2023
How Does Reduction Mammaplasty Surgical Technique Impact Clinical, Aesthetic, and Patient-Reported Outcomes?
Cunning J, Mookerjee V, Alper D, Rios-Diaz A, Bauder A, Kimia R, Broach R, Barrette L, Fischer J, Butler P. How Does Reduction Mammaplasty Surgical Technique Impact Clinical, Aesthetic, and Patient-Reported Outcomes? Annals Of Plastic Surgery 2023, 91: 28-35. PMID: 37450858, DOI: 10.1097/sap.0000000000003610.Peer-Reviewed Original ResearchConceptsInferior pedicle techniqueQuality of lifePedicle techniqueInferior pedicle reduction mammoplastyBREAST-Q surveysGrade 3 ptosisPatient-reported outcomesShorter procedure timeInferior pedicle reductionReduction mammoplasty techniqueReduction mammaplasty techniquePostoperative complicationsPatient characteristicsSymptomatic macromastiaSingle surgeonWound dehiscenceMammoplasty techniqueSuperomedial pedicleReduction mammoplastyProcedure timePatientsComplicationsLife outcomesMammaplasty techniqueBreast aesthetics
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 ResearchMeSH KeywordsAdultBreastHumansHypertrophyMammaplastyNipplesRetrospective StudiesSurgical FlapsTreatment OutcomeConceptsFree 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 ResearchMeSH KeywordsAdolescentAdultBreastChildFemaleHumansHypertrophyInsurance CoverageMammaplastyRetrospective StudiesConceptsReduction mammaplastyRetrospective cohort studyLow-income patientsZip code median incomeAdult patientsBreast clinicCohort studySymptomatic macromastiaClinical variablesClinical studiesInsurance criteriaAdolescent populationPatientsEffective interventionsInsurance coverageDemographic informationMammaplastyPreauthorizationAdolescents' reductionMedian incomeMacromastiaClinicStudyCriteriaCareRacial and Ethnic Disparities in Surgical Outcomes after Postmastectomy Breast Reconstruction.
Sarver MM, Rames JD, Ren Y, Greenup RA, Shammas RL, Hwang ES, Hollenbeck ST, Hyslop T, Butler PD, Fayanju OM. Racial and Ethnic Disparities in Surgical Outcomes after Postmastectomy Breast Reconstruction. Journal Of The American College Of Surgeons 2022, 234: 760-771. PMID: 35426388, PMCID: PMC9347225, DOI: 10.1097/xcs.0000000000000143.Peer-Reviewed Original ResearchConceptsLength of stayLonger LOSPostmastectomy breast reconstructionPostoperative complicationsWhite womenBreast reconstructionBreast cancerNational Inpatient Sample databasePost-mastectomy reconstructionType of reconstructionRace/ethnicityPerioperative comorbiditiesPreoperative comorbiditiesComorbidity scorePerioperative complicationsPerioperative factorsPatient demographicsPerioperative outcomesSurgical complicationsComorbid conditionsSurgical outcomesPostmastectomy reconstructionMicrosurgical complicationsPrimary careAutologous reconstruction
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 ageMacromastiaPersistent Disparities in Postmastectomy Breast Reconstruction and Strategies for Mitigation
Butler PD, Morris MP, Momoh AO. Persistent Disparities in Postmastectomy Breast Reconstruction and Strategies for Mitigation. Annals Of Surgical Oncology 2021, 28: 6099-6108. PMID: 34287788, DOI: 10.1245/s10434-021-10487-z.Peer-Reviewed Original ResearchMeSH KeywordsBlack or African AmericanBreast NeoplasmsFemaleHealthcare DisparitiesHumansMammaplastyMastectomyConceptsAfrican American womenPostmastectomy breast reconstructionBreast reconstructionReconstructive optionsBreast cancer care continuumAmerican womenRacial disparitiesPhysician referral patternsMore risk factorsStandard of careCancer care continuumBreast reconstruction ratesRacial differencesPersistent racial disparitiesPatient comorbiditiesClinical outcomesReferral patternsPatient knowledgeRisk factorsCare continuumSocial determinantsWhite womenDecision-making satisfactionWomenPersistent disparitiesAssessing Disparities in Reduction Mammaplasty: There Is Room for Improvement
Morris MP, Christopher AN, Patel V, Broach RB, Fischer JP, Butler PD. Assessing Disparities in Reduction Mammaplasty: There Is Room for Improvement. Aesthetic Surgery Journal 2021, 41: np796-np803. PMID: 33735387, DOI: 10.1093/asj/sjab138.Peer-Reviewed Original ResearchMeSH KeywordsBreastBreast NeoplasmsFemaleHumansMammaplastyPatient SatisfactionPostoperative PeriodQuality of LifeConceptsBreast reduction mammaplastyPostoperative satisfactionReduction mammaplastyBlack/African American patientsBREAST-Q domainsComplex concomitant proceduresPatient-reported qualityAfrican American patientsSub-group analysisWilcoxon rank sumConcomitant proceduresPatient demographicsPerioperative counselingLife scoresQOL scoresCaucasian patientsAmerican patientsPatient educationInclusion criteriaSurgical careBreast reductionKruskal-Wallis testPatientsMedian incomeSocioeconomic disparities
2020
Post-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 outreach
2017
Influence of race, insurance status, and geographic access to plastic surgeons on immediate breast reconstruction rates
Butler PD, Familusi O, Serletti JM, Fox JP. Influence of race, insurance status, and geographic access to plastic surgeons on immediate breast reconstruction rates. The American Journal Of Surgery 2017, 215: 987-994. PMID: 29103529, DOI: 10.1016/j.amjsurg.2017.09.037.Peer-Reviewed Original ResearchConceptsImmediate breast reconstructionIBR ratesCaucasian womenImmediate breast reconstruction ratesAmbulatory surgery dataBreast reconstruction ratesPlastic surgeon densityFinal cohortInsurance statusBreast reconstructionBreast cancerLargest absolute increaseHealth servicesSurgeon densitySurgery dataAdult womenPublic insuranceStatus subgroupsPrivate insuranceGeographic accessAsian womenAbsolute increasePlastic surgeonsWomenInfluence of raceThe 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
2015
Racial and age disparities persist in immediate breast reconstruction: an updated analysis of 48,564 patients from the 2005 to 2011 American College of Surgeons National Surgery Quality Improvement Program data sets
Butler PD, Nelson JA, Fischer JP, Wink JD, Chang B, Fosnot J, Wu LC, Serletti JM. Racial and age disparities persist in immediate breast reconstruction: an updated analysis of 48,564 patients from the 2005 to 2011 American College of Surgeons National Surgery Quality Improvement Program data sets. The American Journal Of Surgery 2015, 212: 96-101. PMID: 26545345, DOI: 10.1016/j.amjsurg.2015.08.025.Peer-Reviewed Original ResearchConceptsSurgical complication rateNon-Caucasian raceAmerican CollegeComplication rateDiabetes mellitusOlder ageImmediate breast reconstruction ratesImmediate breast reconstructionMultivariate logistic regressionBreast reconstruction ratesLack of associationProgram data setCurrent smokingPatient comorbiditiesSurgical morbidityComorbid conditionsBreast reconstructionCardiovascular diseaseOlder womenLogistic regressionStudy periodAge disparitiesMellitusMastectomyPatients
2014
African-American women have equivalent outcomes following autologous free flap breast reconstruction despite greater preoperative risk factors
Butler PD, Nelson JA, Fischer JP, Chang B, Kanchwala S, Wu LC, Serletti JM. African-American women have equivalent outcomes following autologous free flap breast reconstruction despite greater preoperative risk factors. The American Journal Of Surgery 2014, 209: 589-596. PMID: 25576165, DOI: 10.1016/j.amjsurg.2014.11.002.Peer-Reviewed Original ResearchConceptsPreoperative risk factorsAutologous breast reconstructionBreast cancer patientsBreast reconstructionRisk factorsCancer patientsAfrican American breast cancer patientsAutologous free flap breast reconstructionFemale breast cancer patientsFree flap breast reconstructionFlap breast reconstructionAfrican American patientsBreast cancer treatmentAutologous tissue transferAfrican American womenPreoperative comorbiditiesPostoperative complicationsPostoperative morbidityPreoperative characteristicsClinical outcomesSingle institutionCaucasian patientsEquivalent outcomesHealthcare disparitiesPatients