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 aestheticsPostoperative 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 ResearchMeSH KeywordsAnti-Bacterial AgentsAntibiotic ProphylaxisFemaleHumansMammaplastyObesityRetrospective StudiesSurgical Wound InfectionConceptsRate 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
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 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
Short- 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 criteriaIn 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 efforts
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 ResearchMeSH KeywordsEducational MeasurementFemaleGeneral SurgeryHumansInternship and ResidencyMaleRetrospective StudiesStudents, MedicalUnited StatesConceptsProportion 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 dosesCosmesisTherapyTreatment
2019
Improvement 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 ResearchMeSH KeywordsAbdominoplastyAdultBariatric SurgeryFemaleHumansMaleMiddle AgedRacial GroupsRetrospective Studies
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
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 ResearchMeSH KeywordsBlack or African AmericanBreast NeoplasmsFemaleFree Tissue FlapsHumansMammaplastyMiddle AgedRetrospective StudiesRisk FactorsTreatment OutcomeWhite PeopleConceptsPreoperative 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
2004
Coronary artery bypass with ventricular restoration is superior to coronary artery bypass alone in patients with ischemic cardiomyopathy
Maxey TS, Reece TB, Ellman PI, Butler PD, Kern JA, Tribble CG, Kron IL. Coronary artery bypass with ventricular restoration is superior to coronary artery bypass alone in patients with ischemic cardiomyopathy. Journal Of Thoracic And Cardiovascular Surgery 2004, 127: 428-434. PMID: 14762351, DOI: 10.1016/j.jtcvs.2003.09.024.Peer-Reviewed Original ResearchMeSH KeywordsAgedCardiomyopathiesCoronary Artery BypassEchocardiographyFemaleHeart Valve Prosthesis ImplantationHeart VentriclesHumansMaleMiddle AgedMitral Valve InsufficiencyMorbidityMyocardial IschemiaPostoperative ComplicationsRetrospective StudiesSeverity of Illness IndexShock, CardiogenicStatistics as TopicStroke VolumeTreatment OutcomeVentricular Dysfunction, LeftVirginiaConceptsCoronary artery bypass groupCoronary artery bypassArtery bypassPostoperative ejection fractionVentricular restorationBypass groupIschemic cardiomyopathyEjection fractionLate mortalityHeart failureVentricular volumeCoronary artery bypass patientsNormal ventricular volumeOutcomes of freedomLeft ventricular volumeHospital deathLate morbidityBypass patientsAcceptable therapyVentricular enlargementWorse outcomesRetrospective analysisLarger ventriclesPatientsBypass