th May 2021 registered with the ABDR were identified. The primary outcome investigated was complications requiring revision at 2-years post PROMs completion. Binary logistic regression models were used to assess the predictive ability of PROMs.

Results: 5321 reconstructive procedures, and 25,777 cosmetic breast procedures were followed. Multivariate regression for the reconstructive cohort showed 3 PROM variables, feel, rippling and tightness, predicted revision due to complications within 2-years of PROMs response, OR 0.71, 95% CI 0.56-0.90; p equals 0.004, OR 0.70, 95% CI 0.57-0.87; p less than 0.001, and OR 0.80, 95% CI 0.69-0.93; p equals 0.003 respectively. Multivariate regression for the cosmetic cohort showed 3 PROM variables, look, rippling and tightness, predicted revision due to complications within 2-years of PROMs response, OR 0.51, CI 0.42-0.63; p less than 0.001, OR 0.78, CI 0.63-0.95; p equals 0.014, and OR 0.79, CI 0.67-0.94; p equals 0.006 respectively.

Conclusions: Postoperative PROMs were significantly associated with revision surgery due to complications. PROMs may be used to predict the likelihood of complications and revision following breast implant surgery.