{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T16:47:23Z","timestamp":1782492443659,"version":"3.54.5"},"reference-count":0,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T00:00:00Z","timestamp":1782432000000},"content-version":"am","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Long-term patient-reported outcomes after primary aesthetic breast augmentation remain incompletely characterized, particularly in cohorts receiving polyurethane-coated implants. Although validated generic instruments are widely used, device-specific patient perception may not be fully captured by broader outcome measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To evaluate five-year patient-reported outcomes following primary breast augmentation with polyurethane-coated implants and to develop and preliminarily validate a device-specific patient-reported outcome instrument.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective cohort study was conducted including 110 consecutive patients who underwent primary aesthetic breast augmentation with polyurethane-coated implants. At a mean follow-up of 5.2 \u00b1 0.8 years, patients completed a 15-item polyurethane implant\u2013specific patient-reported outcome instrument (PU-PRO) assessing Perception, Aesthetic Satisfaction, and Postoperative Experience. Psychometric evaluation included content validity assessment, internal consistency analysis, exploratory factor analysis, and test\u2013retest reliability over an 8-month interval using intraclass correlation coefficients (ICC).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Ninety-nine patients (90%) completed the 5-year assessment, and 87 (88%) completed the 8-month reassessment. Mean scores (0\u2013100 scale) were 81.3 \u00b1 12.8 for Perception, 84.5 \u00b1 11.9 for Satisfaction, and 78.2 \u00b1 14.3 for Experience. One patient (1%) reported clinically evident rippling, and no revision surgeries occurred during follow-up. Cronbach\u2019s alpha ranged from 0.84 to 0.91 across domains. Exploratory factor analysis supported a three-factor structure explaining 68% of total variance. ICC values ranged from 0.88 to 0.93, demonstrating high temporal stability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Primary breast augmentation with polyurethane-coated implants demonstrated sustained high levels of patient-reported satisfaction at five-year follow-up in this cohort. The PU-PRO instrument showed preliminary evidence of reliability and construct validity. Further prospective studies incorporating validated comparative instruments are warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/asj\/sjag129","type":"journal-article","created":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T11:46:06Z","timestamp":1782387966000},"source":"Crossref","is-referenced-by-count":0,"title":["Five-year Patient-reported Outcomes Following Primary Breast Augmentation With Polyurethane-coated Implants: Development and Preliminary Validation of a Device-specific Instrument"],"prefix":"10.1093","author":[{"given":"Sergio","family":"Burciaga Soto","sequence":"first","affiliation":[{"name":"Hospital \u00c1ngeles Chihuahua, Chihuahua, M\u00e9xico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2998-0981","authenticated-orcid":false,"given":"Norman Alejandro","family":"Rend\u00f3n Mej\u00eda","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Biomedical Sciences, Autonomous University of Chihuahua , Chihuahua ,","place":["M\u00e9xico"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,6,26]]},"container-title":["Aesthetic Surgery Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/asj\/advance-article-pdf\/doi\/10.1093\/asj\/sjag129\/68628309\/sjag129.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/asj\/advance-article-pdf\/doi\/10.1093\/asj\/sjag129\/68628309\/sjag129.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T16:01:07Z","timestamp":1782489667000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/asj\/advance-article\/doi\/10.1093\/asj\/sjag129\/8719085"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,26]]},"references-count":0,"URL":"https:\/\/doi.org\/10.1093\/asj\/sjag129","relation":{},"ISSN":["1090-820X","1527-330X"],"issn-type":[{"value":"1090-820X","type":"print"},{"value":"1527-330X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,26]]},"article-number":"sjag129"}}