The BREAST-Q Implant Surveillance Module (BREAST-Q IS) As a Predictor of Breast Implant Revisional Surgery

Abstract Background The Australian Breast Device Registry (ABDR) records breast implant surgeries Australia-wide. In addition to clinical data, the ABDR has collected patient-reported outcome measures (PROMs) to better understand patient outcomes following implant surgery. Objectives Our objective was to assess the association between postoperative PROMs and revisional surgery due to complications for reconstructive and cosmetic breast implant patients. Methods A cohort study design was performed. All primary breast augmentation and breast reconstruction implant insertion procedures with 2 years of follow-up after PROM response, and with at least 1 PROM completed between October 30, 2017, and May 16, 2021, registered with the ABDR were identified. The primary outcome investigated was complications requiring revision at 2 years post PROM completion. Binary logistic regression models were applied to assess the predictive ability of PROMs. Results A total of 5321 reconstructive procedures and 25,777 cosmetic breast procedures were followed. Multivariate regression for the reconstructive cohort showed that 3 PROM variables, feel, rippling, and tightness, predicted revision due to complications within 2 years of PROM response (OR 0.71, 95% CI 0.56-0.90, P = .004; OR 0.70, 95% CI 0.57-0.87, P < .001; and OR 0.80, 95% CI 0.69-0.93, P = .003, respectively). Multivariate regression for the cosmetic cohort showed that 3 PROM variables, look, rippling, and tightness, predicted revision due to complications within 2 years of PROM response (OR 0.51, CI 0.42-0.63, P < .001; OR 0.78, CI 0.63-0.95, P = .014; and OR 0.79, CI 0.67-0.94, P = .006, respectively). Conclusions Postoperative PROMs were significantly associated with revisional surgery due to complications. PROMs may be employed to predict the likelihood of complications and revision following breast implant surgery. Level of Evidence: 3 (Therapeutic)