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In addition to the surgical results, it is necessary to analyse the quality of life and patient satisfaction using a specific tool.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design methods<\/jats:title>\n                    <jats:p>\n                      An ambispective design was used (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a0101; \u03b1\u00a0=\u00a00.05; precision\u00a0=\u00a010%), studying anthropometric, sociocultural data, Fagerstr\u00f6m test and the\n                      <jats:styled-content style=\"fixed-case\">BREAST<\/jats:styled-content>\n                      \u2010Q\u00a9 questionnaire. A logistic regression analysis was performed to identify variables associated with quality of life and satisfaction.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Mean age of the patients on diagnosis was 44.87\u00a0\u00b1\u00a08.5\u00a0years. Forty\u2010one of the patients were carried out a skin\u2010sparing mastectomy (42.7%). Immediate reconstruction was performed with implant in 73 (74.5%). The domains on the\n                      <jats:styled-content style=\"fixed-case\">BREAST<\/jats:styled-content>\n                      \u2010Q\u00a9 for quality of life with the lowest scores were physical well\u2010being chest (74) and sexual well\u2010being (61.5). The satisfaction domain with the lowest score was with the breast (59). The variables associated with the worst quality of life in the physical well\u2010being chest domain were the skin\u2010sparing mastectomy (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      , 4.2; 95% confidence interval (\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      ), 1.2\u201314.1) and lymphedema (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      , 12.9; 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      , 1.0\u2013159.9). Antibody treatment was associated with a worse score on the psychosocial well\u2010being domain (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      , 4.25; 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      , 1.0\u201318.0) and sexual well\u2010being domain (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      , 7.34; 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      , 0.9\u201354.6). Satisfaction was associated with nicotine dependence on the breast and outcome scale. The higher the dependence on nicotine, the greater the dissatisfaction with the breasts (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      , 2.41; 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      , 1.1\u20135.3) and with the result (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      , 2.45; 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      , 1.0\u20135.9).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The type of treatment and lymphedema modify the patients\u2019 quality of life. Nicotine dependence is associated with lower satisfaction with the breast and with the outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to clinical practice<\/jats:title>\n                    <jats:p>This study suggests the need for multidisciplinary attention during the first year of adjuvant treatment despite the benefits of immediate reconstruction. It shows the need for preoperative assessment of the level of nicotine dependence, anxiety and depression of smoking patients before preoperative counselling.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocn.14291","type":"journal-article","created":{"date-parts":[[2018,2,3]],"date-time":"2018-02-03T03:16:44Z","timestamp":1517627804000},"page":"1464-1474","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Predictive factors of satisfaction and quality of life after immediate breast reconstruction using the\n                    <scp>BREAST<\/scp>\n                    \u2010Q\n                    <sup>\u00a9<\/sup>"],"prefix":"10.1111","volume":"27","author":[{"given":"Carmen","family":"Cereijo\u2010Garea","sequence":"first","affiliation":[{"name":"Breast Unit Complexo Hospitalario Universitario A Coru\u00f1a (CHUAC) SERGAS A Coru\u00f1a 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