Development of the BODY-Q Chest Module Evaluating Outcomes Following Chest Contouring Surgery

Anne F Klassen, Manraj Kaur, Lotte Poulsen, Craig Fielding, Daan Geerards, Tim C van de Grift, Maarten Hoogbergen, Claus Bogh Juhl, Mike Mikkelsen Lorenzen, Giancarlo McEvenue, Hugh McLean, Clayton Moliver, Margriet G Mullender, Vivek Panchapakesan, Jussi P Repo, Michael Rose, Jens Ahm Sørensen, René Klinkby Støving, Andrea L Pusic

Research output: Contribution to journalJournal articleResearchpeer-review

Abstract

BACKGROUND: Plastic surgery to improve chest appearance is becoming increasingly popular. The BODY-Q is a patient-reported outcome instrument designed for weight loss and/or body contouring. In this article, the authors describe the development of a new module for masculinizing chest contouring surgery. METHODS: Qualitative methods were used to develop the BODY-Q Chest Module, which was subsequently field-tested in Canada, the United States, The Netherlands, and Denmark between June of 2016 and June of 2017. Participants were aged 16 years or older and seen for gynecomastia, weight loss, or transman chest surgery. Data were collected using either a Web-based application or paper questionnaire. Rasch measurement theory analysis was performed. RESULTS: The sample included 739 participants (i.e., 174 gynecomastia, 224 weight loss, and 341 gender-affirming). Rasch measurement theory analysis refined a 10-item chest scale and a five-item nipple scale. All items had ordered thresholds and good item fit, and scales evidenced reliability [i.e., person separation index and Cronbach alpha values were 0.95 and 0.98 (chest scale) and 0.87 and 0.94 (nipple scale), respectively]. Scores for both scales correlated more strongly with similar (satisfaction with the body) versus dissimilar (psychological and social function) BODY-Q scales. The mean scores for the chest and nipple scales were significantly higher (p < 0.001 on independent samples t tests) in participants who were postoperative compared with preoperative. CONCLUSION: This new BODY-Q Chest Module is a clinically meaningful and scientifically sound patient-reported outcome instrument that can be used to measure outcomes for masculinizing chest contouring surgery.

Original languageEnglish
JournalPlastic and Reconstructive Surgery
Volume142
Issue number6
Pages (from-to)1600–1608
ISSN0032-1052
DOIs
Publication statusPublished - Dec 2018

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Nipples
Gynecomastia
Denmark
Netherlands
Outcome Assessment (Health Care)

Keywords

  • Adolescent
  • Adult
  • Aged
  • Anthropometry
  • Body Contouring/methods
  • Female
  • Gynecomastia/surgery
  • Humans
  • Male
  • Middle Aged
  • Patient Reported Outcome Measures
  • Sex Reassignment Procedures/methods
  • Thoracic Surgical Procedures/methods
  • Thorax
  • Weight Loss
  • Young Adult

Cite this

Klassen, A. F., Kaur, M., Poulsen, L., Fielding, C., Geerards, D., van de Grift, T. C., ... Pusic, A. L. (2018). Development of the BODY-Q Chest Module Evaluating Outcomes Following Chest Contouring Surgery. Plastic and Reconstructive Surgery, 142(6), 1600–1608. https://doi.org/10.1097/PRS.0000000000004978
Klassen, Anne F ; Kaur, Manraj ; Poulsen, Lotte ; Fielding, Craig ; Geerards, Daan ; van de Grift, Tim C ; Hoogbergen, Maarten ; Juhl, Claus Bogh ; Lorenzen, Mike Mikkelsen ; McEvenue, Giancarlo ; McLean, Hugh ; Moliver, Clayton ; Mullender, Margriet G ; Panchapakesan, Vivek ; Repo, Jussi P ; Rose, Michael ; Sørensen, Jens Ahm ; Støving, René Klinkby ; Pusic, Andrea L. / Development of the BODY-Q Chest Module Evaluating Outcomes Following Chest Contouring Surgery. In: Plastic and Reconstructive Surgery. 2018 ; Vol. 142, No. 6. pp. 1600–1608.
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title = "Development of the BODY-Q Chest Module Evaluating Outcomes Following Chest Contouring Surgery",
abstract = "BACKGROUND: Plastic surgery to improve chest appearance is becoming increasingly popular. The BODY-Q is a patient-reported outcome instrument designed for weight loss and/or body contouring. In this article, the authors describe the development of a new module for masculinizing chest contouring surgery. METHODS: Qualitative methods were used to develop the BODY-Q Chest Module, which was subsequently field-tested in Canada, the United States, The Netherlands, and Denmark between June of 2016 and June of 2017. Participants were aged 16 years or older and seen for gynecomastia, weight loss, or transman chest surgery. Data were collected using either a Web-based application or paper questionnaire. Rasch measurement theory analysis was performed. RESULTS: The sample included 739 participants (i.e., 174 gynecomastia, 224 weight loss, and 341 gender-affirming). Rasch measurement theory analysis refined a 10-item chest scale and a five-item nipple scale. All items had ordered thresholds and good item fit, and scales evidenced reliability [i.e., person separation index and Cronbach alpha values were 0.95 and 0.98 (chest scale) and 0.87 and 0.94 (nipple scale), respectively]. Scores for both scales correlated more strongly with similar (satisfaction with the body) versus dissimilar (psychological and social function) BODY-Q scales. The mean scores for the chest and nipple scales were significantly higher (p < 0.001 on independent samples t tests) in participants who were postoperative compared with preoperative. CONCLUSION: This new BODY-Q Chest Module is a clinically meaningful and scientifically sound patient-reported outcome instrument that can be used to measure outcomes for masculinizing chest contouring surgery.",
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author = "Klassen, {Anne F} and Manraj Kaur and Lotte Poulsen and Craig Fielding and Daan Geerards and {van de Grift}, {Tim C} and Maarten Hoogbergen and Juhl, {Claus Bogh} and Lorenzen, {Mike Mikkelsen} and Giancarlo McEvenue and Hugh McLean and Clayton Moliver and Mullender, {Margriet G} and Vivek Panchapakesan and Repo, {Jussi P} and Michael Rose and S{\o}rensen, {Jens Ahm} and St{\o}ving, {Ren{\'e} Klinkby} and Pusic, {Andrea L}",
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Klassen, AF, Kaur, M, Poulsen, L, Fielding, C, Geerards, D, van de Grift, TC, Hoogbergen, M, Juhl, CB, Lorenzen, MM, McEvenue, G, McLean, H, Moliver, C, Mullender, MG, Panchapakesan, V, Repo, JP, Rose, M, Sørensen, JA, Støving, RK & Pusic, AL 2018, 'Development of the BODY-Q Chest Module Evaluating Outcomes Following Chest Contouring Surgery', Plastic and Reconstructive Surgery, vol. 142, no. 6, pp. 1600–1608. https://doi.org/10.1097/PRS.0000000000004978

Development of the BODY-Q Chest Module Evaluating Outcomes Following Chest Contouring Surgery. / Klassen, Anne F; Kaur, Manraj; Poulsen, Lotte; Fielding, Craig; Geerards, Daan; van de Grift, Tim C; Hoogbergen, Maarten; Juhl, Claus Bogh; Lorenzen, Mike Mikkelsen; McEvenue, Giancarlo; McLean, Hugh; Moliver, Clayton; Mullender, Margriet G; Panchapakesan, Vivek; Repo, Jussi P; Rose, Michael; Sørensen, Jens Ahm; Støving, René Klinkby; Pusic, Andrea L.

In: Plastic and Reconstructive Surgery, Vol. 142, No. 6, 12.2018, p. 1600–1608.

Research output: Contribution to journalJournal articleResearchpeer-review

TY - JOUR

T1 - Development of the BODY-Q Chest Module Evaluating Outcomes Following Chest Contouring Surgery

AU - Klassen, Anne F

AU - Kaur, Manraj

AU - Poulsen, Lotte

AU - Fielding, Craig

AU - Geerards, Daan

AU - van de Grift, Tim C

AU - Hoogbergen, Maarten

AU - Juhl, Claus Bogh

AU - Lorenzen, Mike Mikkelsen

AU - McEvenue, Giancarlo

AU - McLean, Hugh

AU - Moliver, Clayton

AU - Mullender, Margriet G

AU - Panchapakesan, Vivek

AU - Repo, Jussi P

AU - Rose, Michael

AU - Sørensen, Jens Ahm

AU - Støving, René Klinkby

AU - Pusic, Andrea L

PY - 2018/12

Y1 - 2018/12

N2 - BACKGROUND: Plastic surgery to improve chest appearance is becoming increasingly popular. The BODY-Q is a patient-reported outcome instrument designed for weight loss and/or body contouring. In this article, the authors describe the development of a new module for masculinizing chest contouring surgery. METHODS: Qualitative methods were used to develop the BODY-Q Chest Module, which was subsequently field-tested in Canada, the United States, The Netherlands, and Denmark between June of 2016 and June of 2017. Participants were aged 16 years or older and seen for gynecomastia, weight loss, or transman chest surgery. Data were collected using either a Web-based application or paper questionnaire. Rasch measurement theory analysis was performed. RESULTS: The sample included 739 participants (i.e., 174 gynecomastia, 224 weight loss, and 341 gender-affirming). Rasch measurement theory analysis refined a 10-item chest scale and a five-item nipple scale. All items had ordered thresholds and good item fit, and scales evidenced reliability [i.e., person separation index and Cronbach alpha values were 0.95 and 0.98 (chest scale) and 0.87 and 0.94 (nipple scale), respectively]. Scores for both scales correlated more strongly with similar (satisfaction with the body) versus dissimilar (psychological and social function) BODY-Q scales. The mean scores for the chest and nipple scales were significantly higher (p < 0.001 on independent samples t tests) in participants who were postoperative compared with preoperative. CONCLUSION: This new BODY-Q Chest Module is a clinically meaningful and scientifically sound patient-reported outcome instrument that can be used to measure outcomes for masculinizing chest contouring surgery.

AB - BACKGROUND: Plastic surgery to improve chest appearance is becoming increasingly popular. The BODY-Q is a patient-reported outcome instrument designed for weight loss and/or body contouring. In this article, the authors describe the development of a new module for masculinizing chest contouring surgery. METHODS: Qualitative methods were used to develop the BODY-Q Chest Module, which was subsequently field-tested in Canada, the United States, The Netherlands, and Denmark between June of 2016 and June of 2017. Participants were aged 16 years or older and seen for gynecomastia, weight loss, or transman chest surgery. Data were collected using either a Web-based application or paper questionnaire. Rasch measurement theory analysis was performed. RESULTS: The sample included 739 participants (i.e., 174 gynecomastia, 224 weight loss, and 341 gender-affirming). Rasch measurement theory analysis refined a 10-item chest scale and a five-item nipple scale. All items had ordered thresholds and good item fit, and scales evidenced reliability [i.e., person separation index and Cronbach alpha values were 0.95 and 0.98 (chest scale) and 0.87 and 0.94 (nipple scale), respectively]. Scores for both scales correlated more strongly with similar (satisfaction with the body) versus dissimilar (psychological and social function) BODY-Q scales. The mean scores for the chest and nipple scales were significantly higher (p < 0.001 on independent samples t tests) in participants who were postoperative compared with preoperative. CONCLUSION: This new BODY-Q Chest Module is a clinically meaningful and scientifically sound patient-reported outcome instrument that can be used to measure outcomes for masculinizing chest contouring surgery.

KW - Adolescent

KW - Adult

KW - Aged

KW - Anthropometry

KW - Body Contouring/methods

KW - Female

KW - Gynecomastia/surgery

KW - Humans

KW - Male

KW - Middle Aged

KW - Patient Reported Outcome Measures

KW - Sex Reassignment Procedures/methods

KW - Thoracic Surgical Procedures/methods

KW - Thorax

KW - Weight Loss

KW - Young Adult

U2 - 10.1097/PRS.0000000000004978

DO - 10.1097/PRS.0000000000004978

M3 - Journal article

C2 - 30204682

VL - 142

SP - 1600

EP - 1608

JO - Plastic and Reconstructive Surgery

JF - Plastic and Reconstructive Surgery

SN - 0032-1052

IS - 6

ER -