Summary
The American College of Surgeons National Surgical Quality Improvement Program (NSQIP)
is a prospective, multi-institutional clinical registry established as an auditing
instrument to monitor and improve patient care in surgery. To date no publication
has queried the NSQIP dataset from a plastic surgery perspective. A retrospective
analysis was carried out of all delayed breast reconstruction cases recorded by the
NSQIP from 2005 to 2008 (n=645). The 30-day morbidity was 5.7%, with wound infections being the most common complication.
Logistic regression analysis identified BMI >25 and preoperative radiotherapy as independent
risk factors for overall morbidity and wound infection. The NSQIP does not allow for
capture of procedure-specific outcomes and this results in underreporting of overall
morbidity compared to the literature; this may limit the capability to assess risk
factors for complications. As breast reconstruction modules for NSQIP are currently
under development, modifications to capture procedure-specific outcomes are recommended.
Keywords
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Article info
Publication history
Published online: October 18, 2011
Accepted:
September 5,
2011
Received:
May 9,
2011
Footnotes
☆Presented at the New England Society of Plastic and Reconstructive Surgeons Meeting, Hancock, MA, USA, June 4–6, 2010.
Identification
Copyright
© 2011 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
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- Invited commentaryJournal of Plastic, Reconstructive & Aesthetic SurgeryVol. 65Issue 3
- PreviewThis paper uses data from the United States National Surgical Quality Improvement Program and is both timely and informative. The sampled data was collected prospectively from a broad cross-section of US hospitals, and was used specifically to assess the outcomes of delayed breast reconstruction and their associated predictive factors.
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