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Measurement of breast volume is a useful supplement to select candidates for surgical breast reduction

Ikander, Peder; Drejoe, Jennifer Berg; Lumholt, Pavia; Sjostrand, Helle; Matzen, Steen; Quirinia, Anne; Siersen, Hans Erik; Ringberg, Anita LU ; Lambaa, Susanne and Holmich, Lisbet Rosenkrantz (2014) In Danish Medical Journal 61(1). p.4760-4760
Abstract
INTRODUCTION: The indication for breast reduction in a public welfare or an insurance paid setting depends on the severity of the subjective symptoms and the clinical evaluation. The purpose of this study was to evaluate the use of breast volume as an objective criterion to establish the indication for breast reduction surgery, thus establishing a standard decision basis that can be shared by surgeons and departments to secure patients fair and equal treatment opportunities. MATERIAL AND METHODS: A total of 427 patients who were referred to three Danish public hospitals with breast hypertrophy in the period from January 2007 to March 2011 were included prospectively in the study. The patient's subjective complaints, height, weight and... (More)
INTRODUCTION: The indication for breast reduction in a public welfare or an insurance paid setting depends on the severity of the subjective symptoms and the clinical evaluation. The purpose of this study was to evaluate the use of breast volume as an objective criterion to establish the indication for breast reduction surgery, thus establishing a standard decision basis that can be shared by surgeons and departments to secure patients fair and equal treatment opportunities. MATERIAL AND METHODS: A total of 427 patients who were referred to three Danish public hospitals with breast hypertrophy in the period from January 2007 to March 2011 were included prospectively in the study. The patient's subjective complaints, height, weight and standard breast measurements were registered as well as the decision for or against surgery. Breast volume was measured using transparent plastic cups. RESULTS: Cut-off values for breast volume were calculated based on whether or not the patients were offered reduction surgery. Most patients (93%) with a breast volume below 800 cc were not offered surgery, while most with a volume exceeding 900 cc were offered surgery (94%). In the grey zone between 800 and 900 cc, the indication seemed to be less clear-cut, and additional parameters need to be included. CONCLUSION: Breast volume can be used as an objective criterion in addition to the presently used criteria. Breast volume can easily be measured and has become appreciated by plastic surgeons dealing with patients with breast hypertrophy as a tool which facilitates their decision-making and patients' acceptance of the decisions made. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Danish Medical Journal
volume
61
issue
1
pages
4760 - 4760
publisher
Danish Medical Association
external identifiers
  • wos:000342041600006
  • scopus:84891787357
ISSN
0907-8916
language
English
LU publication?
yes
id
d73f1088-cb97-4cc9-97a2-7ffe6607f52b (old id 4709799)
date added to LUP
2014-11-03 07:18:53
date last changed
2017-10-01 03:21:28
@article{d73f1088-cb97-4cc9-97a2-7ffe6607f52b,
  abstract     = {INTRODUCTION: The indication for breast reduction in a public welfare or an insurance paid setting depends on the severity of the subjective symptoms and the clinical evaluation. The purpose of this study was to evaluate the use of breast volume as an objective criterion to establish the indication for breast reduction surgery, thus establishing a standard decision basis that can be shared by surgeons and departments to secure patients fair and equal treatment opportunities. MATERIAL AND METHODS: A total of 427 patients who were referred to three Danish public hospitals with breast hypertrophy in the period from January 2007 to March 2011 were included prospectively in the study. The patient's subjective complaints, height, weight and standard breast measurements were registered as well as the decision for or against surgery. Breast volume was measured using transparent plastic cups. RESULTS: Cut-off values for breast volume were calculated based on whether or not the patients were offered reduction surgery. Most patients (93%) with a breast volume below 800 cc were not offered surgery, while most with a volume exceeding 900 cc were offered surgery (94%). In the grey zone between 800 and 900 cc, the indication seemed to be less clear-cut, and additional parameters need to be included. CONCLUSION: Breast volume can be used as an objective criterion in addition to the presently used criteria. Breast volume can easily be measured and has become appreciated by plastic surgeons dealing with patients with breast hypertrophy as a tool which facilitates their decision-making and patients' acceptance of the decisions made.},
  author       = {Ikander, Peder and Drejoe, Jennifer Berg and Lumholt, Pavia and Sjostrand, Helle and Matzen, Steen and Quirinia, Anne and Siersen, Hans Erik and Ringberg, Anita and Lambaa, Susanne and Holmich, Lisbet Rosenkrantz},
  issn         = {0907-8916},
  language     = {eng},
  number       = {1},
  pages        = {4760--4760},
  publisher    = {Danish Medical Association},
  series       = {Danish Medical Journal},
  title        = {Measurement of breast volume is a useful supplement to select candidates for surgical breast reduction},
  volume       = {61},
  year         = {2014},
}