Journal
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
Volume 65, Issue 3, Pages 289-294Publisher
ELSEVIER SCI LTD
DOI: 10.1016/j.bjps.2011.09.031
Keywords
Breast reconstruction; National Surgical Quality Improvement Program; Complications; Morbidity; Breast cancer; Infection
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Funding
- Peter Jay Sharp Foundation
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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. (C) 2011 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
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