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Validation of a questionnaire for measuring morbidity in breast hypertrophy.

https://arctichealth.org/en/permalink/ahliterature161092
Source
Plast Reconstr Surg. 2007 Oct;120(5):1108-14
Publication Type
Article
Date
Oct-2007
Author
Leif Sigurdson
Susan A Kirkland
Eric Mykhalovskiy
Author Affiliation
Division of Plastic Surgery and Department of Community Health and Epidemiology, Dalhousie University, Halifax, Nova Scotia, Canada. leif.sigurdson@dal.ca
Source
Plast Reconstr Surg. 2007 Oct;120(5):1108-14
Date
Oct-2007
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Body Image
Body mass index
Breast - pathology
Cost of Illness
Factor Analysis, Statistical
Female
Health Status Indicators
Humans
Hypertrophy
Mammaplasty - economics
Middle Aged
Nova Scotia
Psychometrics
Questionnaires
Abstract
There is a growing body of evidence suggesting that body mass index and predicted breast resection weight may not be appropriate criteria for determining insurance eligibility for breast reduction surgery. Eligibility should ideally be based on need. However, no method for determining need in patients seeking reduction surgery currently exists. The purpose of this investigation was to develop a validated questionnaire for measuring the burden of breast hypertrophy.
Forty-five symptoms specific to breast hypertrophy were incorporated into a questionnaire that was subsequently administered to a sample of 101 women. Reliability and validity testing was performed according to established psychometric criteria.
Three items were omitted based on low item remainder coefficients (Cronbach's alpha) and three were eliminated because of excessive skew. Intraclass correlation coefficients of 0.85 indicated favorable test-retest reliability. Content validity was achieved through the study design and then confirmed by a group of 11 plastic surgeons. The questionnaire showed reasonable criterion validity when compared with corresponding domains in the Short Form-36. Construct validity was excellent. Exploratory factor analysis revealed five questionnaire subdomains: (1) physical implications, (2) poor self-concept, (3) body pain, (4) negative social interactions, and (5) physical appearance.
The authors have developed an evaluative tool termed the Breast Reduction Assessed Severity Scale Questionnaire for measuring the burden of breast hypertrophy. The questionnaire produces subdomain scores and an overall measurement of the burden of breast hypertrophy that may be useful in the assessment of patients.
PubMed ID
17898583 View in PubMed
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