Ethan D. Paliwoda, Mathew Trandafirescu, Avi A. Gajjar, Sanjana Dhulipalla, Nicholas Paliwoda, Jeff J. Kim, Benjamin J. Schalet
{"title":"用他们自己的话说：患者讲述乳腺癌手术和重建。","authors":"Ethan D. Paliwoda, Mathew Trandafirescu, Avi A. Gajjar, Sanjana Dhulipalla, Nicholas Paliwoda, Jeff J. Kim, Benjamin J. Schalet","doi":"10.1007/s00266-024-04279-5","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Breast cancer’s global burden prompts a comprehensive understanding of patient experiences surrounding surgical interventions. Social media platforms serve as a new potential avenue for analysis, reflecting patients’ coping mechanisms and support-seeking behaviors.</p><h3>Objective</h3><p>This study’s objective is to further understand patient experiences regarding breast cancer interventions via social media to improve physician–patient dialogue.</p><h3>Methods</h3><p>A cross-sectional study was conducted of Instagram and TikTok posts surrounding breast cancer surgeries using procedure-related hashtags. Content was categorized to prevalent themes related to Breast-Q foci and was subsequently analyzed.</p><h3>Results</h3><p>Data from 1,028 individuals were analyzed. Posts encompassed double mastectomy (39%), single mastectomy (22%), and combined deep inferior epigastric perforator flap, latissimus dorsi flap, and transverse rectus abdominis muscle flap reconstruction (39%). Frequently identified themes included ‘Raising Awareness’ (86.87%), ‘Spreading Positivity’ (53.11%), ‘Resiliency’ (31.03%), ‘Online Support’ (24.61%), ‘Update of Appearance’ (20.82%), ‘Recovery/Rehab’ (19.94%), and ‘Scientific Explanation’ (19.75%). Instagram posts more likely encompassed positivity (<i>p</i> < 0.001), resiliency (<i>p</i> = 0.001), and mental health (<i>p</i> = 0.011). TikTok posts more likely (<i>p</i> = 0.001) discussed scientific explanations, decision-making, and symptoms (<i>p</i> < 0.001). Preoperative posts more likely (<i>p</i> < 0.001) surrounded scientific explanations, decision-making, and fear. Postoperative posts more likely (<i>p</i> < 0.001) highlighted appearance updates, recovery/rehab, and positivity (<i>p</i> = 0.012). Experiences with mastectomy and reconstruction differed: recovery/rehab (<i>p</i> < 0.001), scientific explanations (<i>p</i> = 0.015), treatment process (<i>p</i> = 0.003), range of motion (<i>p</i> < 0.001), self-esteem (<i>p</i> = 0.017), and wound management (<i>p</i> = 0.008).</p><h3>Conclusion</h3><p>Concerns of patients online reflect Breast-Q measures. Understanding these nuanced patient discussions can provide novel insights for providers. Tailoring interactions through these insights may facilitate enhanced support, discussions, and experiences throughout the treatment journey.</p><p>Main Points</p><ul>\n <li>\n <p>Social media offers a unique insight into personal patient experiences</p>\n </li>\n <li>\n <p>Online breast surgery patient perspectives reflect Breast-Q measures</p>\n </li>\n <li>\n <p>Outlooks from shared online posts may facilitate physician–patient dialogue</p>\n </li>\n </ul><h3>Level of Evidence V</h3><p>\nThis 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 \nwww.springer.com/00266.</p></div>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":"49 3","pages":"758 - 766"},"PeriodicalIF":2.0000,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"In Their Own Words: Patient Narratives of Breast Cancer Surgery and Reconstruction\",\"authors\":\"Ethan D. Paliwoda, Mathew Trandafirescu, Avi A. Gajjar, Sanjana Dhulipalla, Nicholas Paliwoda, Jeff J. Kim, Benjamin J. Schalet\",\"doi\":\"10.1007/s00266-024-04279-5\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>Breast cancer’s global burden prompts a comprehensive understanding of patient experiences surrounding surgical interventions. Social media platforms serve as a new potential avenue for analysis, reflecting patients’ coping mechanisms and support-seeking behaviors.</p><h3>Objective</h3><p>This study’s objective is to further understand patient experiences regarding breast cancer interventions via social media to improve physician–patient dialogue.</p><h3>Methods</h3><p>A cross-sectional study was conducted of Instagram and TikTok posts surrounding breast cancer surgeries using procedure-related hashtags. Content was categorized to prevalent themes related to Breast-Q foci and was subsequently analyzed.</p><h3>Results</h3><p>Data from 1,028 individuals were analyzed. Posts encompassed double mastectomy (39%), single mastectomy (22%), and combined deep inferior epigastric perforator flap, latissimus dorsi flap, and transverse rectus abdominis muscle flap reconstruction (39%). Frequently identified themes included ‘Raising Awareness’ (86.87%), ‘Spreading Positivity’ (53.11%), ‘Resiliency’ (31.03%), ‘Online Support’ (24.61%), ‘Update of Appearance’ (20.82%), ‘Recovery/Rehab’ (19.94%), and ‘Scientific Explanation’ (19.75%). Instagram posts more likely encompassed positivity (<i>p</i> < 0.001), resiliency (<i>p</i> = 0.001), and mental health (<i>p</i> = 0.011). TikTok posts more likely (<i>p</i> = 0.001) discussed scientific explanations, decision-making, and symptoms (<i>p</i> < 0.001). Preoperative posts more likely (<i>p</i> < 0.001) surrounded scientific explanations, decision-making, and fear. Postoperative posts more likely (<i>p</i> < 0.001) highlighted appearance updates, recovery/rehab, and positivity (<i>p</i> = 0.012). Experiences with mastectomy and reconstruction differed: recovery/rehab (<i>p</i> < 0.001), scientific explanations (<i>p</i> = 0.015), treatment process (<i>p</i> = 0.003), range of motion (<i>p</i> < 0.001), self-esteem (<i>p</i> = 0.017), and wound management (<i>p</i> = 0.008).</p><h3>Conclusion</h3><p>Concerns of patients online reflect Breast-Q measures. Understanding these nuanced patient discussions can provide novel insights for providers. Tailoring interactions through these insights may facilitate enhanced support, discussions, and experiences throughout the treatment journey.</p><p>Main Points</p><ul>\\n <li>\\n <p>Social media offers a unique insight into personal patient experiences</p>\\n </li>\\n <li>\\n <p>Online breast surgery patient perspectives reflect Breast-Q measures</p>\\n </li>\\n <li>\\n <p>Outlooks from shared online posts may facilitate physician–patient dialogue</p>\\n </li>\\n </ul><h3>Level of Evidence V</h3><p>\\nThis 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 \\nwww.springer.com/00266.</p></div>\",\"PeriodicalId\":7609,\"journal\":{\"name\":\"Aesthetic Plastic Surgery\",\"volume\":\"49 3\",\"pages\":\"758 - 766\"},\"PeriodicalIF\":2.0000,\"publicationDate\":\"2024-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Aesthetic Plastic Surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://link.springer.com/article/10.1007/s00266-024-04279-5\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Aesthetic Plastic Surgery","FirstCategoryId":"3","ListUrlMain":"https://link.springer.com/article/10.1007/s00266-024-04279-5","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"SURGERY","Score":null,"Total":0}
In Their Own Words: Patient Narratives of Breast Cancer Surgery and Reconstruction
Background
Breast cancer’s global burden prompts a comprehensive understanding of patient experiences surrounding surgical interventions. Social media platforms serve as a new potential avenue for analysis, reflecting patients’ coping mechanisms and support-seeking behaviors.
Objective
This study’s objective is to further understand patient experiences regarding breast cancer interventions via social media to improve physician–patient dialogue.
Methods
A cross-sectional study was conducted of Instagram and TikTok posts surrounding breast cancer surgeries using procedure-related hashtags. Content was categorized to prevalent themes related to Breast-Q foci and was subsequently analyzed.
Results
Data from 1,028 individuals were analyzed. Posts encompassed double mastectomy (39%), single mastectomy (22%), and combined deep inferior epigastric perforator flap, latissimus dorsi flap, and transverse rectus abdominis muscle flap reconstruction (39%). Frequently identified themes included ‘Raising Awareness’ (86.87%), ‘Spreading Positivity’ (53.11%), ‘Resiliency’ (31.03%), ‘Online Support’ (24.61%), ‘Update of Appearance’ (20.82%), ‘Recovery/Rehab’ (19.94%), and ‘Scientific Explanation’ (19.75%). Instagram posts more likely encompassed positivity (p < 0.001), resiliency (p = 0.001), and mental health (p = 0.011). TikTok posts more likely (p = 0.001) discussed scientific explanations, decision-making, and symptoms (p < 0.001). Preoperative posts more likely (p < 0.001) surrounded scientific explanations, decision-making, and fear. Postoperative posts more likely (p < 0.001) highlighted appearance updates, recovery/rehab, and positivity (p = 0.012). Experiences with mastectomy and reconstruction differed: recovery/rehab (p < 0.001), scientific explanations (p = 0.015), treatment process (p = 0.003), range of motion (p < 0.001), self-esteem (p = 0.017), and wound management (p = 0.008).
Conclusion
Concerns of patients online reflect Breast-Q measures. Understanding these nuanced patient discussions can provide novel insights for providers. Tailoring interactions through these insights may facilitate enhanced support, discussions, and experiences throughout the treatment journey.
Main Points
Social media offers a unique insight into personal patient experiences
Online breast surgery patient perspectives reflect Breast-Q measures
Outlooks from shared online posts may facilitate physician–patient dialogue
Level of Evidence V
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.
期刊介绍：
Aesthetic Plastic Surgery is a publication of the International Society of Aesthetic Plastic Surgery and the official journal of the European Association of Societies of Aesthetic Plastic Surgery (EASAPS), Società Italiana di Chirurgia Plastica Ricostruttiva ed Estetica (SICPRE), Vereinigung der Deutschen Aesthetisch Plastischen Chirurgen (VDAPC), the Romanian Aesthetic Surgery Society (RASS), Asociación Española de Cirugía Estética Plástica (AECEP), La Sociedad Argentina de Cirugía Plástica, Estética y Reparadora (SACPER), the Rhinoplasty Society of Europe (RSE), the Iranian Society of Plastic and Aesthetic Surgeons (ISPAS), the Singapore Association of Plastic Surgeons (SAPS), the Australasian Society of Aesthetic Plastic Surgeons (ASAPS), the Egyptian Society of Plastic and Reconstructive Surgeons (ESPRS), and the Sociedad Chilena de Cirugía Plástica, Reconstructiva y Estética (SCCP).
Aesthetic Plastic Surgery provides a forum for original articles advancing the art of aesthetic plastic surgery. Many describe surgical craftsmanship; others deal with complications in surgical procedures and methods by which to treat or avoid them. Coverage includes "second thoughts" on established techniques, which might be abandoned, modified, or improved. Also included are case histories; improvements in surgical instruments, pharmaceuticals, and operating room equipment; and discussions of problems such as the role of psychosocial factors in the doctor-patient and the patient-public interrelationships.
Aesthetic Plastic Surgery is covered in Current Contents/Clinical Medicine, SciSearch, Research Alert, Index Medicus-Medline, and Excerpta Medica/Embase.
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