2024
Multimodality Imaging of Postmastectomy Breast Reconstruction Techniques, Complications, and Tumor Recurrence.
Thai J, Sodagari F, Colwell A, Winograd J, Revzin M, Mahmoud H, Mozayan S, Chou S, Destounis S, Butler R. Multimodality Imaging of Postmastectomy Breast Reconstruction Techniques, Complications, and Tumor Recurrence. RadioGraphics 2024, 44: e230070. PMID: 38573814, DOI: 10.1148/rg.230070.Peer-Reviewed Original ResearchConceptsTumor recurrencePostoperative evaluation of patientsFlap reconstruction methodsImplant-based reconstructionMultimodal imagingBreast reconstruction techniquesFat graft placementBreast cancer recurrenceTissue flap reconstructionEvaluation of patientsNipple-sparing techniquesTissue donor sitesFlap-based reconstructionNipple-areolar complex reconstructionDiagnostic breast imagingUnique patient populationAutologous tissue flapsAbnormal imaging appearancesBreast cancer screeningMastectomy optionLocal recurrenceOncoplastic surgeryDisease recurrenceFlap reconstructionReconstructed breastThe Present and Future of Postmastectomy Radiation
Ohri N, George M, Omene C, Haffty B. The Present and Future of Postmastectomy Radiation. International Journal Of Radiation Oncology • Biology • Physics 2024, 118: 466-467. PMID: 38220259, DOI: 10.1016/j.ijrobp.2023.10.002.Peer-Reviewed Original Research
2023
Patient Preferences for Postmastectomy Breast Reconstruction
Shammas R, Hung A, Mullikin A, Sergesketter A, Lee C, Reed S, Fish L, Greenup R, Hollenbeck S. Patient Preferences for Postmastectomy Breast Reconstruction. JAMA Surgery 2023, 158: 1285-1292. PMID: 37755818, PMCID: PMC10535024, DOI: 10.1001/jamasurg.2023.4432.Peer-Reviewed Original ResearchConceptsRisk of complicationsBreast reconstructionAbdominal morbidityFlap reconstructionBreast cancerGenetic predispositionPatient-physician discussionsImplant-based reconstructionPostmastectomy breast reconstructionCross-sectional studyChance of complicationsPatient-centered careAdditional operationsHigher educational levelMajor complicationsPreoperative counselingPatient preferencesFlap appearanceTreatment preferencesImplant reconstructionMAIN OUTCOMENew diagnosisPatient valuesComplicationsMean increaseVisual representation of diversity in online patient education materials for reduction mammaplasty
Kammien A, Zhao K, Wride A, Butler P, Ayyala H. Visual representation of diversity in online patient education materials for reduction mammaplasty. Journal Of Plastic Reconstructive & Aesthetic Surgery 2023, 87: 284-286. PMID: 37925916, DOI: 10.1016/j.bjps.2023.10.110.Peer-Reviewed Original ResearchMeSH KeywordsEstheticsFemaleHumansMammaplastyPatient Education as TopicSurgeonsSurgery, PlasticUnited StatesConceptsAmerican Society of Plastic SurgeonsOnline patient education materialsReduction mammaplastyPatient education materialsAcademic plastic surgery programsStatistically significant differencePlastic surgery programsSurgeon groupPatient populationSurgery programsPlastic surgeonsPlastic surgeryProportion of imagesSignificant differencePrivate groupsRepresentation of diversityMammaplastySkin scalesNon-whiteAmerican SocietyPatientsHow 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 aestheticsRisk of Squamous Cell Carcinoma of the Breast Following Postmastectomy Implant Reconstruction in Women With Breast Cancer and Carcinoma in Situ
Kinslow C, Yu J, DeStephano D, Kachnic L, Cheng S, Neugut A, Horowitz D. Risk of Squamous Cell Carcinoma of the Breast Following Postmastectomy Implant Reconstruction in Women With Breast Cancer and Carcinoma in Situ. JAMA Surgery 2023, 158: 769-771. PMID: 37074722, PMCID: PMC10116379, DOI: 10.1001/jamasurg.2023.0262.Peer-Reviewed Original ResearchPostoperative Antibiotics Following Reduction Mammaplasty Does Not Reduce Rates of Surgical Site Infection
Mookerjee V, Kammien A, Prassinos A, Grauer J, Butler P. Postoperative Antibiotics Following Reduction Mammaplasty Does Not Reduce Rates of Surgical Site Infection. Aesthetic Surgery Journal 2023, 43: np494-np499. PMID: 36788713, DOI: 10.1093/asj/sjad030.Peer-Reviewed Original ResearchConceptsRate of SSISurgical site infectionBody mass indexReduction mammaplasty patientsPostoperative antibioticsPerioperative antibioticsED visitsSSI ratesSite infectionObese populationReduction mammaplastyPostoperative antibiotic useElixhauser Comorbidity IndexEmergency department visitsSubgroup of patientsPostoperative prescriptionComorbidity indexObese patientsPostoperative courseDepartment visitsMass indexAntibiotic utilizationSubgroup analysisAntibiotic useHigh risk
2022
Patient-Reported Outcomes After Reduction Mammoplasty Using BREAST-Q: A Systematic Review and Meta-Analysis
Wang A, Panayi A, Fischer S, Diehm Y, Tapking C, Hundeshagen G, Kneser U, Mastroianni M, Pomahac B, Haug V. Patient-Reported Outcomes After Reduction Mammoplasty Using BREAST-Q: A Systematic Review and Meta-Analysis. Aesthetic Surgery Journal 2022, 43: np231-np241. PMID: 36411260, DOI: 10.1093/asj/sjac293.Peer-Reviewed Original ResearchOutcomes 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 incidenceFlap to Mastectomy Mass: Are Higher Ratios Associated with Greater Breast Reconstruction Satisfaction?
Long AS, Ching A, Hauc SC, Mozaffari MA, Junn AH, Rivera JC, Almeida MN, Alper DP, Allam O, Alperovich M. Flap to Mastectomy Mass: Are Higher Ratios Associated with Greater Breast Reconstruction Satisfaction? Journal Of Reconstructive Microsurgery 2022, 39: 209-213. PMID: 35752166, DOI: 10.1055/a-1885-1540.Peer-Reviewed Original ResearchConceptsBREAST-Q surveysAutologous breast reconstructionBody mass indexPatient satisfactionBreast reconstructionHigh patient-reported satisfactionLong-term patient satisfactionPatient underwent radiation therapySuperior patient-reported outcomesDeep inferior epigastric perforator flapPatient-reported satisfactionUnderwent radiation therapyPatient-reported outcomesNumber of surgeriesMost patientsMass indexRetrospective studySurgery failureBreast ScoreRadiation therapySmall breastsPerforator flapProsthetic techniquesBreast sizePatientsTrends 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 incomeMacromastiaClinicStudyCriteriaCareEditorial Comment on: One-Year Experience of Same-Day Mastectomy and Breast Reconstruction Protocol
Kim LS, Park T, Berger ER, Golshan M, Greenup RA. Editorial Comment on: One-Year Experience of Same-Day Mastectomy and Breast Reconstruction Protocol. Annals Of Surgical Oncology 2022, 29: 5361-5363. PMID: 35834143, PMCID: PMC9281278, DOI: 10.1245/s10434-022-12021-1.Peer-Reviewed Original ResearchThe modified 5-item frailty index is a predictor of perioperative risk in breast reconstruction: An analysis of 40,415 cases
Panayi AC, Foroutanjazi S, Parikh N, Haug V, Kauke-Navarro M, Diehm YF, Pomahac B. The modified 5-item frailty index is a predictor of perioperative risk in breast reconstruction: An analysis of 40,415 cases. Journal Of Plastic Reconstructive & Aesthetic Surgery 2022, 75: 2941-2954. PMID: 35599223, DOI: 10.1016/j.bjps.2022.04.035.Peer-Reviewed Original ResearchConceptsImplant-based reconstructionBreast reconstructionMFI-5Unplanned readmissionPostoperative outcomesSurgical complicationsMedical complicationsMFI scoreRisk predictorsSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseQuality Improvement Program databaseBreast reconstruction patientsFrailty index-5Powerful risk predictorImprovement Program databasePreoperative risk stratificationStrong risk predictorAutologous breast reconstructionAdverse surgical outcomesType of reconstructionHigh rateFrail patientsHospital stayPerioperative riskRacial 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 reconstructionRacial disparities in short-term outcomes after breast reduction surgery–A National Surgical Quality Improvement Project Analysis with 23,268 patients using Propensity Score Matching
Haug V, Kadakia N, Wang AT, Dorante MI, Panayi AC, Kauke-Navarro M, Hundeshagen G, Diehm YF, Fischer S, Hirche C, Kneser U, Pomahac B. Racial disparities in short-term outcomes after breast reduction surgery–A National Surgical Quality Improvement Project Analysis with 23,268 patients using Propensity Score Matching. Journal Of Plastic Reconstructive & Aesthetic Surgery 2022, 75: 1849-1857. PMID: 35131191, DOI: 10.1016/j.bjps.2022.01.001.Peer-Reviewed Original ResearchConceptsBreast reduction surgeryPropensity scoreSurgical complicationsPreoperative variablesReduction surgerySurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseQuality Improvement Program databaseMajor surgical complicationsImprovement Program databaseMinor surgical complicationsShort-term outcomesNon-white patientsNumber of patientsEthnic health inequalitiesNon-white cohortsPostoperative outcomesDiabetes mellitusMajor complicationsMedical complicationsSurgical outcomesPatient ethnicityProgram databaseInclusion criteriaSurgical careEffect of health care disparities on procedure selection of autologous breast reconstruction in Florida.
Huayllani MT, Torres-Guzman RA, Avila FR, Advani PP, Spaulding AC, Cochuyt JJ, Nguyen MT, Lu X, Rinker BD, Forte AJ. Effect of health care disparities on procedure selection of autologous breast reconstruction in Florida. Breast Disease 2022, 41: 75-80. PMID: 34487016, DOI: 10.3233/bd-210004.Peer-Reviewed Original ResearchConceptsAutologous breast reconstructionBreast reconstructionFree flapFlap reconstructionReconstructive surgeryAutologous breast reconstructive surgeryFlorida Inpatient Discharge DatasetPatients 18 yearsBreast reconstructive surgeryMultivariate logistic regressionPedicled flap reconstructionHealth care disparitiesMann-Whitney testHispanic patientsIndependent associationAutologous reconstructionBreast cancerHigher oddsPatientsCare disparitiesPedicled flapsProcedure selectionLogistic regressionPrivate insuranceFlap
2021
The Impact of implant-based reconstruction on persistent pain after breast cancer surgery: A systematic review
Guliyeva G, Torres RA, Avila FR, Kaplan JL, Lu X, Forte AJ. The Impact of implant-based reconstruction on persistent pain after breast cancer surgery: A systematic review. Journal Of Plastic Reconstructive & Aesthetic Surgery 2021, 75: 519-527. PMID: 34801428, DOI: 10.1016/j.bjps.2021.09.079.Peer-Reviewed Original ResearchMeSH KeywordsBreast ImplantationBreast ImplantsBreast NeoplasmsChronic PainFemaleHumansMammaplastyMastectomyConceptsBreast cancer surgeryPersistent painCancer surgeryFrequency of analgesicsPlastic surgeonsBreast cancer survivorsFull-text articlesAppropriate reconstruction techniqueCancer survivorsSurgical techniqueImplant reconstructionEligible articlesSystematic reviewPPBCTFinal reviewSame dosagePatientsRelevant articlesIncreased chanceLower chancePainSurgerySurgeonsMost studiesScopus databasesComparison of Autologous Breast Reconstruction Complications by Type of Neoadjuvant Chemotherapy Regimen
Olawoyin OM, Mehta S, Chouairi F, Gabrick KS, Avraham T, Pusztai L, Alperovich M. Comparison of Autologous Breast Reconstruction Complications by Type of Neoadjuvant Chemotherapy Regimen. Plastic & Reconstructive Surgery 2021, 148: 1186-1196. PMID: 34644277, DOI: 10.1097/prs.0000000000008505.Peer-Reviewed Original ResearchConceptsNeoadjuvant chemotherapy regimensMicrovascular breast reconstructionNeoadjuvant chemotherapyChemotherapy regimensComplication rateFat necrosisBreast reconstructionImmune cellsCLINICAL QUESTION/LEVELMultivariate binary logistic regressionYale-New Haven HospitalAdministration of taxanesBreast Reconstruction ComplicationsInclusion of anthracyclinesNeoadjuvant chemotherapy regimenDosage of chemotherapyNew Haven HospitalNeoadjuvant chemotherapy completionLogistic regression modelsBinary logistic regressionOncologic historyTaxane administrationChemotherapy regimenChemotherapy completionPathologic responseA 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 disparities
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