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 criteria
2020
Contemporary 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 outreachThe 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
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
2016
Geographic Variation in Access to Plastic Surgeons
Bauder AR, Sarik JR, Butler PD, Noone RB, Fischer JP, Serletti JM, Kanchwala SK, Kovach SJ, Fox JP. Geographic Variation in Access to Plastic Surgeons. Annals Of Plastic Surgery 2016, 76: 238-243. PMID: 26545221, DOI: 10.1097/sap.0000000000000651.Peer-Reviewed Original Research
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
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