Table 2 Top 10 concerns prioritised by stakeholder groups in the BRAVO study
Items prioritised in ‘top 10’ concerns | All stakeholders combined | All HCPs | Professional subgroup | All patients | Patient subgroups | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Type of reconstructive surgery | Timing of reconstruction | Age of women undergoing BR (years) | Time since BR | |||||||||||||||
Breast surgeon | Plastic surgeon | CNS | Psych | Implant-based | LD flaps | Abdo flap | TM | IBR | DBR | <45 | 45–60 | >60 | <24 months post-op | >24 months post-op | ||||
Short-term complications | ||||||||||||||||||
 Systemic complications | ✓ | ✓ | ||||||||||||||||
 Bleeding-related complications | ✓ | ✓ | ✓ | ✓ | ✓ | |||||||||||||
 Wound-related complications | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ||||||
 Implant-related complications | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | |
 Flap-related complications | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ||
 Major complications | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
Long-term complications | ||||||||||||||||||
 Long-term implant-related complications | ✓ | ✓ | ✓ | ✓ | ✓ | |||||||||||||
 Long-term flap-related complications | ||||||||||||||||||
 Donor-site complications | ✓ | |||||||||||||||||
 Unplanned surgery for any reason | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | |||||||
Symptoms following reconstructive breast surgery | ||||||||||||||||||
 Fatigue | ||||||||||||||||||
 Breast symptoms | ||||||||||||||||||
 Arm and shoulder symptoms | ||||||||||||||||||
 Implant-related symptoms | ||||||||||||||||||
 Donor-site symptoms | ||||||||||||||||||
Psychosocial issues | ||||||||||||||||||
 Self-esteem | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ||||||||
 Body image | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | |||||||||
 Normality | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ||||
 Emotional well-being | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | |||||||||
 Sexual well-being | ✓ | ✓ | ✓ | |||||||||||||||
 Quality of life | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | |
Practical issues | ||||||||||||||||||
 Physical well-being | ||||||||||||||||||
 Recovery time | ||||||||||||||||||
 Duration of the procedure | ||||||||||||||||||
 Time to completion of breast reconstruction | ||||||||||||||||||
 Number of procedures required | ||||||||||||||||||
 Clothing issues | ||||||||||||||||||
 Financial issues | ||||||||||||||||||
 Economic issues | ||||||||||||||||||
Cosmesis | ||||||||||||||||||
 Patient-reported cosmetic outcome | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | |
 Objective cosmetic outcome | ✓ | ✓ | ||||||||||||||||
 Cosmetic outcome assessed by patient’s partner | ||||||||||||||||||
 Women’s cosmetic satisfaction | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | |