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Validation of the breast evaluation questionnaire for breast hypertrophy and breast reduction.

Journal article
Authors Richard Lewin
Anna Elander
Jonas Lundberg
Emma Hansson
Andri Thorarinsson
Malin Claudelin
Helena Bladh
Mattias Lidén
Published in Journal of plastic surgery and hand surgery
Volume 52
Issue 5
Pages 1-8
ISSN 2000-6764
Publication year 2018
Published at Institute of Clinical Sciences, Department of Plastic Surgery
Pages 1-8
Language en
Subject categories Plastic surgery


There is a lack of published, validated questionnaires for evaluating psychosocial morbidity in patients with breast hypertrophy undergoing breast reduction surgery.To validate the breast evaluation questionnaire (BEQ), originally developed for the assessment of breast augmentation patients, for the assessment of psychosocial morbidity in patients with breast hypertrophy undergoing breast reduction surgery.Validation study Subjects: Women with macromastia Methods: The validation of the BEQ, adapted to breast reduction, was performed in several steps. Content validity, reliability, construct validity and responsiveness were assessed.The original version was adjusted according to the results for content validity and resulted in item reduction and a modified BEQ (mBEQ) that was then assessed for reliability, construct validity and responsiveness. Internal and external validation was performed for the modified BEQ. Convergent validity was tested against Breast-Q (reduction) and discriminate validity was tested against the SF-36. Known-groups validation revealed significant differences between the normal population and patients undergoing breast reduction surgery. The BEQ showed good reliability by test-re-test analysis and high responsiveness.The modified BEQ may be reliable, valid and responsive instrument for assessing women who undergo breast reduction.

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