Development of a Core Outcome Set for Breast Reduction Mammaplasty

Reduction mammaplasty (RM) remains critical to the treatment of breast hypertrophy. No technique has been shown to be superior, however, comparison between studies is difficult due to variation in outcome reporting. The aim of this project is to identify a comprehensive list of outcomes and outcome measures in RM to aid in the development of a core outcome set.
To create the COS, we will use the Delphi Process, an iterative survey-based method using various stakeholder groups. Our stakeholders will include patients, surgeons, nurses, physiotherapists, and occupational therapists. We will conclude with a final consensus meeting, whereby an agreement of 70% must be met for the item to appear on the Core Outcome Set.

Contributors

Daniel Waltho, MD1; Lucas Gallo, MD1; Matteo Gallo, BHSc(c)2; Jessica Murphy, MSc1; Andrea Copeland, MD1; Sadek Mowakket, BHSc3; Syena Moltaji BSc, MD(c)2; Charmaine Baxter, MD1; Marta Karpinski, BHSc3; Achilleas Thoma, MD, MSc1,4,5
1Division of Plastic surgery, McMaster University; 2Michael G. DeGroote School of Medicine, McMaster University; 3Faculty of Health Sciences, McMaster University; 4Department of Surgery, McMaster University; 5Department of Health Research Methods, Evidence, and Impact, McMaster University; On Behalf of the McMaster University Plastic Surgery Core Outcome Set Working Group.
Corresponding Author: Dr. Achilleas Thoma

Further Study Information

Current Stage: Ongoing
Date: 2017 - July 2021
Funding source(s): None


Health Area

Disease Category: Methodological & diagnostic

Disease Name: Breast hypertrophy

Target Population

Age Range: Unknown

Sex: Female

Nature of Intervention: Surgery

Stakeholders Involved

- Clinical experts
- Consumers (patients)
- Epidemiologists
- Researchers
- Statisticians

Study Type

- COS for clinical trials or clinical research
- COS for practice

Method(s)

- Consensus meeting
- Delphi process
- Interview
- Systematic review

This study aims to develop a COS for surgical outcomes following reduction mammoplasty. A systematic review was completed in order to identify an exhaustive list of outcomes and outcome measures to inform the development of the COS. To create the COS, we will use the Delphi Process, an iterative survey-based method using various stakeholder groups. Our stakeholders will include patients, surgeons, nurses, physiotherapists, and occupational therapists. We will conclude with a final consensus meeting, whereby an agreement of 70% must be met for the item to appear on the Core Outcome Set.

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