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Analyzing Patient Preference for Nipple-Areola Complex Reconstruction Using Utility Outcome Studies

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Book cover Nipple-Areolar Complex Reconstruction

Abstract

Restoration of the nipple-areola complex (NAC) is a fundamental component of the reconstructive process. Despite its reportedly important effect on a patient’s self-esteem, not all women opt to undergo this procedure. There is a paucity of evidence in the literature looking at patient preferences for NAC reconstruction. Utility outcome studies permit the objective standardization of the health state preference of a health condition or disease state. A sample of the general population and medical students at McGill University were recruited to establish the utility scores (standard gamble (SG), time trade-off (TTO), and visual analogue scale (VAS)) of living with a NAC deformity. The current data indicates that the general population would be prepared to risk an 8% chance of death in order to obtain perfect health and a willingness to sacrifice 2.8 years of life when choosing to undergo NAC reconstruction. In this chapter, the use of utility outcome studies for analyzing patient preferences for NAC reconstruction based on a previously published study by the authors is discussed.

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Author information

Authors and Affiliations

  1. Division of Plastic and Reconstructive Surgery, Louisiana State University Health Sciences Center, 1542 Tulane Avenue, New Orleans, LA, 70112, USA

    Ahmed M. S. Ibrahim M.D., Ph.D. & Frank H. Lau M.D.

  2. Division of Plastic Surgery, McGill University, Montreal, QC, Canada, H3A 0G4

    Hani H. Sinno M.D.

  3. Division of Plastic and Reconstructive Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, 110 Francis Street, Lowry Suite 5A, Boston, MA, 02215, USA

    Bernard T. Lee M.D., M.B.A., M.P.H. & Samuel J. Lin M.D., M.B.A.

Authors
  1. Ahmed M. S. Ibrahim M.D., Ph.D.
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  2. Frank H. Lau M.D.
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  3. Hani H. Sinno M.D.
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  4. Bernard T. Lee M.D., M.B.A., M.P.H.
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  5. Samuel J. Lin M.D., M.B.A.
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Corresponding author

Correspondence to Ahmed M. S. Ibrahim M.D., Ph.D. .

Editor information

Editors and Affiliations

  1. Private Practice, Tustin, California, USA

    Melvin A. Shiffman

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Ibrahim, A.M.S., Lau, F.H., Sinno, H.H., Lee, B.T., Lin, S.J. (2018). Analyzing Patient Preference for Nipple-Areola Complex Reconstruction Using Utility Outcome Studies. In: Shiffman, M. (eds) Nipple-Areolar Complex Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-319-60925-6_79

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  • DOI: https://doi.org/10.1007/978-3-319-60925-6_79

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-60924-9

  • Online ISBN: 978-3-319-60925-6

  • eBook Packages: MedicineMedicine (R0)

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