2022
Racial 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 ResearchMeSH KeywordsBreast NeoplasmsEthnicityFemaleHealthcare DisparitiesHumansMaleMammaplastyMastectomyPostoperative ComplicationsRetrospective StudiesTreatment OutcomeUnited StatesConceptsLength 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 reconstructionMoving the Needle in Disparities Education for Surgical Trainees.
Plana NM, Butler PD. Moving the Needle in Disparities Education for Surgical Trainees. Journal Of The American College Of Surgeons 2022, 234: 188-190. PMID: 35213440, DOI: 10.1097/xcs.0000000000000024.Peer-Reviewed Original Research
2021
Persistent 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
2020
Toward an equitable society: building a culture of antiracism in health care
South EC, Butler PD, Merchant RM. Toward an equitable society: building a culture of antiracism in health care. Journal Of Clinical Investigation 2020, 130: 5039-5041. PMID: 32692730, PMCID: PMC7524478, DOI: 10.1172/jci141675.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 ResearchMeSH KeywordsAdultBreast NeoplasmsEarly Detection of CancerFemaleHealthcare DisparitiesHumansMammaplastyMastectomyMiddle AgedSurveys and QuestionnairesVulnerable PopulationsConceptsBreast 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
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
2009
Ethnic Diversity Remains Scarce in Academic Plastic and Reconstructive Surgery
Butler PD, Britt LD, Longaker MT. Ethnic Diversity Remains Scarce in Academic Plastic and Reconstructive Surgery. Plastic & Reconstructive Surgery 2009, 123: 1618-1627. PMID: 19407636, DOI: 10.1097/prs.0b013e3181a07610.Peer-Reviewed Original ResearchConceptsPlastic surgeonsPlastic surgeryResidents/fellowsHealth care disparitiesEntire health care systemHealth care workforceHealth care systemAcademic plastic surgeonsMinority patientsPlastic surgery residentsReconstructive surgeryU.S. plastic surgeonsCare disparitiesSurgeryHealth needsPatient careAcademic plasticHealth care environmentLatino AmericansDisparities persistCare systemSurgery residentsCare workforceDemographic informationSurgeons
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