000156542 001__ 156542
000156542 005__ 20251017144556.0
000156542 0247_ $$2doi$$a10.1007/s00266-025-04831-x
000156542 0248_ $$2sideral$$a143832
000156542 037__ $$aART-2025-143832
000156542 041__ $$aeng
000156542 100__ $$aMelero-Fernández, Cristina
000156542 245__ $$aGigantomastia: Advancing a Preference Score System to Enhance Care Quality and Life Standards
000156542 260__ $$c2025
000156542 5060_ $$aAccess copy available to the general public$$fUnrestricted
000156542 5203_ $$aThis study introduces a new Gigantomastia Preference Score (GPS) to prioritize surgical candidates based on clinical severity and quality of life impact.Methods.This retrospective study applied the newly developed GPS to the existing surgery waiting list of 213 patients at our center. The GPS was developed from evidence-based clinical practice indicators and a thorough literature review, selecting nine variables. The GPS was then used to reorder the waiting list, and comparisons were made between the original and reordered lists.
Results. Implementation of the GPS significantly reordered the waiting list. The Spearman's Rank Correlation coefficient between the original and new rankings was 0.5679 (p-value = 1.38e-19), indicating a moderate to strong positive correlation. The Wilcoxon Signed-Rank Test yielded a statistic of 3485.0 (p-value = 8.44e-21), showing significant changes in patient positions. ANOVA results highlighted significant differences in BMI and largest breast weight across priority levels. Chi-Square tests revealed significant associations between priority levels and Trauma and Psychiatry reports.
Conclusions. The GPS significantly improved the prioritization of patients with gigantomastia by incorporating multiple clinically relevant factors. This led to a more equitable and informed ordering of the surgical waiting list, potentially improving patient outcomes and optimizing healthcare resource allocation.Level of Evidence IV. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266..
000156542 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttps://creativecommons.org/licenses/by/4.0/deed.es
000156542 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000156542 700__ $$0(orcid)0000-0002-1557-7545$$aMartínez-Martínez, Ana Belén$$uUniversidad de Zaragoza
000156542 7102_ $$11006$$2255$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Enfermería
000156542 773__ $$g(2025), 9 pp.$$pAesthet. plast. surg.$$tAESTHETIC PLASTIC SURGERY$$x0364-216X
000156542 8564_ $$s572457$$uhttps://zaguan.unizar.es/record/156542/files/texto_completo.pdf$$yVersión publicada
000156542 8564_ $$s2198245$$uhttps://zaguan.unizar.es/record/156542/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000156542 909CO $$ooai:zaguan.unizar.es:156542$$particulos$$pdriver
000156542 951__ $$a2025-10-17-14:13:07
000156542 980__ $$aARTICLE