Design and Usability of External Breast Prostheses
Systematic Literature Review
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https://doi.org/10.36704/transverso.v1i20.10861Keywords:
external breast prostheses, usability, user experience, mastectomyAbstract
External breast prostheses play a relevant role in the rehabilitation of women undergoing mastectomy, contributing to the reconstruction of body image and to the sense of normality. However, design-related limitations may compromise their usability and the users’ experience. This study aimed to conduct a Systematic Literature Review to understand how women who have undergone mastectomy perceive the design of these prostheses and how these characteristics influence their usability. The review followed PRISMA guidelines and included eight studies addressing design, usability, physical factors, and psychosocial and contextual dimensions of the user experience. The results indicated that attributes such as naturalness, body fit, stability, comfort, and bodily integration were central to the user experience, whereas limitations related to shape, weight, mobility, displacement, and adaptation compromised everyday use. It is concluded that usability constitutes a multidimensional phenomenon, resulting from the interaction between body, device, and context, requiring user-centered design approaches.
References
BURNES-RUDECINO, S. et al. Satisfaction in external breast prostheses: a case study in Zacatecas, Mexico. Gaceta Mexicana de Oncología, v. 24, n. 2, p. 76–85, 2025. DOI: https://doi.org/10.24875/j.gamo.25000081.
FINGERET, M. C. et al. Body image screening for cancer patients undergoing reconstructive surgery. Psycho-Oncology, v. 23, n. 8, p. 898–905, 2014. DOI: https://doi.org/10.1002/pon.3507.
HASSENZAHL, M. Experience design: technology for all the right reasons. Synthesis Lectures on Human-Centered Informatics, San Rafael: Morgan & Claypool Publishers, v. 3, n. 1, p. 1–95, 2010.
HOJAN, K. Does the weight of an external breast prosthesis play an important role for women who undergone mastectomy? Reports of Practical Oncology and Radiotherapy, v. 25, n. 4, p. 574–578, 2020. DOI: https://doi.org/10.1016/j.rpor.2020.04.015.
IIDA, I.; GUIMARÃES, L. B. M. Ergonomia: projeto e produção. 3. ed. São Paulo: Blucher, 2016.
JETHA, Z. A.; GUL, R. B.; LALANI, S. Women experiences of using external breast prosthesis after mastectomy. Asia-Pacific Journal of Oncology Nursing, v. 4, n. 3, p. 250–258, 2017. DOI: https://doi.org/10.4103/apjon.apjon_25_17.
JOANNA BRIGGS INSTITUTE (JBI). Critical Appraisal Tools. 2024. Disponível em: https://jbi.global/critical-appraisal-tools. Acesso em: 24 mar. 2026.
JORDAN, P. W. Designing pleasurable products: an introduction to the new human factors. London: Taylor & Francis, 2000.
KAUR, M. et al. Issues related to grooming among postmastectomy patients: an Indian perspective. Journal of Education and Health Promotion, v. 14, n. 1, 2025. DOI: https://doi.org/10.4103/jehp.jehp_582_24.
KRIPPENDORFF, K. The semantic turn: a new foundation for design. Boca Raton: CRC Press, 2006.
MCGHEE, D. E.; MIKILEWICZ, K. L.; STEELE, J. R. Effect of external breast prosthesis mass on bra strap loading and discomfort in women with a unilateral mastectomy. Clinical Biomechanics, v. 73, p. 86–91, 2020. DOI: https://doi.org/10.1016/j.clinbiomech.2019.12.027.
MOFRAD, S. A.; FERNANDEZ, R.; LATIFNEJAD ROUDSARI, R. The impact of mastectomy on Iranian women sexuality and body image: a systematic review of qualitative studies. Supportive Care in Cancer, v. 29, n. 10, p. 5571–5580, 2021. DOI: https://doi.org/10.1007/s00520-021-06153-5.
NG, R. P. et al. Conventional standard-sized bra with prosthesis or patient’s bra with customized hand-knitted external prosthesis after mastectomy: Mixed-methods evaluation of patients’ preferences. Breast Disease, v. 42, n. 1, p. 375–382, 2023. DOI: https://doi.org/10.3233/BD-230040.
NORMAN, D. A. Emotional design: why we love (or hate) everyday things. New York: Basic Books, 2004.
PAGE, M. J. et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ, London, v. 372, n. 71, 2021. DOI: https://doi.org/10.1136/bmj.n71.
PHILLIPS, B.; ZHAO, H. Predictors of assistive technology abandonment. Assistive Technology, Philadelphia, v. 5, n. 1, p. 36–45, 1993.
QIU, J. et al. Physical and psychological effects of different temperature-controlled breast prostheses on patients with breast cancer during rehabilitation: a randomized controlled study (CONSORT). Medicine, v. 99, n. 13, e19616, 2020. DOI: https://doi.org/10.1097/MD.0000000000019616.
SANTOS, C. M. C.; PIMENTA, C. A. M.; NOBRE, M. R. C. A estratégia PICO para a construção da pergunta de pesquisa e busca de evidências. Revista Latino-Americana de Enfermagem, v. 15, p. 508–511, 2007.
SCHERER, M. J. Assistive technology: matching device and consumer for successful rehabilitation. Washington, DC: American Psychological Association, 2002.
WIEDEMANN, R.; SCHNEPP, W. External breast prostheses in post-mastectomy care in Germany – women’s experiences: a qualitative study. Central European Journal of Nursing and Midwifery, v. 8, n. 3, p. 658–666, 2017. DOI: https://doi.org/10.15452/CEJNM.2017.08.0016.
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