Breast surgery on the post-operative well-being of women: a cross-sectional study

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Abstract Background. Mammoplasty is the most common surgery that is used for both breast augmentation in healthy women (aesthetic plastic) and breast reconstruction (disease-related plastic) in women who have been diagnosed with and surgically treated for regional breast cancer with radical mastectomy (MRM). When compared to breast reconstruction surgery, aesthetic breast surgery is perceived to result in more favourable aesthetic outcomes.. This study aimed to examine the long-term effects of mammoplasty on the psychological adaptation of women.Methods. A total of 44 30–50-year-old women participated in this study. They were divided into two groups based on the type of breast surgery that they had undergone (augmentation surgery [AS] vs. reconstruction surgery [RS]) and the time that had elapsed since their surgery (≤ 3 years vs. > 3 years). Results. Our findings suggest that the psychological well-being of women who undergo AS declines over time. The women who had undergone AS ≤ 3 and > 3 years earlier did not differ in any of the indicators of emotional functioning. The only exception was their level of satisfaction with their breasts.We examined the impact of mammoplasty on the satisfaction levels and well-being of women who had undergone RS (after MRM). As expected, they were less satisfied with their breasts than those who belonged to the AS group However, this was true only among those who had undergone their surgery ≤ 3 years earlier.Conclusions. In conclusion, our findings underscore the need to provide psychological support to those who have undergone AS and RS. To shorten the adaptation process and enhance their mental well-being, personalised psychological interventions should be provided.
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Mammoplasty is the most common surgery that is used for both breast augmentation in healthy women (aesthetic plastic) and breast reconstruction (disease-related plastic) in women who have been diagnosed with and surgically treated for regional breast cancer with radical mastectomy (MRM). When compared to breast reconstruction surgery, aesthetic breast surgery is perceived to result in more favourable aesthetic outcomes.. This study aimed to examine the long-term effects of mammoplasty on the psychological adaptation of women. Methods . A total of 44 30–50-year-old women participated in this study. They were divided into two groups based on the type of breast surgery that they had undergone (augmentation surgery [AS] vs. reconstruction surgery [RS]) and the time that had elapsed since their surgery (≤ 3 years vs. > 3 years). Results. Our findings suggest that the psychological well-being of women who undergo AS declines over time. The women who had undergone AS ≤ 3 and > 3 years earlier did not differ in any of the indicators of emotional functioning. The only exception was their level of satisfaction with their breasts.We examined the impact of mammoplasty on the satisfaction levels and well-being of women who had undergone RS (after MRM). As expected, they were less satisfied with their breasts than those who belonged to the AS group However, this was true only among those who had undergone their surgery ≤ 3 years earlier. Conclusions. In conclusion, our findings underscore the need to provide psychological support to those who have undergone AS and RS. To shorten the adaptation process and enhance their mental well-being, personalised psychological interventions should be provided. Psychology aesthetic surgery disease-related surgery psychological adaptation BREAST-Q Introduction Mammoplasty is the most common surgery that is used for both breast augmentation in healthy women (aesthetic plastic) and breast reconstruction (disease-related plastic) in women who have been diagnosed with and surgically treated for regional breast cancer with modified radical mastectomy (MRM). Several studies have focused on aesthetic surgery, but they have primarily paid attention to its technical aspects. Nava et al.[1] have proposed that the measures adopted in augmentation surgery (AS) should be chosen based on an evaluation of post-operative complications, re-intervention rates, the reasons for re-operation, and patient-reported outcomes. Moreover, they have underscored the need for a national register and mandatory reporting policies to identify and promote decisional pathways that yield better patient outcomes. Several studies have examined the surgical outcomes of mammoplasty and paid special attention to its technical aspects. In their review article, Coombs [2] reviewed the literature on the breast augmentation surgical procedure and discussed the evolution of implants, patient assessments, and post-operative complications. Currently, aesthetic surgery offers innovative solutions that ensure the safety and health of women and are cognizant of their physical characteristics [3-5]. Some studies in this domain have focused on the psychological and emotional effect of mammoplasty. The effects of AS on the psychological and sexual well-being of women first become apparent after 2 to 6 weeks. Zaborsk [6] found that breast AS does not influence neuroticism levels. This suggests that the constitutional personality traits of women who undergo such operations remain relatively unchanged after the surgical intervention. However, neuroticism may modulate the psychological changes that women experience after breast augmentation (e.g. higher post-operative life satisfaction). In this regard, Coriddi [7] reported a significant improvement in self-reported quality of life. Specifically, there were significant changes in the level of satisfaction with one’s breasts and psychosocial and sexual well-being. Swanson 8 adopted a psychological perspective and found that 91% and 64% of breast augmentations are successful in improving self-esteem and quality of life, respectively. Despite these positive outcomes, the researchers did not report pre-operative satisfaction levels so it is difficult to refer this result to its baseline value. AS is used even in disease-related surgery (i.e. reconstruction surgery [RS] after MRM for regional breast cancer). The large population of women who pursue breast augmentation has implications to the reconstructive surgeon as many patients who undergo present for reconstructive surgery have the desire for enhancement of their native breast volume. Patients who undergo breast RS after a mastectomy report greater satisfaction with surgical outcomes and a better body image than women who do not opt for reconstructive measures [8-9]. Most of the studies that have examined the outcomes of breast cancer treatment have focused on disease-free or overall survival and the effectiveness of therapeutic oncology regimens [10-12]. Few studies have examined the behavioural and psychological aspects that are related to breast surgery (disease-related plastic). Wehrens [13] found that the psychological profiles of women who undergo RS are significantly better. Specifically, they tend to be more extroverted, socially and sexually active, talkative, and animated and more likely to take initiatives. a positive emotional pattern in early time after plastic surgery. In Shekhawat [14] study, such women reported high levels of satisfaction (89%) with their post-reconstruction body image and overall satisfaction. Then parameters such as anxiety and femininity showed a positive trend after RS over 1 year from the surgery plastic. When compared to breast RS, aesthetic breast surgery is perceived to result in more favourable aesthetic outcomes. In past studies, the outcomes of AS and RS have predominantly been examined within a short duration after the procedure. Some studies have examined temporal changes in psychological variables. However, it is important to investigate the long-term positive and negative psychological sequelae to better understand their emotional adaptation process. This study aimed to examine the long-term effects of mammoplasty on the psychological adaptation of women. Post-operative surveys were conducted to examine changes in patient satisfaction and quality of life after breast surgery. Methods Ethical Statement Ethical approval to conduct this study was granted by the Institutional Review Board of the University of L’Aquila, Italy (Prot. N° 36032/2017), and S. Salvatore Hospital of L’Aquila (Italy) (i.e. the hospital from which the participants were recruited). Informed consent was obtained from each participant, and the study adhered to guidelines outlined in the Declaration of Helsinki [15]. Participants A total of 44 30–55-year-old (mean = 40.4 ± 5.9) women participated in this study. They were living in Italy, and their education levels were as follows: high school graduate (45.5%), graduate (34.5%), and not graduated (20.5%). Further, 70.5% of them were employed. We contacted 56 eligible patients, and 44 of them provided informed consent. Twelve patients declined the invitation to participate in the study. The participants were classified into 2 groups: a) the RS group, which consisted of 22 women who had undergone mammoplasty (mastectomy) after receiving a diagnosis of breast cancer and b) the AS group, which consisted of 22 women who had undergone mammoplasty for aesthetic reasons. RS group women have been enrolled in Oncological Division of S. Salvatore Hospital during their scheduled follow-up; A group women have been enrolled in hospital during their screening session for cancer prevention. Medical staff identified the eligible women and the recruitment was voluntary. Eligible participants met the following inclusion criteria: a) age > 18 years, b) outpatients who have undergone breast surgery, and c) willingness to participate in the study and provide written informed consent. The exclusion criteria were as follows: a) contraindications for mammoplasty (e.g. the presence of severe psychopathology, dysmorphic disorder, and/or severe systemic diseases), c) cancer recurrence, d) a prior diagnosis of cancer or concurrent diagnosis of another cancer, e) mastectomy after breast cancer recurrence, and f) the presence of severe chronic diseases or significant physical or psychological disabilities that could invalidate informed consent or their responses. Table 1 presents the demographic characteristics of the participants. Sociodemographic Variables Two types of data were collected. First, demographic data were collected using self-report measures. we selected independent variables for inclusion in the analyses if they were characteristic of the age/life stage (e.g. educational level, occupational and marital status). Second, clinical data were collected using psychological assessments. Assessments The psychological measurement was conducted by the self-report questionnaire in order to detect demographic characteristics of the participants and the BREAST-Q test to evaluate the emotional impact of breast surgery. Demographic Questionnaire. This self-report measure was used to assess the demographic characteristics of the participants (e.g. age, educational level, occupational status, time since mammoplasty, type of surgical intervention). Italian Version of the BREAST-Q (i.e. post-operative version) [16]. The BREAST-Q assesses the patient-reported outcomes of plastic and reconstructive breast surgery. We applied respectively subscale for both kind of surgery composed of five indexes measuring well-being and satisfaction: satisfaction with breasts, satisfaction with outcome, psychosocial well-being, sexual well-being. All subscales are scored from 0 to 100 by Rasch score. Higher scores are indicative of greater satisfaction or better functioning. Procedure This study was conducted in collaboration with general practitioners and breast cancer specialists. They identified eligible participants, who were subsequently enrolled by appointments. Informed consent was obtained at the time of enrolment. Trained clinical psychologists, who were blinded to the objectives of the study, administered the psychological assessments in a quiet, dedicated room within the hospital. The duration of the evaluation procedure was 40 minutes. The data were collected anonymously. Study Design The participants were divided into two groups depending on the type of breast surgery (i.e. AS vs. RS) that they had undergone and the time that had elapsed since their surgery (i.e. ≤ 3 years vs. > 3 years). Descriptive statistics were computed to examine their characteristics. With regard to continuous variables (e.g. age, scores on the BREAST-Q scales), their medians and 25 th to 75 th percentiles (IQRs) were ascertained. The Wilcoxon-Mann-Whitney test was used to examine between-groups differences. A χ 2 analysis was performed to compare the categorical variables (age classes, geographical location, education, occupation, time after surgery) reported as counts and column percentages. All statistical analyses were conducted using Stata (Release 15/IC, College Station, TX: Stata Corp LP). All the tests were two-tailed, and the statistical significance was defined as p 40 years) were equally represented. More than half of the participants (n = 24, 54.55%) were from Central Italy, and almost half of them (n = 20, 45.45%) were high school graduates. Most of them were employed (n = 30, 68.18%), and they primarily worked as clerks (n = 15, 34.09%). Further, 28 (63.64%) participants had undergone their surgery within the past three years. Median scores for BREAST-Q scales were as follows: 52.5 (IQR = 42–69.5) for satisfaction with breasts, 75 (IQR = 61–100) for satisfaction with outcome, 62.5 (IQR = 48.5–89) for psychological well-being, and 55 (IQR = 31–65) for sexual well-being. Comparing the characteristics of the study sample between AS and RS groups (Table 1), statistically significant differences emerged for BREAST-Q. Specifically, the scores that the AS group obtained on the satisfaction with breasts, psychological well-being, and sexual well-being scales were higher than those obtained by the RS group (59.5 vs. 47, p = 0.019; 79 vs. 53, p = 0.010, and 65 vs. 41, p = 0.005, respectively). Scores for BREAST-Q scales were compared on the basis of the time after surgery (≤ or >3 years), also between groups AS and RS (Table 2). Best scores on Satisfaction with Breasts scale were found in the first three year after surgery (59.5 vs. 45.5, p = 0.017). This was especially true for the AS group (78.5 vs. 52.5, p = 0.029). Considering this timeframe, significant higher scores on satisfaction with breasts and sexual well-being scales were recorded in the group AS compared to the group RS (78.5 vs. 50, p = 0.023; 65 vs. 41, p = 0.016, respectively). Among those who had undergone breast surgery > 3 years earlier, those who belonged to the AS group obtained significantly higher psychological well-being scale scores than those who belonged to the RS group (73.5 vs. 56.5, p = 0.036). Discussion And Conclusions This study examined the psychological well-being of women who had undergone mammoplasty. more, we payed attention to the post-operative effect over time from the surgical intervention. Specially, we analysed the emotional trend to the changing in post-treatment comparing the reaction/adaptation to their new condition. We examined the variables satisfaction and well-being after breast surgery analysing psychological outcomes in 2 conditions of mammoplasty: aesthetic or disease-related. With regard to aesthetic surgery, the findings of several studies have underscored the positive effects of AS on women. Lately, Randquist [17] highlighted the positive post-operative BREAST-Q measurement in AS, sustaining the satisfaction with breast remains consistently favourable in 70% for all respondents. Positive changes in the other BREAST-Q indices were also observed. However, our finding showed the mammoplasty in aesthetic surgery can affect partially well-being of women toward to negative feeling over the time. Women who had undergone AS ≤ 3 and > 3 years earlier did not differ in any of the indicators of emotional functioning. The only exception was their level of satisfaction with their breasts. We compared the two groups of women who differed in the time that had elapsed since their surgery. There was a significant group difference in the satisfaction with breasts scale scores among those who belonged to the AS group. it lower. in late time getting negative feeling. These unexpected findings (e.g. a decline in satisfaction among participants who had undergone AS) underscore the need to undertake in-depth investigations into the role of emotional regulation in the decision to opt for aesthetic surgery. Such efforts should be mindful of not only a lack of self-acceptance that results from the need to conform to social norms and cultural standards but also the effectiveness of AS without integrated assistance. In this study, psychological and sexual well-being scores did not change over time. These findings support the efficacy of aesthetic AS. We examined the impact of mammoplasty on the satisfaction levels and well-being of women who had undergone RS (after MRM). As expected, women who belonged to the RS group were less satisfied with their breasts than those who belonged to the AS group. However, this was true only among those who had undergone their surgery ≤ 3 years earlier. This finding suggests that these differences attenuate into non-significance over time. Over time, their levels of satisfaction with their breasts decline, and group differences attenuate into non-significance. This finding is not surprising because women opt for RS after receiving a cancer diagnosis and undergoing mastectomy. Therefore, their decision to seek measures to alter the appearance of their breasts is not undergirded by aesthetic preferences or psychological needs. In contrast, women opt for RS to address the ramifications of therapeutic surgeries (e.g. removal of cancer tissue). Oncological treatment has complex effects on the emotional functioning of patients [18-19]. In this regard, psychological interventions have been found to be effective in improving their post-treatment functioning [20]. In this study, we focused on psychological and sexual well-being. The time that had elapsed since their surgery appeared to be a predictor of negative adaptation to changes in their breasts. Their impact on women’s body image and perceived sexuality persists over time. Thus, psychological fragility, which results from RS after MRM, may be a barrier that hinders their attempts to resume a normal life. In conclusion, our findings underscore the need to provide psychological support to those who undergo AS and RS. With regard to AS, the provision of psychological support will ensure that patients do not experience psychological fragility after they undergo AS. Indeed, it is not a remedy for a negative body image or self-perception. However, AS can enhance psychological and sexual well-being, but it does not facilitate adaptation or enhance satisfaction. The post-operative emotional functioning (e.g. self-perceptions, body image) of women who undergo RS tends to be non-optimal. However, over time, they adapt to physical changes in their breasts. Therefore, to shorten this adaptation process and enhance their mental well-being, personalised psychological interventions should be provided. Tailored psychological support interventions that help patients accept the appearance of their breasts and foster positive body perceptions should be provided immediately after RS. Declarations Compliance with Ethical Standards Funding This study did not receive funding from any source. Conflict of Interest The authors declare no conflicts of interest. Ethical Approval Ethical approval to conduct this study was granted by the Institutional Review Board of the University of L’Aquila, Italy (Prot. N° 36032/2017), and S. Salvatore Hospital of L’Aquila (Italy) (i.e. the hospital from which the participants were recruited). Informed Consent All the participants provided informed consent prior to participation, and the study was conducted in accordance with the guidelines outlined in the Declaration of Helsinki. References Nava MB, Rocco N, Tunesi G, Catanuto G, Rancati A, Dorr J. Decisional pathways in breast augmentation: how to improve outcomes through accurate pre-operative planning. Gland Surg 2017;6(2):203-209. doi: 10.21037/ gs.2017.03.01 Coombs D.M., Grover R., Prassinos A., Gurunlouglu R. (2019) Breast augmentation surgery: clinical considerations. Cleveland Clincial Journal of Medicine 86(2);111-122. Maxwell GP, Gabriel A. Breast implant design. Gland Surg 2017; 6(2):148–153.doi:10.21037/gs.2016.11.09 Henderson PW, Nash D, Laskowski M, Grant RT. Objective comparison of commercially available breast implant devices. Aesthetic Plast Surg 2015; 39(5):724–732. doi:10.1007/s00266-015-0537-1 de Boer M, van leeuwen FE, Hauptmann M, et al. Breast implants and the risk of anaplastic large-cell lymphoma in the breast. JAMA Oncol 2018; 4(3):335–341. doi:10.1001/jamaoncol.2017.4510 Zaborski D., , Rzepa T., Pastucha M., Modrzejewski A., Grzesiak W (2019) Neuroticism level and life satisfaction in women undergoing brest augmentation surgery (a preliminary report). Aesth Plast Surg (2019) 43:521–530 Coriddi M, Angelos T, Nadeau M, Bennett M, Taylor A (2013) Analysis of satisfaction and well-being in the short follow-up from breast augmentation using the BREAST-Q, a validated survey instrument. Aesthet Surg J Am Soc Aesthet Plast Surg 33:245–251 Swanson E (2013) Prospective outcome study of 225 cases of breast augmentation. Plast Reconstr Surg 131:1158–1166 Zimmerman A.L., Tugertimur B., Smith P.D., Kumar A., Dayicioglu D. (2017) In the Age of Breast Augmentation, Breast Reconstruction Provides an Opportunity to Augment the Breast Cancer Control 24(4) 1–5 Juhl AA, Christensen S, Zachariae R, et al. Unilateral breast reconstruction after mastectomy - patient satisfaction, aesthetic outcome and quality of life. Acta Oncol 2017;56:225–31 Flitcroft K, Brennan M, Spillane A. Making decisions about breast reconstruction: a systematic review of patient-reported factors influencing choice. Quality of Life Research 2017;26:2287–319. de la Muela H.M, García López E, Frías Aldeguer L, et al. Protocol for the BRECAR study: a prospective cohort follow-up on the impact of breast reconstruction timing on health-related quality of life in women with breast cancer. BMJ Open 2017;7:e018108. doi:10.1136/bmjopen-2017-018108 Wehrens KME, Cuypers WJ, Boeckx WD, van der Hulst. Psychological profile of women seeking breast reconstruction and quality oflife assessment after surgery. Eur J Plast Surg 2005; 264–267 Shekhawat L., Busheri L., Dixit S, Patel C., Dhar U., Koppiker : Patient-Reported Outcomes Following Breast Reconstruction Surgery and Therapeutic Mammoplasty: Prospective Evaluation 1 Year Post-Surgery with BREAST-Q Questionnaire. Indian J Surg Oncol (December 2015) 6(4):356–362 DOI 10.1007/s13193-015-0432-x https://www.wma.net/policies-post/wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects/ Pusic AL, Klassen AF, Scott AM, Klok JA, Cordeiro PG, Cano SJ (2009) Development of a new patient-reported outcome measure for breast surgery: the BREAST-Q. Plast Reconstr Surg. 124(2): 345–353 doi: 10.1097/PRS.0b013e3181aee80 Randquist C., Por YC, Yeow V, Maglambayan J, Simonyi S. (2018) Breast augmentation surgery using an inframammary fold incision in Southeast Asian women: Patient-reported outcomes. Archives of Plastic Surgery 2018;45(4):367-374. Di Giacomo D., Ranieri J., et al. (2016) Breast cancer and psychological resilience among young women. Journal of Psychopathology 3;901-905 Di Giacomo D., Ranieri J., Perilli E., Cannita K, Passafiume D, Ficorella C. (2019) Psychological impact of clinical treatment after breast cancer diagnosis in younger patients (38–50 age range): An explorative 3-year observational study. Neurology, Psychiatry and Brain Research 32;85-90 Di Giacomo D., Ranieri J, Donatucci E., Cannita K., Passafiume D., Ficorella C. (2018). Emotional “Patient-Oriented” Support in Young Patients with I–II Stage Breast Cancer: Pilot Study. Frontiers of Psychology 9, 248 Tables Table 1. Description of the participant characteristics of the study sample, comparing them between Augmentation (AS) and Reconstruction (RS) Surgery Groups. Total N = 44 Surgical Groups p AS n 22 (50.00%) RS n 22 (50.00%) Age (years): median (IQR) 40.5 (36.5–44.5) 39 (34–45) 42 (39–44) 0.158* Age groups : n (%) 0.070** ≤ 40 years 22 (50.00) 14 (63.64) 8 (36.36) > 40 years 22 (50.00) 8 (36.36) 14 (63.64) Educational level : n (%) 0.828** Middle school 9 (20.45) 4 (18.18) 5 (22.73) High school 20 (45.45) 11 (50.00) 9 (40.91) University 15 (34.10) 7 (31.82) 8 (36.36) Occupational status : n (%) 0.195** Unemployed 14 (31.82) 5 (22.73) 9 (40.91) Employed 30 (68.18) 17 (77.27) 13 (59.09) Time since surgery : n (%) 1.000** ≤ 3 years 28 (63.64) 14 (63.64) 14 (63.64) > 3 years 16 (36.36) 8 (36.36) 8 (36.36) BREAST-Q scales Satisfaction with breasts : median (IQR) 52.5 (42–69.5) 59.5 (48–80) 47 (42–55) 0.019* Satisfaction with outcomes : median (IQR) 75 (61–100) 88.5 (61–100) 71 (61–75) 0.216* Psychological well-being : median (IQR) 62.5 (48.5–89) 79 (62–93) 53 (43–63) 0.010* Sexual well-being : median (IQR) 55 (31–65) 65 (53–65) 41 (22–60) 0.005* *Wilcoxon-Mann-Whitney test **χ 2 test IQR = inter-quartile range Table 2. Breast-Q scores stratified for the time elapsed from surgery (≤3 years, >3 years) , comparing Augmentation (AS) and Reconstruction (RS) Surgery Groups. Time since surgery p* ≤ 3 years n 28 (63.64%) > 3 years n 16 (36.36%) Satisfaction with breasts : median (IQR) 59.5 (45.5–78.5) 45.5 (39.5–55.5) 0.017 AS 78.5 (58–85) 52.5 (44–57.5) 0.029 RS 50 (45–61) 42 (33–46.5) 0.055 p* 0.023 0.141 Satisfaction with outcomes : median (IQR) 75 (63–100) 65 (57–75) 0.081 AS 100 (65–100) 65 (57–100) 0.360 RS 75 (61–100) 64 (52–71) 0.109 p* 0.270 0.597 Psychological well-being : median (IQR) 60 (48.5–92) 68.5 (47.5–79) 0.769 AS 83.5 (58–100) 73.5 (70–85.5) 0.515 RS 52.5 (48–60) 56.5 (38–65) 0.973 p* 0.088 0.036 Sexual well-being : median (IQR) 55 (29–65) 55 (35.5–65) 0.819 AS 65 (53–65) 61.5 (51–65) 0.730 RS 41 (22–60) 42 (25–58.5) 0.810 p* 0.016 0.138 *Wilcoxon-Mann-Whitney test IQR = inter-quartile range Cite Share Download PDF Status: Posted Version 2 posted You are reading this latest preprint version Show more versions Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. 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Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-130761","acceptedTermsAndConditions":true,"allowDirectSubmit":true,"archivedVersions":[],"articleType":"Research","associatedPublications":[],"authors":[{"id":6893425,"identity":"77a3a439-2c9f-44e0-88d4-daddd1509089","order_by":0,"name":"Jessica Ranieri","email":"","orcid":"","institution":"University of L'Aquila","correspondingAuthor":false,"submittingAuthor":false,"prefix":"","firstName":"Jessica","middleName":"","lastName":"Ranieri","suffix":""},{"id":7169778,"identity":"99b2f1dc-6db3-4afb-98a2-0f45628c9989","order_by":1,"name":"Fabiana Fiasca","email":"","orcid":"","institution":"University of L'Aquila","correspondingAuthor":false,"submittingAuthor":false,"prefix":"","firstName":"Fabiana","middleName":"","lastName":"Fiasca","suffix":""},{"id":6893426,"identity":"43ac4fa5-1a79-4910-9a13-ad80de5a74c6","order_by":2,"name":"Federica Guerra","email":"","orcid":"","institution":"University of L'Aquila","correspondingAuthor":false,"submittingAuthor":false,"prefix":"","firstName":"Federica","middleName":"","lastName":"Guerra","suffix":""},{"id":7169779,"identity":"19c1777d-86e4-404e-bdfa-4f256a2e88bb","order_by":3,"name":"Antonella Mattei","email":"","orcid":"","institution":"University of L'Aquila","correspondingAuthor":false,"submittingAuthor":false,"prefix":"","firstName":"Antonella","middleName":"","lastName":"Mattei","suffix":""},{"id":6893427,"identity":"074a7aec-db8c-4c61-bd65-cc9a32755413","order_by":4,"name":"Dina Di Giacomo","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAABDUlEQVRIiWNgGAWjYDCCwyCCTYKBDcK1gVAJIIKZOC1pyFpw6DkA1oJqAgxg18J3nPfgB4YyC7s+9sMPH92oOC/P38Bj9uBhm51sAzv/AWxaJA/zJUswnJNIbuNJMzbOOXPbcMYBHnODxLZk4wYcDjM4zGMgwdgmkczGkMMmndt2O8GAgcdMIuEMcyIeLcY/wFr434C0nINpqcenxQxkix2bBNiWA1AtFYdxapEEarFIOCeRwCbxDOSXZMMZh9nKgFqOG7cxMxtgDbHzZ4xvfCirs5fvT374OKfCTp6/vXmb5A+Datl+/oMPsFoDAgkMDIkNcB7UOYxtONVDgD2GCGMDpqpRMApGwSgYmQAARZtRvLyVS4cAAAAASUVORK5CYII=","orcid":"https://orcid.org/0000-0001-8189-2052","institution":"University of L'Aquila","correspondingAuthor":true,"submittingAuthor":false,"prefix":"","firstName":"Dina","middleName":"Di","lastName":"Giacomo","suffix":""}],"badges":[],"createdAt":"2020-12-17 14:42:37","currentVersionCode":2,"declarations":"","doi":"10.21203/rs.3.rs-130761/v2","doiUrl":"https://doi.org/10.21203/rs.3.rs-130761/v2","draftVersion":[],"editorialEvents":[],"editorialNote":"","failedWorkflow":false,"files":[{"id":13640587,"identity":"bb5c3393-9f23-4693-997e-9eba3f2aca30","added_by":"auto","created_at":"2021-09-17 09:00:27","extension":"pdf","order_by":0,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":345478,"visible":true,"origin":"","legend":"","description":"","filename":"manuscript.pdf","url":"https://assets-eu.researchsquare.com/files/rs-130761/v2/a93a0005-a310-4157-b9c2-8182fdb242f0.pdf"}],"financialInterests":"","formattedTitle":"\u003cp\u003eBreast surgery on the post-operative well-being of women: a cross-sectional study\u003c/p\u003e","fulltext":[{"header":"Introduction","content":"\u003cp\u003eMammoplasty is the most common surgery that is used for both breast augmentation in healthy women (aesthetic plastic) and breast reconstruction (disease-related plastic) in women who have been diagnosed with and surgically treated for regional breast cancer with modified radical mastectomy (MRM).\u003c/p\u003e\n\u003cp\u003eSeveral studies have focused on aesthetic surgery, but they have primarily paid attention to its technical aspects. Nava et al.[1] have proposed that the measures adopted in augmentation surgery (AS) should be chosen based on an evaluation of post-operative complications, re-intervention rates, the reasons for re-operation, and patient-reported outcomes. Moreover, they have underscored the need for a national register and mandatory reporting policies to identify and promote decisional pathways that yield better patient outcomes. Several studies have examined the surgical outcomes of mammoplasty and paid special attention to its technical aspects. In their review article, Coombs [2] reviewed the literature on the breast augmentation surgical procedure and discussed the evolution of implants, patient assessments, and post-operative complications. Currently, aesthetic surgery offers innovative solutions that ensure the safety and health of women and are cognizant of their physical characteristics [3-5]. Some studies in this domain have focused on the psychological and emotional effect of mammoplasty. The effects of AS on the psychological and sexual well-being of women first become apparent after 2 to 6 weeks. Zaborsk [6] found that breast AS does not influence neuroticism levels. This suggests that the constitutional personality traits of women who undergo such operations remain relatively unchanged after the surgical intervention. However, neuroticism may modulate the psychological changes that women experience after breast augmentation (e.g. higher post-operative life satisfaction).\u003c/p\u003e\n\u003cp\u003eIn this regard, Coriddi [7] reported a significant improvement in self-reported quality of life. Specifically, there were significant changes in the level of satisfaction with one\u0026rsquo;s breasts and psychosocial and sexual well-being. Swanson\u003csup\u003e8\u003c/sup\u003e adopted a psychological perspective and found that 91% and 64% of breast augmentations are successful in improving self-esteem and quality of life, respectively. Despite these positive outcomes, the researchers did not report pre-operative satisfaction levels so it is difficult to refer this result to its baseline value.\u003c/p\u003e\n\u003cp\u003eAS is used even in disease-related surgery (i.e. reconstruction surgery [RS] after MRM for regional breast cancer). The large population of women who pursue breast augmentation has implications to the reconstructive surgeon as many patients who undergo present for reconstructive surgery have the desire for enhancement of their native breast volume. Patients who undergo breast RS after a mastectomy report greater satisfaction with surgical outcomes and a better body image than women who do not opt for reconstructive measures [8-9]. Most of the studies that have examined the outcomes of breast cancer treatment have focused on disease-free or overall survival and the effectiveness of therapeutic oncology regimens [10-12]. Few studies have examined the behavioural and psychological aspects that are related to breast surgery (disease-related plastic).\u003c/p\u003e\n\u003cp\u003eWehrens [13] found that the psychological profiles of women who undergo RS are significantly better. Specifically, they tend to be more extroverted, socially and sexually active, talkative, and animated and more likely to take initiatives. a positive emotional pattern in early time after plastic surgery. In Shekhawat [14]\u0026nbsp;study, such women reported high levels of satisfaction (89%) with their post-reconstruction body image and overall satisfaction. Then parameters such as anxiety and femininity showed a positive trend after RS over 1 year from the surgery plastic.\u0026nbsp;When compared to breast RS, aesthetic breast surgery is perceived to result in more favourable aesthetic outcomes.\u003c/p\u003e\n\u003cp\u003eIn past studies, the outcomes of AS and RS have predominantly been examined within a short duration after the procedure. Some studies have examined temporal changes in psychological variables. However, it is important to investigate the long-term positive and negative psychological sequelae to better understand their emotional adaptation process.\u003c/p\u003e\n\u003cp\u003eThis study aimed to examine the long-term effects of mammoplasty on the psychological adaptation of women.\u0026nbsp;Post-operative surveys were conducted to examine changes in patient satisfaction and quality of life after breast surgery.\u003c/p\u003e"},{"header":"Methods","content":"\u003cp\u003e\u003cem\u003eEthical Statement \u003c/em\u003e\u003c/p\u003e\n\u003cp\u003eEthical approval to conduct this study was granted by the Institutional Review Board of the University of L\u0026rsquo;Aquila, Italy (Prot. N\u0026deg; 36032/2017), and S. Salvatore Hospital of L\u0026rsquo;Aquila (Italy) (i.e. the hospital from which the participants were recruited).\u003c/p\u003e\n\u003cp\u003eInformed consent was obtained from each participant, and the study adhered to guidelines outlined in the Declaration of Helsinki [15].\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eParticipants\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003eA total of 44 30\u0026ndash;55-year-old (mean = 40.4 \u0026plusmn; 5.9) women participated in this study. They were living in Italy, and their education levels were as follows: high school graduate (45.5%), graduate (34.5%), and not graduated (20.5%). Further, 70.5% of them were employed.\u003c/p\u003e\n\u003cp\u003eWe contacted 56 eligible patients, and 44 of them provided informed consent. Twelve patients declined the invitation to participate in the study. The participants were classified into 2 groups: a) the RS group, which consisted of 22 women who had undergone mammoplasty (mastectomy) after receiving a diagnosis of breast cancer and b) the AS group, which consisted of 22 women who had undergone mammoplasty for aesthetic reasons. RS group women have been enrolled in Oncological Division of S. Salvatore Hospital during their scheduled follow-up; A group women have been enrolled in hospital during their screening session for cancer prevention. Medical staff identified the eligible women and the recruitment was voluntary.\u003c/p\u003e\n\u003cp\u003eEligible participants met the following inclusion criteria: a) age \u0026gt; 18 years, b) outpatients who have undergone breast surgery, and c) willingness to participate in the study and provide written informed consent.\u003c/p\u003e\n\u003cp\u003eThe exclusion criteria were as follows: a) contraindications for mammoplasty (e.g. the presence of severe psychopathology, dysmorphic disorder, and/or severe systemic diseases), c) cancer recurrence, d) a prior diagnosis of cancer or concurrent diagnosis of another cancer, e) mastectomy after breast cancer recurrence, and f) the presence of severe chronic diseases or significant physical or psychological disabilities that could invalidate informed consent or their responses.\u003c/p\u003e\n\u003cp\u003eTable 1 presents the demographic characteristics of the participants.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eSociodemographic Variables \u003c/em\u003e\u003c/p\u003e\n\u003cp\u003eTwo types of data were collected. First, demographic data were collected using self-report measures. we selected independent variables for inclusion in the analyses if they were characteristic of the age/life stage (e.g. educational level, occupational and marital status). Second, clinical data were collected using psychological assessments.\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eAssessments\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003eThe psychological measurement was conducted by the self-report questionnaire in order to detect demographic characteristics of the participants and the BREAST-Q test to evaluate the emotional impact of breast surgery.\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eDemographic Questionnaire. \u003c/em\u003eThis self-report measure was used to assess the demographic characteristics of the participants (e.g. age, educational level, occupational status, time since mammoplasty, type of surgical intervention).\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eItalian Version of the BREAST-Q \u003c/em\u003e(i.e. post-operative version) [16]. The BREAST-Q assesses the patient-reported outcomes of plastic and reconstructive breast surgery. We applied respectively subscale for both kind of surgery composed of five indexes measuring well-being and satisfaction: satisfaction with breasts, satisfaction with outcome, psychosocial well-being, sexual well-being. All subscales are scored from 0 to 100 by Rasch score. Higher scores are indicative of greater satisfaction or better functioning.\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eProcedure\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003eThis study was conducted in collaboration with general practitioners and breast cancer specialists. They identified eligible participants, who were subsequently enrolled by appointments. Informed consent was obtained at the time of enrolment. Trained clinical psychologists, who were blinded to the objectives of the study, administered the psychological assessments in a quiet, dedicated room within the hospital. The duration of the evaluation procedure was 40 minutes. The data were collected anonymously.\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eStudy Design \u003c/em\u003e\u003c/p\u003e\n\u003cp\u003eThe participants were divided into two groups depending on the type of breast surgery (i.e. AS vs. RS) that they had undergone and the time that had elapsed since their surgery (i.e. \u0026le; 3 years vs. \u0026gt; 3 years). Descriptive statistics were computed to examine their characteristics. With regard to continuous variables (e.g. age, scores on the BREAST-Q scales), their medians and 25\u003csup\u003eth\u003c/sup\u003e to 75\u003csup\u003eth\u003c/sup\u003e percentiles (IQRs) were ascertained. The Wilcoxon-Mann-Whitney test was used to examine between-groups differences. A \u0026chi;\u003csup\u003e2\u003c/sup\u003e analysis was performed to compare the categorical variables (age classes, geographical location, education, occupation, time after surgery) reported as counts and column percentages.\u003c/p\u003e\n\u003cp\u003eAll statistical analyses were conducted using Stata (Release 15/IC, College Station, TX: Stata Corp LP). All the tests were two-tailed, and the statistical significance was defined as p \u0026lt; 0.05.\u003c/p\u003e"},{"header":"Results","content":"\u003cp\u003eA total of 44 patients participated in this study. As shown in Table 1, their median age was 40.5 years (IQR = 36.5\u0026ndash;44.5). and the two age classes analysed (\u0026le; 40 years and \u0026gt; 40 years) were equally represented. More than half of the participants (n = 24, 54.55%) were from Central Italy, and almost half of them (n = 20, 45.45%) were high school graduates. Most of them were employed (n = 30, 68.18%), and they primarily worked as clerks (n = 15, 34.09%). Further, 28 (63.64%) participants had undergone their surgery within the past three years. Median scores for BREAST-Q scales were as follows: 52.5 (IQR = 42\u0026ndash;69.5) for satisfaction with breasts, 75 (IQR = 61\u0026ndash;100) for satisfaction with outcome, 62.5 (IQR = 48.5\u0026ndash;89) for psychological well-being, and 55 (IQR = 31\u0026ndash;65) for sexual well-being. Comparing the characteristics of the study sample between AS and RS groups (Table 1), statistically significant differences emerged for BREAST-Q.\u003c/p\u003e\n\u003cp\u003eSpecifically, the scores that the AS group obtained on the satisfaction with breasts, psychological well-being, and sexual well-being scales were higher than those obtained by the RS group (59.5 vs. 47, p = 0.019; 79 vs. 53, p = 0.010, and 65 vs. 41, p = 0.005, respectively).\u003c/p\u003e\n\u003cp\u003eScores for BREAST-Q scales were compared on the basis of the time after surgery (\u0026le; or \u0026gt;3 years), also between groups AS and RS (Table 2). Best scores on Satisfaction with Breasts scale were found in the first three year after surgery (59.5 vs. 45.5, p = 0.017). This was especially true for the AS group (78.5 vs. 52.5, p = 0.029). Considering this timeframe, significant higher scores on satisfaction with breasts and sexual well-being scales were recorded in the group AS compared to the group RS (78.5 vs. 50, p = 0.023; 65 vs. 41, p = 0.016, respectively). Among those who had undergone breast surgery \u0026gt; 3 years earlier, those who belonged to the AS group obtained significantly higher psychological well-being scale scores than those who belonged to the RS group (73.5 vs. 56.5, p = 0.036).\u003c/p\u003e"},{"header":"Discussion And Conclusions","content":"\u003cp\u003eThis study examined the psychological well-being of women who had undergone mammoplasty. more, we payed attention to the post-operative effect over time from the surgical intervention. Specially, we analysed the emotional trend to the changing in post-treatment comparing the reaction/adaptation to their new condition. We examined the variables satisfaction and well-being after breast surgery analysing psychological outcomes in 2 conditions of mammoplasty:\u0026nbsp;aesthetic\u0026nbsp;or disease-related.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eWith regard to aesthetic\u0026nbsp;surgery, the findings of several studies have underscored the positive effects of AS on women. Lately, Randquist [17] highlighted the positive post-operative BREAST-Q measurement in AS, sustaining the satisfaction with breast remains consistently favourable in 70% for all respondents.\u0026nbsp;Positive changes in the other BREAST-Q indices were also observed.\u0026nbsp;However, our finding showed the mammoplasty in aesthetic surgery can affect partially well-being of women toward to negative feeling over the time.\u0026nbsp;Women who had undergone AS\u0026nbsp;\u0026le; 3 and \u0026gt; 3 years earlier did not differ in any of the indicators of emotional functioning. The only exception was their level of satisfaction with their breasts.\u0026nbsp;We compared the two groups of women who differed in the time that had elapsed since their surgery. There was a significant group difference in the satisfaction with breasts scale scores among those who belonged to the AS group. it lower. in late time getting negative feeling.\u0026nbsp;These unexpected findings (e.g. a decline in satisfaction among participants who had undergone AS) underscore the need to undertake in-depth investigations into the role of emotional regulation in the decision to opt for aesthetic surgery. Such efforts should be mindful of not only a lack of self-acceptance that results from the need to conform to social norms and cultural standards but also the effectiveness of AS without integrated assistance.\u0026nbsp;In this study, psychological and sexual well-being scores did not change over time. These findings\u0026nbsp;support the efficacy of aesthetic AS.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eWe examined the\u0026nbsp;impact of mammoplasty on the satisfaction levels and well-being of women who had undergone RS (after MRM). As expected, women who belonged to the RS group were less satisfied with their breasts than those who belonged to the AS group.\u0026nbsp;However, this was true only among those who had undergone their surgery\u0026nbsp;\u0026le; 3 years earlier. This finding suggests that these differences attenuate into non-significance over time.\u0026nbsp;Over time, their levels of satisfaction with their breasts decline, and group differences attenuate into non-significance. This finding is not surprising because women opt for RS after receiving a cancer diagnosis and undergoing mastectomy. Therefore, their decision to seek measures to alter the appearance of their breasts is not undergirded by aesthetic preferences or psychological needs.\u0026nbsp;In contrast, women opt for RS to address the ramifications of therapeutic surgeries (e.g. removal of cancer tissue).\u0026nbsp;Oncological treatment has complex effects on the emotional functioning of patients [18-19]. In this regard, psychological interventions have been found to be effective in improving their post-treatment functioning [20].\u003c/p\u003e\n\u003cp\u003eIn this study, we focused on psychological and sexual well-being.\u0026nbsp;The time that had elapsed since their surgery appeared to be a predictor of negative adaptation to changes in their breasts. Their\u0026nbsp;impact on women\u0026rsquo;s body image and perceived sexuality\u0026nbsp;persists over time. Thus, psychological fragility, which results from RS\u0026nbsp;after MRM, may be a\u0026nbsp;barrier that hinders their attempts to resume a normal life.\u003c/p\u003e\n\u003cp\u003eIn conclusion, our findings underscore the need to provide psychological support to those who undergo AS and RS. With regard to AS, the provision of psychological support will ensure that patients do not experience\u0026nbsp;psychological fragility after they undergo AS. Indeed, it is not a remedy for a negative body image or self-perception. However, AS can enhance psychological and sexual well-being, but it does not facilitate adaptation or enhance satisfaction.\u0026nbsp;The post-operative emotional functioning (e.g. self-perceptions, body image) of women who undergo RS tends to be non-optimal. However, over time, they adapt to physical changes in their breasts. Therefore, to shorten this adaptation process and enhance their mental well-being, personalised psychological interventions should be provided. Tailored psychological support interventions\u0026nbsp;that help patients accept the appearance of their breasts and foster positive body perceptions should be provided immediately after RS.\u003c/p\u003e"},{"header":"Declarations","content":"\u003cp\u003e\u003cstrong\u003eCompliance with Ethical Standards\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eFunding\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThis study did not receive funding from any source.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConflict of Interest\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe authors declare no conflicts of interest.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eEthical Approval \u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eEthical approval to conduct this study was granted by the Institutional Review Board of the University of L\u0026rsquo;Aquila, Italy (Prot. N\u0026deg; 36032/2017), and S. Salvatore Hospital of L\u0026rsquo;Aquila (Italy) (i.e. the hospital from which the participants were recruited).\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eInformed Consent\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eAll the participants provided informed consent prior to participation, and the study was conducted in accordance with the guidelines outlined in the Declaration of Helsinki.\u003c/p\u003e"},{"header":"References","content":"\u003col\u003e\n\u003cli\u003eNava MB, Rocco N, Tunesi G, Catanuto G, Rancati A, Dorr J. Decisional pathways in breast augmentation: how to improve outcomes through accurate pre-operative planning. Gland Surg 2017;6(2):203-209. doi: 10.21037/ gs.2017.03.01\u003c/li\u003e\n\u003cli\u003eCoombs D.M., Grover R., Prassinos A., Gurunlouglu R. (2019) Breast augmentation surgery: clinical considerations. Cleveland Clincial Journal of Medicine 86(2);111-122.\u003c/li\u003e\n\u003cli\u003eMaxwell GP, Gabriel A. Breast implant design. Gland Surg 2017; 6(2):148\u0026ndash;153.doi:10.21037/gs.2016.11.09\u003c/li\u003e\n\u003cli\u003eHenderson PW, Nash D, Laskowski M, Grant RT. Objective comparison of commercially available breast implant devices. Aesthetic Plast Surg 2015; 39(5):724\u0026ndash;732. doi:10.1007/s00266-015-0537-1\u003c/li\u003e\n\u003cli\u003ede Boer M, van leeuwen FE, Hauptmann M, et al. Breast implants and the risk of anaplastic large-cell lymphoma in the breast. JAMA Oncol 2018; 4(3):335\u0026ndash;341. doi:10.1001/jamaoncol.2017.4510\u003c/li\u003e\n\u003cli\u003eZaborski D., , Rzepa T., Pastucha M., Modrzejewski A., Grzesiak W (2019) Neuroticism level and life satisfaction in women undergoing brest augmentation surgery (a preliminary report). Aesth Plast Surg (2019) 43:521\u0026ndash;530\u003c/li\u003e\n\u003cli\u003eCoriddi M, Angelos T, Nadeau M, Bennett M, Taylor A (2013) Analysis of satisfaction and well-being in the short follow-up from breast augmentation using the BREAST-Q, a validated survey instrument. Aesthet Surg J Am Soc Aesthet Plast Surg 33:245\u0026ndash;251\u003c/li\u003e\n\u003cli\u003eSwanson E (2013) Prospective outcome study of 225 cases of breast augmentation. Plast Reconstr Surg 131:1158\u0026ndash;1166\u003c/li\u003e\n\u003cli\u003eZimmerman A.L., Tugertimur B., Smith P.D., Kumar A., Dayicioglu D. (2017) In the Age of Breast Augmentation, Breast Reconstruction Provides an Opportunity to Augment the Breast Cancer Control 24(4) 1\u0026ndash;5\u003c/li\u003e\n\u003cli\u003eJuhl AA, Christensen S, Zachariae R, et al. Unilateral breast reconstruction after mastectomy - patient satisfaction, aesthetic outcome and quality of life. Acta Oncol 2017;56:225\u0026ndash;31\u003c/li\u003e\n\u003cli\u003eFlitcroft K, Brennan M, Spillane A. Making decisions about breast reconstruction: a systematic review of patient-reported factors influencing choice. Quality of Life Research 2017;26:2287\u0026ndash;319.\u003c/li\u003e\n\u003cli\u003ede la Muela H.M, Garc\u0026iacute;a L\u0026oacute;pez E, Fr\u0026iacute;as Aldeguer L, et al. Protocol for the BRECAR study: a prospective cohort follow-up on the impact of breast reconstruction timing on health-related quality of life in women with breast cancer. BMJ Open 2017;7:e018108. doi:10.1136/bmjopen-2017-018108\u003c/li\u003e\n\u003cli\u003eWehrens KME, Cuypers WJ, Boeckx WD, van der Hulst. Psychological profile of women seeking breast reconstruction and quality oflife assessment after surgery. 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Plast Reconstr Surg. 124(2): 345\u0026ndash;353\u0026nbsp;doi:\u0026nbsp;10.1097/PRS.0b013e3181aee80\u003c/li\u003e\n\u003cli\u003eRandquist C., Por YC, Yeow V, Maglambayan J, Simonyi S. (2018) Breast augmentation surgery using an inframammary fold incision in Southeast Asian women: Patient-reported outcomes. Archives of Plastic Surgery 2018;45(4):367-374.\u003c/li\u003e\n\u003cli\u003eDi Giacomo D., Ranieri J., et al. (2016) Breast cancer and psychological resilience among young women. Journal of Psychopathology 3;901-905\u003c/li\u003e\n\u003cli\u003eDi Giacomo D., Ranieri J., Perilli E., Cannita K, Passafiume D, Ficorella C. (2019) Psychological impact of clinical treatment after breast cancer diagnosis in younger patients (38\u0026ndash;50 age range): An explorative 3-year observational study. Neurology, Psychiatry and Brain Research 32;85-90\u003c/li\u003e\n\u003cli\u003eDi Giacomo D., Ranieri J, Donatucci E., Cannita K., Passafiume D., Ficorella C. (2018). Emotional \u0026ldquo;Patient-Oriented\u0026rdquo; Support in Young Patients with I\u0026ndash;II Stage Breast Cancer: Pilot Study. Frontiers of Psychology 9, 248\u003c/li\u003e\n\u003c/ol\u003e"},{"header":"Tables","content":"\u003ctable border=\"1\" cellpadding=\"0\" cellspacing=\"0\" style=\"width: 506.2pt;border-collapse: collapse;border: none;\" width=\"675\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd colspan=\"6\" style=\"width: 506.2pt;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"100%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 11px; font-family: Verdana, Geneva, sans-serif; color: rgb(0, 0, 0);\"\u003eTable 1.\u0026nbsp;\u003c/span\u003e\u003c/strong\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003eDescription of the participant characteristics of the study sample, comparing them between\u0026nbsp;Augmentation (AS) and Reconstruction (RS) Surgery Groups.\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 141.75pt;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"28%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"2\" style=\"width: 99.25pt;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"19.555555555555557%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003eTotal\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003eN = 44\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 172.6pt;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"34.074074074074076%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003eSurgical Groups\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"2\" style=\"width: 86.8pt;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.185185185185187%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003ep\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"border: none;padding: 0in;\" width=\"1.1851851851851851%\"\u003e\n \u003cp style=\"margin: 0in 0in 10pt;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 141.75pt;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"44.26229508196721%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.3pt;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"26.93208430913349%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003eAS\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003en\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003e22 (50.00%)\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.3pt;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"26.93208430913349%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003eRS\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003en\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003e22 (50.00%)\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"border: none;padding: 0in;\" width=\"1.873536299765808%\"\u003e\n \u003cp style=\"margin: 0in 0in 10pt;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 141.75pt;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"28%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003eAge (years):\u003c/span\u003e\u003c/strong\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e\u0026nbsp;median (IQR)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 99.25pt;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"19.555555555555557%\"\u003e\n \u003cp style=\"margin: 0in -0.15in 0in 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e40.5 (36.5\u0026ndash;44.5)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.3pt;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.037037037037038%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e39 (34\u0026ndash;45)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.3pt;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.037037037037038%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e42 (39\u0026ndash;44)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.8pt;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.185185185185187%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e0.158*\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"border: none;padding: 0in;\" width=\"1.1851851851851851%\"\u003e\n \u003cp style=\"margin: 0in 0in 10pt;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 141.75pt;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"28%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003eAge groups\u003c/span\u003e\u003c/strong\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e: n (%)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 99.25pt;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"19.555555555555557%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.3pt;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.037037037037038%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.3pt;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.037037037037038%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.8pt;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.185185185185187%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e0.070**\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"border: none;padding: 0in;\" width=\"1.1851851851851851%\"\u003e\n \u003cp style=\"margin: 0in 0in 10pt;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 141.75pt;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"28%\"\u003e\n \u003cp style=\"margin: 0in 0in 0in 35.4pt;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e\u0026le; 40 years\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 99.25pt;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"19.555555555555557%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e22 (50.00)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.3pt;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.037037037037038%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e14 (63.64)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.3pt;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.037037037037038%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e8 (36.36)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.8pt;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.185185185185187%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"border: none;padding: 0in;\" width=\"1.1851851851851851%\"\u003e\n \u003cp style=\"margin: 0in 0in 10pt;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 141.75pt;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"28%\"\u003e\n \u003cp style=\"margin: 0in 0in 0in 35.4pt;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e\u0026gt; 40 years\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 99.25pt;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"19.555555555555557%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e22 (50.00)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.3pt;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.037037037037038%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e8 (36.36)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.3pt;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.037037037037038%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e14 (63.64)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.8pt;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.185185185185187%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"border: none;padding: 0in;\" width=\"1.1851851851851851%\"\u003e\n \u003cp style=\"margin: 0in 0in 10pt;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 141.75pt;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"28%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003eEducational level\u003c/span\u003e\u003c/strong\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e: n (%)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 99.25pt;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"19.555555555555557%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.3pt;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.037037037037038%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.3pt;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.037037037037038%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.8pt;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.185185185185187%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e0.828**\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"border: none;padding: 0in;\" width=\"1.1851851851851851%\"\u003e\n \u003cp style=\"margin: 0in 0in 10pt;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 141.75pt;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"28%\"\u003e\n \u003cp style=\"margin: 0in 0in 0in 35.4pt;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003eMiddle school\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 99.25pt;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"19.555555555555557%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e9 (20.45)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.3pt;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.037037037037038%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e4 (18.18)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.3pt;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.037037037037038%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e5 (22.73)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.8pt;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.185185185185187%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"border: none;padding: 0in;\" width=\"1.1851851851851851%\"\u003e\n \u003cp style=\"margin: 0in 0in 10pt;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 141.75pt;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"28%\"\u003e\n \u003cp style=\"margin: 0in 0in 0in 35.4pt;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003eHigh school\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 99.25pt;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"19.555555555555557%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e20 (45.45)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.3pt;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.037037037037038%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e11 (50.00)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.3pt;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.037037037037038%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e9 (40.91)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.8pt;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.185185185185187%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"border: none;padding: 0in;\" width=\"1.1851851851851851%\"\u003e\n \u003cp style=\"margin: 0in 0in 10pt;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 141.75pt;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"28%\"\u003e\n \u003cp style=\"margin: 0in 0in 0in 35.4pt;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003eUniversity\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 99.25pt;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"19.555555555555557%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e15 (34.10)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.3pt;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.037037037037038%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e7 (31.82)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.3pt;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.037037037037038%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e8 (36.36)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.8pt;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.185185185185187%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"border: none;padding: 0in;\" width=\"1.1851851851851851%\"\u003e\n \u003cp style=\"margin: 0in 0in 10pt;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 141.75pt;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"28%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003eOccupational status\u003c/span\u003e\u003c/strong\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e: n (%)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 99.25pt;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"19.555555555555557%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.3pt;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.037037037037038%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.3pt;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.037037037037038%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.8pt;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.185185185185187%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e0.195**\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"border: none;padding: 0in;\" width=\"1.1851851851851851%\"\u003e\n \u003cp style=\"margin: 0in 0in 10pt;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 141.75pt;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"28%\"\u003e\n \u003cp style=\"margin: 0in 0in 0in 35.4pt;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003eUnemployed\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 99.25pt;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"19.555555555555557%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e14 (31.82)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.3pt;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.037037037037038%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e5 (22.73)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.3pt;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.037037037037038%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e9 (40.91)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.8pt;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.185185185185187%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"border: none;padding: 0in;\" width=\"1.1851851851851851%\"\u003e\n \u003cp style=\"margin: 0in 0in 10pt;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 141.75pt;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"28%\"\u003e\n \u003cp style=\"margin: 0in 0in 0in 35.4pt;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003eEmployed\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 99.25pt;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"19.555555555555557%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e30 (68.18)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.3pt;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.037037037037038%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e17 (77.27)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.3pt;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.037037037037038%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e13 (59.09)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.8pt;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.185185185185187%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"border: none;padding: 0in;\" width=\"1.1851851851851851%\"\u003e\n \u003cp style=\"margin: 0in 0in 10pt;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 141.75pt;border-style: solid none none;border-top-width: 1pt;border-top-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"28%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003eTime since surgery\u003c/span\u003e\u003c/strong\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e: n (%)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 99.25pt;border-style: solid none none;border-top-width: 1pt;border-top-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"19.555555555555557%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.3pt;border-style: solid none none;border-top-width: 1pt;border-top-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.037037037037038%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.3pt;border-style: solid none none;border-top-width: 1pt;border-top-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.037037037037038%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.8pt;border-style: solid none none;border-top-width: 1pt;border-top-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.185185185185187%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e1.000**\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"border: none;padding: 0in;\" width=\"1.1851851851851851%\"\u003e\n \u003cp style=\"margin: 0in 0in 10pt;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 141.75pt;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"28%\"\u003e\n \u003cp style=\"margin: 0in 0in 0in 35.4pt;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e\u0026le; 3 years\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 99.25pt;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"19.555555555555557%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e28 (63.64)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.3pt;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.037037037037038%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e14 (63.64)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.3pt;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.037037037037038%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e14 (63.64)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.8pt;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.185185185185187%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"border: none;padding: 0in;\" width=\"1.1851851851851851%\"\u003e\n \u003cp style=\"margin: 0in 0in 10pt;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 141.75pt;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"28%\"\u003e\n \u003cp style=\"margin: 0in 0in 0in 35.4pt;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e\u0026gt; 3 years\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 99.25pt;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"19.555555555555557%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e16 (36.36)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.3pt;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.037037037037038%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e8 (36.36)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.3pt;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.037037037037038%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e8 (36.36)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.8pt;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.185185185185187%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"border: none;padding: 0in;\" width=\"1.1851851851851851%\"\u003e\n \u003cp style=\"margin: 0in 0in 10pt;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 141.75pt;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;background-color: rgb(238, 236, 225);padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"28%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003eBREAST-Q scales\u003c/span\u003e\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 99.25pt;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;background-color: rgb(238, 236, 225);padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"19.555555555555557%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.3pt;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;background-color: rgb(238, 236, 225);padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.037037037037038%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.3pt;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;background-color: rgb(238, 236, 225);padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.037037037037038%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.8pt;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;background-color: rgb(238, 236, 225);padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.185185185185187%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"border: none;padding: 0in;\" width=\"1.1851851851851851%\"\u003e\n \u003cp style=\"margin: 0in 0in 10pt;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 141.75pt;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"28%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003eSatisfaction with breasts\u003c/span\u003e\u003c/strong\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e: median (IQR)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 99.25pt;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"19.555555555555557%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e52.5 (42\u0026ndash;69.5)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.3pt;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.037037037037038%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e59.5 (48\u0026ndash;80)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.3pt;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.037037037037038%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e47 (42\u0026ndash;55)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.8pt;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.185185185185187%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e0.019*\u003c/span\u003e\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"border: none;padding: 0in;\" width=\"1.1851851851851851%\"\u003e\n \u003cp style=\"margin: 0in 0in 10pt;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 141.75pt;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"28%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003eSatisfaction with outcomes\u003c/span\u003e\u003c/strong\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e: median (IQR)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 99.25pt;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"19.555555555555557%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e75 (61\u0026ndash;100)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.3pt;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.037037037037038%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e88.5 (61\u0026ndash;100)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.3pt;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.037037037037038%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e71 (61\u0026ndash;75)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.8pt;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.185185185185187%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e0.216*\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"border: none;padding: 0in;\" width=\"1.1851851851851851%\"\u003e\n \u003cp style=\"margin: 0in 0in 10pt;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 141.75pt;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"28%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003ePsychological well-being\u003c/span\u003e\u003c/strong\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e: median (IQR)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 99.25pt;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"19.555555555555557%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e62.5 (48.5\u0026ndash;89)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.3pt;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.037037037037038%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e79 (62\u0026ndash;93)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.3pt;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.037037037037038%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e53 (43\u0026ndash;63)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.8pt;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.185185185185187%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e0.010*\u003c/span\u003e\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"border: none;padding: 0in;\" width=\"1.1851851851851851%\"\u003e\n \u003cp style=\"margin: 0in 0in 10pt;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 141.75pt;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"28%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003eSexual well-being\u003c/span\u003e\u003c/strong\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e: median (IQR)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 99.25pt;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"19.555555555555557%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e55 (31\u0026ndash;65)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.3pt;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.037037037037038%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e65 (53\u0026ndash;65)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.3pt;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.037037037037038%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e41 (22\u0026ndash;60)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.8pt;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"17.185185185185187%\"\u003e\n \u003cp style=\"margin: 0in;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003e0.005*\u003c/span\u003e\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;\" width=\"1.1851851851851851%\"\u003e\n \u003cp style=\"margin: 0in 0in 10pt;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd colspan=\"6\" style=\"width: 506.2pt;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"100%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: justify;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e*Wilcoxon-Mann-Whitney test\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: justify;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e**\u0026chi;\u003csup\u003e2\u0026nbsp;\u003c/sup\u003etest\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp style=\"margin: 0in 0in 10pt;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: justify;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cspan style=\"line-height: 18.399999618530273px;\"\u003eIQR = inter-quartile range\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin: 0in 0in 10pt;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;text-align: justify;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cbr\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n\u003ctable border=\"1\" cellpadding=\"0\" cellspacing=\"0\" style=\"width: 824.765625px;border-collapse: collapse;border: none;\" width=\"105%\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd colspan=\"6\" style=\"width: 810.421875px;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"100%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: justify;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003eTable 2.\u0026nbsp;\u003c/strong\u003eBreast-Q scores stratified for the time elapsed from surgery\u0026nbsp;(\u0026le;3 years, \u0026gt;3 years)\u003cstrong\u003e,\u0026nbsp;\u003c/strong\u003ecomparing\u0026nbsp;Augmentation (AS) and Reconstruction (RS) Surgery Groups.\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 321px;border-style: solid none none;border-top-width: 1pt;border-top-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"42.857142857142854%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"3\" style=\"width: 380.484375px;border-style: solid none none;border-top-width: 1pt;border-top-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"48.97959183673469%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003eTime since surgery\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 80.1875px;border-top-width: 1pt;border-style: solid none;border-top-color: windowtext;border-bottom-width: 1pt;border-bottom-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"8.16326530612245%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003ep*\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 321px;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"43.29896907216495%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 191.40625px;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"25.77319587628866%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003e\u0026le; 3 years\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003en\u0026nbsp;\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003e28 (63.64%)\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 156.328125px;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"21.649484536082475%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003e\u0026gt; 3 years\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003en\u0026nbsp;\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003e16 (36.36%)\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 67.28125px;border-top-width: 1pt;border-style: solid none;border-top-color: windowtext;border-bottom-width: 1pt;border-bottom-color: windowtext;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"8.24742268041237%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"border: none;padding: 0in;\" width=\"1.0309278350515463%\"\u003e\n \u003cp style=\"margin: 0in 0in 10pt;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 321px;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"43.29896907216495%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003eSatisfaction with breasts\u003c/strong\u003e: median (IQR)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 191.40625px;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"25.77319587628866%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e59.5 (45.5\u0026ndash;78.5)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 156.328125px;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"21.649484536082475%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e45.5 (39.5\u0026ndash;55.5)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 67.28125px;border: none;background-color: rgb(238, 236, 225);padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"8.24742268041237%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003e0.017\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"border: none;padding: 0in;\" width=\"1.0309278350515463%\"\u003e\n \u003cp style=\"margin: 0in 0in 10pt;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 321px;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"43.29896907216495%\"\u003e\n \u003cp style=\"margin: 0in 0in 0in 35.4pt;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003eAS\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 191.40625px;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"25.77319587628866%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e78.5 (58\u0026ndash;85)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 156.328125px;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"21.649484536082475%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e52.5 (44\u0026ndash;57.5)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 67.28125px;border: none;background-color: rgb(238, 236, 225);padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"8.24742268041237%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003e0.029\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"border: none;padding: 0in;\" width=\"1.0309278350515463%\"\u003e\n \u003cp style=\"margin: 0in 0in 10pt;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 321px;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"43.29896907216495%\"\u003e\n \u003cp style=\"margin: 0in 0in 0in 35.4pt;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003eRS\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 191.40625px;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"25.77319587628866%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e50 (45\u0026ndash;61)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 156.328125px;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"21.649484536082475%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e42 (33\u0026ndash;46.5)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 67.28125px;border: none;background-color: rgb(238, 236, 225);padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"8.24742268041237%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e0.055\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"border: none;padding: 0in;\" width=\"1.0309278350515463%\"\u003e\n \u003cp style=\"margin: 0in 0in 10pt;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 321px;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;background-color: rgb(238, 236, 225);padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"43.29896907216495%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003ep*\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 191.40625px;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;background-color: rgb(238, 236, 225);padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"25.77319587628866%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003e0.023\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 156.328125px;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;background-color: rgb(238, 236, 225);padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"21.649484536082475%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e0.141\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 67.28125px;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;background-color: rgb(238, 236, 225);padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"8.24742268041237%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"border: none;padding: 0in;\" width=\"1.0309278350515463%\"\u003e\n \u003cp style=\"margin: 0in 0in 10pt;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 321px;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"43.29896907216495%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003eSatisfaction with outcomes\u003c/strong\u003e: median (IQR)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 191.40625px;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"25.77319587628866%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e75 (63\u0026ndash;100)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 156.328125px;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"21.649484536082475%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e65 (57\u0026ndash;75)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 67.28125px;border: none;background-color: rgb(238, 236, 225);padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"8.24742268041237%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e0.081\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"border: none;padding: 0in;\" width=\"1.0309278350515463%\"\u003e\n \u003cp style=\"margin: 0in 0in 10pt;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 321px;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"43.29896907216495%\"\u003e\n \u003cp style=\"margin: 0in 0in 0in 35.4pt;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003eAS\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 191.40625px;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"25.77319587628866%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e100 (65\u0026ndash;100)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 156.328125px;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"21.649484536082475%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e65 (57\u0026ndash;100)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 67.28125px;border: none;background-color: rgb(238, 236, 225);padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"8.24742268041237%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e0.360\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"border: none;padding: 0in;\" width=\"1.0309278350515463%\"\u003e\n \u003cp style=\"margin: 0in 0in 10pt;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 321px;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"43.29896907216495%\"\u003e\n \u003cp style=\"margin: 0in 0in 0in 35.4pt;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003eRS\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 191.40625px;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"25.77319587628866%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e75 (61\u0026ndash;100)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 156.328125px;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"21.649484536082475%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e64 (52\u0026ndash;71)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 67.28125px;border: none;background-color: rgb(238, 236, 225);padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"8.24742268041237%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e0.109\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"border: none;padding: 0in;\" width=\"1.0309278350515463%\"\u003e\n \u003cp style=\"margin: 0in 0in 10pt;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 321px;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;background-color: rgb(238, 236, 225);padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"43.29896907216495%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003ep*\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 191.40625px;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;background-color: rgb(238, 236, 225);padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"25.77319587628866%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e0.270\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 156.328125px;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;background-color: rgb(238, 236, 225);padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"21.649484536082475%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e0.597\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 67.28125px;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;background-color: rgb(238, 236, 225);padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"8.24742268041237%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"border: none;padding: 0in;\" width=\"1.0309278350515463%\"\u003e\n \u003cp style=\"margin: 0in 0in 10pt;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 321px;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"43.29896907216495%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003ePsychological well-being\u003c/strong\u003e: median (IQR)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 191.40625px;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"25.77319587628866%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e60 (48.5\u0026ndash;92)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 156.328125px;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"21.649484536082475%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e68.5 (47.5\u0026ndash;79)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 67.28125px;border: none;background-color: rgb(238, 236, 225);padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"8.24742268041237%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e0.769\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"border: none;padding: 0in;\" width=\"1.0309278350515463%\"\u003e\n \u003cp style=\"margin: 0in 0in 10pt;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 321px;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"43.29896907216495%\"\u003e\n \u003cp style=\"margin: 0in 0in 0in 35.4pt;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003eAS\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 191.40625px;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"25.77319587628866%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e83.5 (58\u0026ndash;100)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 156.328125px;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"21.649484536082475%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e73.5 (70\u0026ndash;85.5)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 67.28125px;border: none;background-color: rgb(238, 236, 225);padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"8.24742268041237%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e0.515\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"border: none;padding: 0in;\" width=\"1.0309278350515463%\"\u003e\n \u003cp style=\"margin: 0in 0in 10pt;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 321px;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"43.29896907216495%\"\u003e\n \u003cp style=\"margin: 0in 0in 0in 35.4pt;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003eRS\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 191.40625px;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"25.77319587628866%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e52.5 (48\u0026ndash;60)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 156.328125px;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"21.649484536082475%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e56.5 (38\u0026ndash;65)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 67.28125px;border: none;background-color: rgb(238, 236, 225);padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"8.24742268041237%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e0.973\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"border: none;padding: 0in;\" width=\"1.0309278350515463%\"\u003e\n \u003cp style=\"margin: 0in 0in 10pt;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 321px;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;background-color: rgb(238, 236, 225);padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"43.29896907216495%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003ep*\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 191.40625px;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;background-color: rgb(238, 236, 225);padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"25.77319587628866%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e0.088\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 156.328125px;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;background-color: rgb(238, 236, 225);padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"21.649484536082475%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003e0.036\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 67.28125px;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;background-color: rgb(238, 236, 225);padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"8.24742268041237%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"border: none;padding: 0in;\" width=\"1.0309278350515463%\"\u003e\n \u003cp style=\"margin: 0in 0in 10pt;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 321px;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"43.29896907216495%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003eSexual well-being\u003c/strong\u003e: median (IQR)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 191.40625px;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"25.77319587628866%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e55 (29\u0026ndash;65)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 156.328125px;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"21.649484536082475%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e55 (35.5\u0026ndash;65)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 67.28125px;border: none;background-color: rgb(238, 236, 225);padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"8.24742268041237%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e0.819\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"border: none;padding: 0in;\" width=\"1.0309278350515463%\"\u003e\n \u003cp style=\"margin: 0in 0in 10pt;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 321px;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"43.29896907216495%\"\u003e\n \u003cp style=\"margin: 0in 0in 0in 35.4pt;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003eAS\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 191.40625px;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"25.77319587628866%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e65 (53\u0026ndash;65)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 156.328125px;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"21.649484536082475%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e61.5 (51\u0026ndash;65)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 67.28125px;border: none;background-color: rgb(238, 236, 225);padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"8.24742268041237%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e0.730\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"border: none;padding: 0in;\" width=\"1.0309278350515463%\"\u003e\n \u003cp style=\"margin: 0in 0in 10pt;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 321px;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"43.29896907216495%\"\u003e\n \u003cp style=\"margin: 0in 0in 0in 35.4pt;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003eRS\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 191.40625px;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"25.77319587628866%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e41 (22\u0026ndash;60)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 156.328125px;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"21.649484536082475%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e42 (25\u0026ndash;58.5)\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 67.28125px;border: none;background-color: rgb(238, 236, 225);padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"8.24742268041237%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e0.810\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"border: none;padding: 0in;\" width=\"1.0309278350515463%\"\u003e\n \u003cp style=\"margin: 0in 0in 10pt;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 321px;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;background-color: rgb(238, 236, 225);padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"43.29896907216495%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003ep*\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 191.40625px;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;background-color: rgb(238, 236, 225);padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"25.77319587628866%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u003cstrong\u003e0.016\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 156.328125px;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;background-color: rgb(238, 236, 225);padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"21.649484536082475%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e0.138\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 67.28125px;border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;background-color: rgb(238, 236, 225);padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"8.24742268041237%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: center;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"border-style: none none solid;border-bottom-width: 1pt;border-bottom-color: windowtext;\" width=\"1.0309278350515463%\"\u003e\n \u003cp style=\"margin: 0in 0in 10pt;line-height: 16.866666793823242px;font-size:15px;font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd colspan=\"6\" style=\"width: 810.421875px;border: none;padding: 0in 5.4pt;vertical-align: top;\" valign=\"top\" width=\"100%\"\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: justify;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"font-family: Verdana, Geneva, sans-serif;\"\u003e\u003cspan style=\"font-size: 11px;\"\u003e*Wilcoxon-Mann-Whitney test\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003cp style=\"margin: 0in;line-height: normal;font-size:15px;font-family: Calibri, sans-serif;text-align: justify;\"\u003e\u003cspan style=\"font-size: 11px; font-family: Verdana, Geneva, sans-serif; color: rgb(0, 0, 0);\"\u003eIQR = inter-quartile range\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":true,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":true,"highlight":"","institution":"","isAcceptedByJournal":false,"isAuthorSuppliedPdf":false,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":false,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true},"keywords":"aesthetic surgery, disease-related surgery, psychological adaptation, BREAST-Q","lastPublishedDoi":"10.21203/rs.3.rs-130761/v2","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-130761/v2","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003e\u003cstrong\u003eBackground.\u003c/strong\u003e Mammoplasty is the most common surgery that is used for both breast augmentation in healthy women (aesthetic plastic) and breast reconstruction (disease-related plastic) in women who have been diagnosed with and surgically treated for regional breast cancer with radical mastectomy (MRM). When compared to breast reconstruction surgery, aesthetic breast surgery is perceived to result in more favourable aesthetic outcomes.. This study aimed to examine the long-term effects of mammoplasty on the psychological adaptation of women.\u003c/p\u003e\u003cp\u003e\u003cstrong\u003eMethods\u003c/strong\u003e. A total of 44 30–50-year-old women participated in this study. They were divided into two groups based on the type of breast surgery that they had undergone (augmentation surgery [AS] vs. reconstruction surgery [RS]) and the time that had elapsed since their surgery (≤ 3 years vs. \u0026gt; 3 years). \u0026nbsp;\u003c/p\u003e\u003cp\u003e\u003cstrong\u003eResults.\u003c/strong\u003e Our findings suggest that the psychological well-being of women who undergo AS declines over time. The women who had undergone AS ≤ 3 and \u0026gt; 3 years earlier did not differ in any of the indicators of emotional functioning. The only exception was their level of satisfaction with their breasts.We examined the impact of mammoplasty on the satisfaction levels and well-being of women who had undergone RS (after MRM). As expected, they were less satisfied with their breasts than those who belonged to the AS group However, this was true only among those who had undergone their surgery ≤ 3 years earlier.\u003c/p\u003e\u003cp\u003e\u003cstrong\u003eConclusions.\u003c/strong\u003e\u0026nbsp;In conclusion, our findings underscore the need to provide psychological support to those who have undergone AS and RS. To shorten the adaptation process and enhance their mental well-being, personalised psychological interventions should be provided.\u003c/p\u003e","manuscriptTitle":"Breast surgery on the post-operative well-being of women: a cross-sectional study","msid":"","msnumber":"","nonDraftVersions":[{"code":2,"date":"2020-12-29 15:24:43","doi":"10.21203/rs.3.rs-130761/v2","editorialEvents":[{"type":"communityComments","content":0}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true}},{"code":1,"date":"2020-12-21 22:44:57","doi":"10.21203/rs.3.rs-130761/v1","editorialEvents":[{"type":"communityComments","content":0}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"3994228f-f487-4949-9c4f-0c225b01ecb8","owner":[],"postedDate":"December 29th, 2020","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"posted","subjectAreas":[{"id":1655179,"name":"Psychology"}],"tags":[],"updatedAt":"2020-12-26T20:17:47+00:00","versionOfRecord":[],"versionCreatedAt":"2020-12-29 15:24:43","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v2","identity":"rs-130761","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-130761","identity":"rs-130761","version":["v2"]},"buildId":"7rjqhiLT3MXkJMwkYKINL","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}

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