2022
Outcomes of Extended Pedicle Technique vs Free Nipple Graft Reduction Mammoplasty for Patients With Gigantomastia
Talwar AA, Copeland-Halperin LR, Walsh LR, Christopher AN, Cunning J, Broach RB, Baratta MD, Copeland M, Shankaran V, Butler PD. Outcomes of Extended Pedicle Technique vs Free Nipple Graft Reduction Mammoplasty for Patients With Gigantomastia. Aesthetic Surgery Journal 2022, 43: np91-np99. PMID: 36161307, DOI: 10.1093/asj/sjac258.Peer-Reviewed Original ResearchConceptsFree nipple graftBREAST-Q scoresAesthetic outcomeReduction mammoplastyPropensity score-matched casesTertiary care centerPairs of patientsReduction mammoplasty techniqueMulti-institutional studyBaseline characteristicsAdult patientsClinical outcomesMedical complicationsPostoperative breastPostoperative cellulitisRetrospective studyMammoplasty techniqueNipple graftCare centerInclusion criteriaSurgical experiencePedicle techniquePostoperative photographsGigantomastiaHigh incidenceTrends in insurance coverage for adolescent reduction mammaplasty
Kimia R, Magee L, Caplan HS, Low DW, Jackson OA, Butler PD. Trends in insurance coverage for adolescent reduction mammaplasty. The American Journal Of Surgery 2022, 224: 1068-1073. PMID: 35973871, DOI: 10.1016/j.amjsurg.2022.07.030.Peer-Reviewed Original ResearchConceptsReduction mammaplastyRetrospective cohort studyLow-income patientsZip code median incomeAdult patientsBreast clinicCohort studySymptomatic macromastiaClinical variablesClinical studiesInsurance criteriaAdolescent populationPatientsEffective interventionsInsurance coverageDemographic informationMammaplastyPreauthorizationAdolescents' reductionMedian incomeMacromastiaClinicStudyCriteriaCare
2021
A Matched Comparison of the Benefits of Breast Reduction on Health-Related Quality of Life
Elfanagely O, Othman S, Rios-Diaz AJ, Cunning JR, Whitely C, Butler P, Fischer JP. A Matched Comparison of the Benefits of Breast Reduction on Health-Related Quality of Life. Plastic & Reconstructive Surgery 2021, 148: 729-735. PMID: 34550925, DOI: 10.1097/prs.0000000000008312.Peer-Reviewed Original ResearchConceptsBreast reduction surgeryQuality of lifeReduction surgeryPropensity-matched patientsBody mass indexPreoperative surveyNonsurgical patientsBaseline characteristicsPatient demographicsPostoperative visitOperative groupMass indexBreast examinationMatched ComparisonSurgical proceduresBreast reductionConsultation visitPatientsSurgerySignificant improvementAspects of qualityPropensity scorePlastic surgeonsParticipant ageMacromastiaShort- and Long-Term Outcomes following Severe Traumatic Lower Extremity Reconstruction: The Value of an Orthoplastic Limb Salvage Center to Racially Underserved Communities
Naga HI, Azoury SC, Othman S, Couto JA, Mehta S, Levin LS, Butler PD, Kovach SJ. Short- and Long-Term Outcomes following Severe Traumatic Lower Extremity Reconstruction: The Value of an Orthoplastic Limb Salvage Center to Racially Underserved Communities. Plastic & Reconstructive Surgery 2021, 148: 646-654. PMID: 34432698, DOI: 10.1097/prs.0000000000008277.Peer-Reviewed Original ResearchConceptsLower extremity reconstructionAfrican American patientsTraumatic lower extremity reconstructionExtremity reconstructionAmerican patientsFull weight-bearing statusLong-term functional statusCLINICAL QUESTION/LEVELPostoperative rehabilitation strategyWeight-bearing statusShort-term complicationsNumber of readmissionsChronic pain managementLong-term outcomesTotal flap failurePatient demographicsPain managementAmbulation statusRetrospective reviewNonwhite raceCaucasian patientsFunctional statusFlap failureRacial groupsInclusion criteriaReassessing career pathways of surgical leaders: An examination of surgical leaders’ early accomplishments
Meer E, Hughes BD, Martin CA, Rios-Diaz AJ, Patel V, Pugh CM, Berry C, Stain SC, Britt LD, Stein SL, Butler PD. Reassessing career pathways of surgical leaders: An examination of surgical leaders’ early accomplishments. The American Journal Of Surgery 2021, 222: 933-936. PMID: 33894978, DOI: 10.1016/j.amjsurg.2021.04.012.Peer-Reviewed Original ResearchConceptsAmerican Surgical Association
2020
Contemporary treatment of keloids: A 10-year institutional experience with medical management, surgical excision, and radiation therapy
Akinbiyi T, Kozak GM, Davis HD, Barrette LX, Rios-Diaz AJ, Maxwell R, Tilahun ED, Jones JA, Broach RB, Butler PD. Contemporary treatment of keloids: A 10-year institutional experience with medical management, surgical excision, and radiation therapy. The American Journal Of Surgery 2020, 221: 689-696. PMID: 32878694, DOI: 10.1016/j.amjsurg.2020.07.035.Peer-Reviewed Original ResearchConceptsSurgical excisionMedical managementRadiation therapyKeloid treatmentPostoperative steroidsMedian ageRT groupMore complicationsSingle centerRecurrence rateFemale sexMale genderHigh radiation dosesInstitutional experienceRecurrenceContemporary treatmentLogistic regressionComplicationsExcisionDecade-long experiencePatientsRadiation dosesCosmesisTherapyTreatmentPost-mastectomy breast reconstruction: reducing the disparity through educational outreach to the underserved
Familusi O, Rios-Diaz AJ, Tilahun ED, Cunning JR, Broach RB, Brooks AD, Guerra CE, Butler PD. Post-mastectomy breast reconstruction: reducing the disparity through educational outreach to the underserved. Supportive Care In Cancer 2020, 29: 1055-1063. PMID: 32592032, DOI: 10.1007/s00520-020-05589-5.Peer-Reviewed Original ResearchConceptsBreast cancer careCancer careBreast reconstructionUnderserved populationsBreast reconstruction optionsEducational symposiumBreast cancer conceptsMedian ageSurgical managementBreast healthCancer screeningHealth literacyPatient testimonialsConclusionThis studyReconstruction optionsGreater Philadelphia areaEthnic disparitiesSurvey scoresCancer conceptsCareUnderserved communitiesCommunity awarenessPhysiciansCommunity outreachEducational outreachWhen excellence is still not enough
Butler PD. When excellence is still not enough. The American Journal Of Surgery 2020, 220: 543-544. PMID: 32622506, DOI: 10.1016/j.amjsurg.2020.06.015.Peer-Reviewed Original Research
2019
Pursing a career in academic surgery among African American medical students
Roberts SE, Shea JA, Sellers M, Butler PD, Kelz RR. Pursing a career in academic surgery among African American medical students. The American Journal Of Surgery 2019, 219: 598-603. PMID: 31470975, DOI: 10.1016/j.amjsurg.2019.08.009.Peer-Reviewed Original ResearchConceptsAfrican American studentsAcademic surgical careerAmerican studentsSurgical careerAfrican American medical studentsAmerican medical studentsLack of mentorshipFormal mentorship programURM studentsPipeline programsMedical schoolsMedical studentsStudentsAcademic surgeryMentorship programCareerExplicit goalWhite environmentStudy findingsLifestyle concernsDescriptive studyFinancial pressuresProgramUniversity of PennsylvaniaRecruiting processImprovement in racial disparity among patients undergoing panniculectomy after bariatric surgery
Rhemtulla IA, Vonderhaar RJ, Mauch JT, Broach RB, Familusi O, Butler PD. Improvement in racial disparity among patients undergoing panniculectomy after bariatric surgery. The American Journal Of Surgery 2019, 218: 37-41. PMID: 30654917, DOI: 10.1016/j.amjsurg.2019.01.002.Peer-Reviewed Original Research
2018
Racial disparities in surgical outcomes of patients with Inflammatory Bowel Disease
Montgomery SR, Butler PD, Wirtalla CJ, Collier KT, Hoffman RL, Aarons CB, Damrauer SM, Kelz RR. Racial disparities in surgical outcomes of patients with Inflammatory Bowel Disease. The American Journal Of Surgery 2018, 215: 1046-1050. PMID: 29803499, PMCID: PMC7764563, DOI: 10.1016/j.amjsurg.2018.05.011.Peer-Reviewed Original ResearchConceptsInflammatory bowel diseaseBlack patientsBowel diseaseSurgeons National Surgical Quality Improvement ProgramNational Surgical Quality Improvement ProgramMultivariable logistic regression modelingSurgical Quality Improvement ProgramRetrospective cohort studyTraditional risk factorsLogistic regression modelingQuality Improvement ProgramASA classIBD patientsEmergent surgeryCohort studySerious morbidityWhite patientsStoma creationSurgical outcomesHealth disparities researchRisk factorsAmerican CollegePatientsSurgeryRacial disparities
2017
The Relationship Between Geographic Access to Plastic Surgeons and Breast Reconstruction Rates Among Women Undergoing Mastectomy for Cancer
Bauder AR, Gross CP, Killelea BK, Butler PD, Kovach SJ, Fox JP. The Relationship Between Geographic Access to Plastic Surgeons and Breast Reconstruction Rates Among Women Undergoing Mastectomy for Cancer. Annals Of Plastic Surgery 2017, 78: 324-329. PMID: 28177978, DOI: 10.1097/sap.0000000000000849.Peer-Reviewed Original ResearchConceptsBreast reconstruction ratesPlastic surgeon densityBreast reconstructionSurgeon densityGeographic accessPlastic surgeonsHealth service area (HSA) levelAmbulatory surgery dataAppropriate clinical expertiseNational health care policyReconstruction rateHealth care policyFinal cohortInsurance statusPostmastectomy reconstructionBreast cancerClinical expertiseSurgery dataAdult womenMastectomyDensity areasRacial disparitiesSurgeonsCare policyWomen
2016
Geographic Variation in Access to Plastic Surgeons
Bauder AR, Sarik JR, Butler PD, Noone RB, Fischer JP, Serletti JM, Kanchwala SK, Kovach SJ, Fox JP. Geographic Variation in Access to Plastic Surgeons. Annals Of Plastic Surgery 2016, 76: 238-243. PMID: 26545221, DOI: 10.1097/sap.0000000000000651.Peer-Reviewed Original Research
2008
Major Deficit in the Number of Underrepresented Minority Academic Surgeons Persists
Butler PD, Longaker MT, Britt LD. Major Deficit in the Number of Underrepresented Minority Academic Surgeons Persists. Annals Of Surgery 2008, 248: 704-709. PMID: 18948795, DOI: 10.1097/sla.0b013e31817f2c30.Peer-Reviewed Original Research