D110. Single Assessment Numeric Evaluation Score as a Simplified Measure Of Patient Satisfaction following Breast Reconstruction

Abstract

PURPOSE: Patient reported outcome measures (PROM) that can be efficiently employed after breast reconstruction are being investigated as an alternative to the validated Breast-Q survey to yield valuable data without survey fatigue. The Single Assessment Numeric Evaluation (SANE) has been used to rate function after orthopedic surgery but has not been extrapolated to functional and aesthetic outcomes after breast reconstruction. METHODS: 255 patients 1-3 years after breast reconstruction were contacted to complete both the SANE and Breast-Q Post-op Module for aesthetic and functional outcomes respectively. Demographics, comorbidities, treatment and surgical characteristics were reported and Pearson Correlation between survey mechanisms was evaluated. RESULTS: 91 patients completed both surveys with a mean aesthetic SANE score of 60.6 ± 28.0, and mean Aesthetic Breast-Q score of 61.4 ± 19.8 showing a strong correlation between the two surveys for aesthetic outcome (R = 0.76, P <0.001). The mean function SANE score 74.7 ± 26.4, and the mean functional Breast-Q was 74.0 ± 21.5 with a strongly positive correlation (R = 0.532, P <0.001). The SANE scores also provided a comparison with non-operated contralateral breasts in unilateral cases showing higher scores for the contralateral native breast for both appearance and function. CONCLUSION: The SANE scoring tool when applied to breast reconstruction outcomes correlated strongly with the validated Breast-Q for both functional and aesthetic outcomes. Application of this efficient PROM to greater patient numbers will demonstrate its utility for patients undergoing different cancer treatment regimens as well as its performance as a repeated measure.