Patients Decision-Making Characteristics Affects Gynecomastia Treatment Satisfaction: A Multicenter Study Using the BODY-Q Chest Module
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Patients Decision-Making Characteristics Affects Gynecomastia Treatment Satisfaction : A Multicenter Study Using the BODY-Q Chest Module. / Jørgensen, Mads Gustaf; Cho, Bu Youn; Hansen, Frederik Gulmark; Schmidt, Volker Jürgen; Sørensen, Jens Ahm; Toyserkani, Navid Mohamadpour.
I: Aesthetic Plastic Surgery, Bind 46, 2022, s. 1053–1062.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Patients Decision-Making Characteristics Affects Gynecomastia Treatment Satisfaction
T2 - A Multicenter Study Using the BODY-Q Chest Module
AU - Jørgensen, Mads Gustaf
AU - Cho, Bu Youn
AU - Hansen, Frederik Gulmark
AU - Schmidt, Volker Jürgen
AU - Sørensen, Jens Ahm
AU - Toyserkani, Navid Mohamadpour
N1 - Publisher Copyright: © 2021, Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery.
PY - 2022
Y1 - 2022
N2 - Background: Patient satisfaction is the most critical outcome in gynecomastia treatment. However, patient satisfaction may be affected by the patient's decision-making trait, such as exhaustively searching for the best outcome or being content with an outcome that satisfies a preconceived requirement. Objective: To assess whether patient's decision-making characteristic affect their satisfaction with gynecomastia treatment. Methods: This was a cross-sectional study including patients treated for gynecomastia between January 2009 and December 2019 at two tertiary hospitals in Denmark. Alive patients were sent the BODY-Q: Chest module, the SF-36 questionnaire, and the Maximizer/Satisficer decision-making survey. Patients were classified as Maximizers if they scored more than 40 points on the Maximizer/Satisficer survey. Percentage score differences (PDs) in quality of life scales were calculated between Maximizers and Satisficers. Results: In total, 192 gynecomastia patients were included in this study and classified as Maximizers (n = 152) or Satisficers (n = 40). Maximizers were younger and more had gynecomastia following abuse of anabolic steroids than Satisficers (p < 0.05). With respect to bodily satisfaction, Maximizers showed significantly worse satisfaction with nipples (PDs: − 12.98%), psychological function (PDs: − 13.68%) and social function (PDs: − 8.77%, p < 0.05). In addition, Maximizers had significantly worse emotional role functioning (− 11.03%), vitality (PDs: − 11.72%) and mental health (PDs: − 10.00%, p < 0.05). Conclusion: Patients exhibiting maximizing-type decision-making characteristics have worse satisfaction with gynecomastia treatment and poorer psychosocial health. This information may facilitate patient counseling and alignment of treatment expectations. Level of evidence IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.
AB - Background: Patient satisfaction is the most critical outcome in gynecomastia treatment. However, patient satisfaction may be affected by the patient's decision-making trait, such as exhaustively searching for the best outcome or being content with an outcome that satisfies a preconceived requirement. Objective: To assess whether patient's decision-making characteristic affect their satisfaction with gynecomastia treatment. Methods: This was a cross-sectional study including patients treated for gynecomastia between January 2009 and December 2019 at two tertiary hospitals in Denmark. Alive patients were sent the BODY-Q: Chest module, the SF-36 questionnaire, and the Maximizer/Satisficer decision-making survey. Patients were classified as Maximizers if they scored more than 40 points on the Maximizer/Satisficer survey. Percentage score differences (PDs) in quality of life scales were calculated between Maximizers and Satisficers. Results: In total, 192 gynecomastia patients were included in this study and classified as Maximizers (n = 152) or Satisficers (n = 40). Maximizers were younger and more had gynecomastia following abuse of anabolic steroids than Satisficers (p < 0.05). With respect to bodily satisfaction, Maximizers showed significantly worse satisfaction with nipples (PDs: − 12.98%), psychological function (PDs: − 13.68%) and social function (PDs: − 8.77%, p < 0.05). In addition, Maximizers had significantly worse emotional role functioning (− 11.03%), vitality (PDs: − 11.72%) and mental health (PDs: − 10.00%, p < 0.05). Conclusion: Patients exhibiting maximizing-type decision-making characteristics have worse satisfaction with gynecomastia treatment and poorer psychosocial health. This information may facilitate patient counseling and alignment of treatment expectations. Level of evidence IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.
KW - BODY-Q
KW - Decision-making
KW - Glandular excision
KW - Gynecomastia
KW - Liposuction
KW - Quality of life
U2 - 10.1007/s00266-021-02633-5
DO - 10.1007/s00266-021-02633-5
M3 - Journal article
C2 - 34704122
AN - SCOPUS:85118139288
VL - 46
SP - 1053
EP - 1062
JO - Aesthetic Plastic Surgery
JF - Aesthetic Plastic Surgery
SN - 0364-216X
ER -
ID: 305412554