ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2023
Moving towards patient-reported outcomes in routine clinical practice: implementation lessons from the BREAST-Q.
Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Importance of Patient-Reported Outcome Measures (PROMs) in Oncological Vulvoperineal Defect Reconstruction: A Systematic Review.Current oncology (Toronto, Ont.) · 2024Pooled it
- Real-world implementation of electronic patient-reported outcome measures (ePROMs) in routine oncology practice: a scoping review.ESMO real world data and digital oncology · 2026Review
- Predictors of Satisfaction with Breasts and Psychosocial Well-Being After Nipple-Sparing Mastectomy.Annals of surgical oncology · 2026Article
- Optimal Timing of Expander-to-Implant Exchange after Postmastectomy Radiation Therapy: 90-Day Complications and Patient-Reported Outcomes.Plastic and reconstructive surgery · 2026Article
- "Numbers call for action, personalized narratives provide support and recognition": a qualitative assessment of cancer patients' perspectives on patient-reported outcome measures (PROMs) feedback with narratives.Journal of cancer survivorship : research and practice · 2026Article
- Radiation and Reconstructive Failure: Long-Term Outcomes in Two-Stage Flap Versus Implant Breast Reconstruction.Annals of surgical oncology · 2026Article
- Patient-reported Outcome Measures in Head and Neck Reconstruction: A Systematic Review Across Disciplines and Geographical Locations.Plastic and reconstructive surgery. Global open · 2025Article
- One-Year Outcomes in Prepectoral versus Subpectoral Alloplastic Breast Reconstruction.Plastic and reconstructive surgery · 2025Article
- Interventions influencing patient-reported outcomes (PROs) response rates in cancer: a scoping review.Journal of cancer survivorship : research and practice · 2025Review
- Reconstructing Failure: Assessing Surgical and Patient-Reported Outcomes after Loss of Initial Breast Reconstruction.Plastic and reconstructive surgery · 2025Article
- Satisfaction with Breasts following Autologous Reconstruction: Assessing Associated Factors and the Impact of Revisions.Plastic and reconstructive surgery · 2025Article
- Article
- Moving beyond barriers: a mixed-method study to develop evidence-based strategies to improve implementation of PROMs in clinical oncology care.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025Article
- Race and Ethnicity Impacts Patient-Reported Outcomes in Implant-Based Breast Reconstruction.Annals of surgical oncology · 2025Article
- Breast-Conserving Therapy Versus Postmastectomy Breast Reconstruction: Propensity Score-Matched Analysis.Annals of surgical oncology · 2024Article
- Predicting Postoperative Satisfaction with Breasts: How Important is the Preoperative BREAST-Q Score?Annals of surgical oncology · 2024Article
- BREAST-Q REACT: Qualitative Assessment of the Design, Functionality, and Clinical Utility of a New Score Interpretation Tool.Annals of surgical oncology · 2024Article
- Analyzing mastectomy and reconstruction weight in immediate autologous breast reconstruction: A preliminary study.Journal of surgical oncology · 2024Article
- Nonresponse data in sexual well-being among breast reconstruction patients-who are we overlooking?Journal of surgical oncology · 2024Article
- Examining Race and Patient-Reported Outcomes After Contralateral Prophylactic Mastectomy with Reconstruction.Annals of surgical oncology · 2024Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
purposeLongitudinal, routine utilization of patient-reported outcome measures (PROMs) in clinical care has been challenging. The purpose of this study is to describe a quality improvement initiative to improve patient engagement with the BREAST-Q, a gold-standard PROM for breast reconstruction.
methodsIn 2011, we implemented the BREAST-Q as part of routine care. In 2018, we began a quality improvement initiative to increase BREAST-Q patient participation. The BREAST-Q was administered at every clinic visit via an institutional patient portal or an in-clinic tablet; digital dashboard technologies were used to improve workflow integration, real-time accountability, and immediate data availability at clinic visits. High clinical staff engagement was encouraged by assigning "BREAST-Q Champions." BREAST-Q completion data and patient characteristics were examined to understand non-response to the assessment.
resultsFollowing quality improvement, the average annual BREAST-Q completion rate increased from 42.8% in 2011-2017 to 87.6% in 2019, the last full year of our study period. High completion rates were maintained January-July 2020; however, a significantly larger proportion of BREAST-Qs were completed at home in 2020 versus the same period in 2019 (49.7 vs. 38.8%, p < 0.001), potentially due to the COVID-19 pandemic. Compared with non-responders, responders were younger (49.7 vs. 52.2 years, p < 0.001), more likely to be white (76.9 vs. 73.6%, p < 0.001), and had private insurance (79.4 vs. 69.8%, p < 0.001).
conclusionOur quality improvement initiative successfully increased routine completion of the BREAST-Q. Similar implementation techniques may prove beneficial at other institutions interested in incorporating PROMs into routine care.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.