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Research Article| Volume 65, ISSUE 3, P289-294, March 2012

An analysis of delayed breast reconstruction outcomes as recorded in the American College of Surgeons National Surgical Quality Improvement Program

Published:October 18, 2011DOI:https://doi.org/10.1016/j.bjps.2011.09.031

      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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      Linked Article

      • Invited commentary
        Journal of Plastic, Reconstructive & Aesthetic SurgeryVol. 65Issue 3
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          This 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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