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
Ensuring Both Accessibility and Usability of Breast Cancer Care
Oh S, Butler P. Ensuring Both Accessibility and Usability of Breast Cancer Care. Annals Of Surgical Oncology 2022, 30: 8-9. PMID: 36344712, DOI: 10.1245/s10434-022-12763-y.Peer-Reviewed Original ResearchUnderstanding public perception of bra size
Malphrus E, Desai A, Weiss E, Couto J, Broach R, Butler P. Understanding public perception of bra size. Journal Of Plastic Reconstructive & Aesthetic Surgery 2022, 75: 4197-4201. PMID: 36180339, DOI: 10.1016/j.bjps.2022.08.038.Peer-Reviewed Original ResearchConceptsBreast cup sizeCup sizeGeneral population sampleSurvey respondentsBreast surgeryPostoperative resultsPreoperative discussionGeneral populationPatientsBra sizeBreastPersonal historyDemographic questionnairePopulation samplePreoperative imagesPatient's breastSurgeonsWomenUse QuestionnaireQuestionnaireFemale respondentsRespondentsSurgeryTrends 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 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 reconstructionExamination of Intersectionality and the Pipeline for Black Academic Surgeons
Keshinro A, Butler P, Fayanju O, Khabele D, Newman E, Greene W, Welcome A, Joseph KA, Stallion A, Backhus L, Frangos S, DiMaggio C, Berman R, Hasson R, Rodriguez LM, Stain S, Bukur M, Klein MJ, Henry-Tillman R, Barry L, Oseni T, Martin C, Johnson-Mann C, Smith R, Karpeh M, White C, Turner P, Pugh C, Hayes-Jordan A, Berry C. Examination of Intersectionality and the Pipeline for Black Academic Surgeons. JAMA Surgery 2022, 157: 327-334. PMID: 35138327, PMCID: PMC8829744, DOI: 10.1001/jamasurg.2021.7430.Peer-Reviewed Original Research
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 criteriaPersistent 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 ResearchConceptsAfrican 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 disparitiesPrevalence of Workforce Diversity Research Among Surgical Specialties in the United States
Reghunathan M, Blum J, Gosman AA, Butler PD, Chen W. Prevalence of Workforce Diversity Research Among Surgical Specialties in the United States. Annals Of Plastic Surgery 2021, 87: 681-688. PMID: 34176900, DOI: 10.1097/sap.0000000000002868.Peer-Reviewed Original ResearchIn Search of Workforce Diversity? A Program’s Successful Approach
Llado-Farrulla M, Fosnot J, Couto J, Chang B, Broach RB, Rios-Diaz A, Fowler JA, Aarons CB, Serletti JM, Butler PD. In Search of Workforce Diversity? A Program’s Successful Approach. Plastic & Reconstructive Surgery 2021, 147: 1229-1233. PMID: 33890911, DOI: 10.1097/prs.0000000000007881.Peer-Reviewed Original ResearchConceptsReconstructive surgery residency programsSurgery residency programsResidency programsHealth care disparitiesNational averageRetrospective reviewPlastic surgery residentsCare disparitiesMultifactorial naturePlastic surgery traineesPlastic surgery residency programsSurgery residentsSurgery traineesAlaskan NativesMedicine residentsOngoing disparitiesCurrent national averageProgram residentsUniversity of PennsylvaniaPhysiciansHeterogeneous populationMedicineResidentsRecruitment effortsReassessing 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 AssociationAssessing 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 ResearchConceptsBreast 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
Looking Beyond the Numbers: Increasing Diversity and Inclusion Through Holistic Review in General Surgery Recruitment
Nehemiah A, Roberts SE, Song Y, Kelz RR, Butler PD, Morris JB, Aarons CB. Looking Beyond the Numbers: Increasing Diversity and Inclusion Through Holistic Review in General Surgery Recruitment. Journal Of Surgical Education 2020, 78: 763-769. PMID: 32950431, DOI: 10.1016/j.jsurg.2020.08.048.Peer-Reviewed Original ResearchConceptsProportion of womenGeneral surgery residency programsSurgery residency programsDiverse patient populationsResidency programsRetrospective studyPatient populationSubgroup analysisABSITE scoresCategorical positionAcademic centersUnited States Medical Licensing Exam scoresWomenCategorical internsIntern classScoresSignificant increaseRecruitment of womenUIM applicantsResidency trainingAmerican BoardUIM studentsNational medianPivotal roleTraining exam scoresContemporary 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 dosesCosmesisTherapyTreatmentBenchmarking Accomplishments of Leaders in American Surgery and Justification for Enhancing Diversity and Inclusion.
Butler PD, Pugh CM, Meer E, Lett E, Tilahun ED, Sanfey HA, Berry C, Stain SC, DeMatteo RP, Vickers SM, Britt LD, Martin CA. Benchmarking Accomplishments of Leaders in American Surgery and Justification for Enhancing Diversity and Inclusion. Annals Of Surgery 2020, 272: 897-903. PMID: 32649466, DOI: 10.1097/sla.0000000000004151.Peer-Reviewed Original ResearchPost-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 ResearchThe Impact of Race, Age, Gender, Income, and Level of Education on Motivations to Pursue Cosmetic Surgery and Surgeon Selection at an Academic Institution.
Ligh CA, Lett E, Broach RB, Enriquez FA, Jordan A, Percec I, Serletti JM, Butler PD. The Impact of Race, Age, Gender, Income, and Level of Education on Motivations to Pursue Cosmetic Surgery and Surgeon Selection at an Academic Institution. Plastic & Reconstructive Surgery 2020, 145: 932e-939e. PMID: 32332533, DOI: 10.1097/prs.0000000000006734.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 process