Rots, M. (Mathijs) (2018) Een cross-sectionele observationele study naar de interbeoordelaars betrouwbaarheid van de Baker Classificatie als maat voor kapselvorming na mamma-augmentatie. thesis, Medicine.
Full text available on request.Abstract
Objectives: capsular contracture is among the most common complications following mamma-augmentation and is the number one reason voor revision surgery. As of today, the Baker classification is the gold standard to assess and quantify capsular contracture. Reimbursement of (surgical) treatment by the Dutch health insurance companies is completely dependend of the patient’s Baker score. Research to establish the reliability of the Baker classification or investigate its reliability has never been conducted. The goal of this study is to investigate the reliability of the Baker classification. Material and methods: we conducted a cross-sectional observational study wherein 2 plastic surgeons from a pool of 4 independently determined the Baker score of 52 augmented breasts. Patients were randomly assigned to 2 plastic surgeons. Firmness of the breast, dislocation of the prostheses, symmetry and pain were also scored, on a 4-point Likert-scale. For all variables an inter-rater reliability was calculated. Results: the inter-rater reliability of the Baker classification was poor (0.37; 0.11-0.58). The same applied for dislocation of the prostheses (0.52, 0.29-0.69) and symmetry (0.42, 0.17-0.62). Firmness of the breast was moderate (0.64, 0.45-0.78) and pain had a good inter-rater reliability (0.79, 0.66-0.87). Conclusion: the Baker classification is an unreliable subjective measure to assess and quantify capsular contracture in the augmented breast. Several other clinical parameters based on physical examination by plastic surgeons are unreliable as well. Future studies are necessary to identify a more objective measure to assess capsular contracture in patients with breast prostheses.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Facultair begeleider: and Stenekes, dr. M.W. plastisch chirurg UMCG |
| Supervisor name: | Begeleider: and Buncamper, dr. M.E. plastisch chirurg VUmc and Locatie: VU Medisch Centrum Amsterdam, Medisch Centrum Jan v |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 10:49 |
| Last Modified: | 25 Jun 2020 10:49 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/1047 |
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