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dc.creatorKlassen, Anneen
dc.creatorFitzpatrick, Rayen
dc.creatorJenkinson, Crispinen
dc.creatorGoodacre, Timen
dc.date.accessioned2015-05-05T18:58:51Zen
dc.date.available2015-05-05T18:58:51Zen
dc.date.created1996-08-24en
dc.date.issued1996-08-24en
dc.identifier10.1136/bmj.313.7055.454en
dc.identifier.bibliographicCitationBMJ (British Medical Journal). 1996 Aug 24; 313(7055): 454-457.en
dc.identifier.issn0959-8138en
dc.identifier.urihttp://worldcatlibraries.org/registry/gateway?version=1.0&url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&atitle=Should+Breast+Reduction+Surgery+Be+Rationed?+a+Comparison+of+The+health+Status+of+Patients+before+and+after+Treatment:+Postal+Questionnaire+survey&title=BMJ+&volume=313&issue=7055&pages=454-457&date=1996&au=Klassen,+Anneen
dc.identifier.urihttp://dx.doi.org/10.1136/bmj.313.7055.454en
dc.identifier.urihttp://hdl.handle.net/10822/749992en
dc.description.abstractOBJECTIVES: To assess the health status of patients before and after breast reduction surgery and to make comparisons with the health status of women in the general population. DESIGN: Postal questionnaire survey sent to patients before and six months after surgery. SETTING: The three plastic surgery departments in the Oxford Regional Health Authority, during April to August 1993. SUBJECTS: 166 women (over the age of 16 years) referred for breast reduction; scores from the "short form 36" (SF-36) health questionnaire completed by women in the 1991-2 Oxford healthy life survey. MAIN OUTCOME MEASURES: Health status of breast reduction patients before and after surgery as assessed by the SF-36, the 28 item general health questionnaire, and Rosenberg's self esteem scale; comparisons between the health status of breast reduction patients and that of women in the general population; outcome of surgery as assessed retrospectively by patients. RESULTS: Differences between the health status of breast reduction patients and that of women in the general population were detected by the SF-36 both before and after surgery. Breast reduction surgery produced substantial change in patients' physical, social, and psychological function. The proportion of cases of possible psychiatric morbidity according to the general health questionnaire fell from 41% (22/54) before surgery to 11% (6/54) six months after treatment. Eighty six per cent (50/58) of patients expressed great satisfaction with the surgical result postoperatively. CONCLUSION: The study provides empirical evidence that supports the inclusion of breast reduction surgery in NHS purchasing contracts.en
dc.formatArticleen
dc.languageenen
dc.sourceBRL:MEDKIE/96372496en
dc.subjectBiomedical Technologiesen
dc.subjectContractsen
dc.subjectControl Groupsen
dc.subjectCosmetic Surgeryen
dc.subjectEvaluationen
dc.subjectEvaluation Studiesen
dc.subjectFemalesen
dc.subjectHealthen
dc.subjectHealth Statusen
dc.subjectLifeen
dc.subjectMental Healthen
dc.subjectMorbidityen
dc.subjectMotivationen
dc.subjectPainen
dc.subjectPatient Satisfactionen
dc.subjectPatientsen
dc.subjectPlastic Surgeryen
dc.subjectQuality of Lifeen
dc.subjectResource Allocationen
dc.subjectSelf Concepten
dc.subjectSurgeryen
dc.subjectSurveyen
dc.subjectTreatment Outcomeen
dc.titleShould Breast Reduction Surgery Be Rationed? a Comparison of the Health Status of Patients Before and After Treatment: Postal Questionnaire Surveyen
dc.provenanceDigital citation created by the National Reference Center for Bioethics Literature at Georgetown University for the BIOETHICSLINE database, part of the Kennedy Institute of Ethics' Bioethics Information Retrieval Project funded by the United States National Library of Medicine.en
dc.provenanceDigital citation migrated from OpenText LiveLink Discovery Server database named NBIO hosted by the Bioethics Research Library to the DSpace collection BioethicsLine hosted by Georgetown University.en


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