Canadian Expert Opinion on Breast Reconstruction Access: Strategies to Optimize Care during COVID-19
Background:. Breast reconstructive services are medically necessary, time-sensitive procedures with meaningful health-related quality of life benefits for breast cancer survivors. The COVID-19 global pandemic has resulted in unprecedented restrictions in surgical access, including access to breast r...
| Main Authors: | , , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2022-02-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004204 |
| _version_ | 1818744519891353600 |
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| author | Kathryn V. Isaac, MD, MPH Edward W. Buchel, MD Muriel M. Brackstone, MD, MSc, PhD Christopher Doherty, MD, MPH Joan E. Lipa, MD, MSc Toni Zhong, MD, MHS John L. Semple, MD, MSc Mitchell H. Brown, MD, MEd Laura Snell, MD, MSc Mary-Helen Mahoney, MD Joshua Vorstenbosch, MD, PhD Margaret Wheelock, MD Sheina A. Macadam, MD, MHS Christopher J. Coroneos, MD, MSc Marie-Pascale Tremblay-Champagne, MD Sophocles H. Voineskos, MD, MSc Jing Zhang, MD, PhD Ron Somogyi, MD, MSc Claire Temple-Oberle, MD, MSc Douglas Ross, MD, MEd |
| author_facet | Kathryn V. Isaac, MD, MPH Edward W. Buchel, MD Muriel M. Brackstone, MD, MSc, PhD Christopher Doherty, MD, MPH Joan E. Lipa, MD, MSc Toni Zhong, MD, MHS John L. Semple, MD, MSc Mitchell H. Brown, MD, MEd Laura Snell, MD, MSc Mary-Helen Mahoney, MD Joshua Vorstenbosch, MD, PhD Margaret Wheelock, MD Sheina A. Macadam, MD, MHS Christopher J. Coroneos, MD, MSc Marie-Pascale Tremblay-Champagne, MD Sophocles H. Voineskos, MD, MSc Jing Zhang, MD, PhD Ron Somogyi, MD, MSc Claire Temple-Oberle, MD, MSc Douglas Ross, MD, MEd |
| author_sort | Kathryn V. Isaac, MD, MPH |
| collection | DOAJ |
| description | Background:. Breast reconstructive services are medically necessary, time-sensitive procedures with meaningful health-related quality of life benefits for breast cancer survivors. The COVID-19 global pandemic has resulted in unprecedented restrictions in surgical access, including access to breast reconstructive services. A national approach is needed to guide the strategic use of resources during times of fluctuating restrictions on surgical access due to COVID-19 demands on hospital capacity.
Methods:. A national team of experts were convened for critical review of healthcare needs and development of recommendations and strategies for patients seeking breast reconstruction during the pandemic. Following critical review of literature, expert discussion by teleconference meetings, and evidenced-based consensus, best practice recommendations were developed to guide national provision of breast reconstructive services.
Results:. Recommendations include strategic use of multidisciplinary teams for patient selection and triage with centralized coordinated use of alternate treatment plans during times of resource restrictions. With shared decision-making, patient-centered shifting and consolidation of resources facilitate efficient allocation. Targeted application of perioperative management strategies and surgical treatment plans maximize the provision of breast reconstructive services.
Conclusions:. A unified national approach to strategically reorganize healthcare delivery is feasible to uphold standards of patient-centered care for patients interested in breast reconstruction. |
| first_indexed | 2024-12-18T02:45:36Z |
| format | Article |
| id | doaj.art-0c65a78b51434f9099285cb18eb84c3b |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-12-18T02:45:36Z |
| publishDate | 2022-02-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-0c65a78b51434f9099285cb18eb84c3b2022-12-21T21:23:33ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742022-02-01102e420410.1097/GOX.0000000000004204202202000-00071Canadian Expert Opinion on Breast Reconstruction Access: Strategies to Optimize Care during COVID-19Kathryn V. Isaac, MD, MPH0Edward W. Buchel, MD1Muriel M. Brackstone, MD, MSc, PhD2Christopher Doherty, MD, MPH3Joan E. Lipa, MD, MSc4Toni Zhong, MD, MHS5John L. Semple, MD, MSc6Mitchell H. Brown, MD, MEd7Laura Snell, MD, MSc8Mary-Helen Mahoney, MD9Joshua Vorstenbosch, MD, PhD10Margaret Wheelock, MD11Sheina A. Macadam, MD, MHS12Christopher J. Coroneos, MD, MSc13Marie-Pascale Tremblay-Champagne, MD14Sophocles H. Voineskos, MD, MSc15Jing Zhang, MD, PhD16Ron Somogyi, MD, MSc17Claire Temple-Oberle, MD, MSc18Douglas Ross, MD, MEd19From the * Division of Plastic Surgery, University of British Columbia, Vancouver, BC, Canada† Department of Surgery, University of Manitoba, Winnipeg, MB, Canada‡ Department of Surgical Oncology, London Health Sciences Centre, London, ON, CanadaFrom the * Division of Plastic Surgery, University of British Columbia, Vancouver, BC, Canada§ Department of Surgery, University of Toronto, Toronto, ON, Canada§ Department of Surgery, University of Toronto, Toronto, ON, Canada§ Department of Surgery, University of Toronto, Toronto, ON, Canada∥ Division of Plastic Surgery, Women’s College Hospital, Toronto, ON, Canada§ Department of Surgery, University of Toronto, Toronto, ON, Canada§ Department of Surgery, University of Toronto, Toronto, ON, Canada** Division of Plastic and Reconstructive Surgery, McGill University, Montreal, QC, Canada†† Division of Plastic Surgery, Dalhousie University, Halifax, NS, CanadaFrom the * Division of Plastic Surgery, University of British Columbia, Vancouver, BC, Canada‡‡ Division of Plastic Surgery, McMaster University, Hamilton, ON, Canada§§ Department of Surgery, Université de Montréal, Montreal, QC, Canada‡‡ Division of Plastic Surgery, McMaster University, Hamilton, ON, Canada∥∥ Division of Plastic Surgery, University of Ottawa, Ottawa, ON, Canada‡ Department of Surgical Oncology, London Health Sciences Centre, London, ON, Canada*** Department of Surgery and Oncology, University of Calgary, Calgary, AB, Canada††† Division of Plastic and Reconstructive Surgery, Schulich School of Medicine and Dentistry, University of Western Ontario, London, ON, Canada.Background:. Breast reconstructive services are medically necessary, time-sensitive procedures with meaningful health-related quality of life benefits for breast cancer survivors. The COVID-19 global pandemic has resulted in unprecedented restrictions in surgical access, including access to breast reconstructive services. A national approach is needed to guide the strategic use of resources during times of fluctuating restrictions on surgical access due to COVID-19 demands on hospital capacity. Methods:. A national team of experts were convened for critical review of healthcare needs and development of recommendations and strategies for patients seeking breast reconstruction during the pandemic. Following critical review of literature, expert discussion by teleconference meetings, and evidenced-based consensus, best practice recommendations were developed to guide national provision of breast reconstructive services. Results:. Recommendations include strategic use of multidisciplinary teams for patient selection and triage with centralized coordinated use of alternate treatment plans during times of resource restrictions. With shared decision-making, patient-centered shifting and consolidation of resources facilitate efficient allocation. Targeted application of perioperative management strategies and surgical treatment plans maximize the provision of breast reconstructive services. Conclusions:. A unified national approach to strategically reorganize healthcare delivery is feasible to uphold standards of patient-centered care for patients interested in breast reconstruction.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004204 |
| spellingShingle | Kathryn V. Isaac, MD, MPH Edward W. Buchel, MD Muriel M. Brackstone, MD, MSc, PhD Christopher Doherty, MD, MPH Joan E. Lipa, MD, MSc Toni Zhong, MD, MHS John L. Semple, MD, MSc Mitchell H. Brown, MD, MEd Laura Snell, MD, MSc Mary-Helen Mahoney, MD Joshua Vorstenbosch, MD, PhD Margaret Wheelock, MD Sheina A. Macadam, MD, MHS Christopher J. Coroneos, MD, MSc Marie-Pascale Tremblay-Champagne, MD Sophocles H. Voineskos, MD, MSc Jing Zhang, MD, PhD Ron Somogyi, MD, MSc Claire Temple-Oberle, MD, MSc Douglas Ross, MD, MEd Canadian Expert Opinion on Breast Reconstruction Access: Strategies to Optimize Care during COVID-19 Plastic and Reconstructive Surgery, Global Open |
| title | Canadian Expert Opinion on Breast Reconstruction Access: Strategies to Optimize Care during COVID-19 |
| title_full | Canadian Expert Opinion on Breast Reconstruction Access: Strategies to Optimize Care during COVID-19 |
| title_fullStr | Canadian Expert Opinion on Breast Reconstruction Access: Strategies to Optimize Care during COVID-19 |
| title_full_unstemmed | Canadian Expert Opinion on Breast Reconstruction Access: Strategies to Optimize Care during COVID-19 |
| title_short | Canadian Expert Opinion on Breast Reconstruction Access: Strategies to Optimize Care during COVID-19 |
| title_sort | canadian expert opinion on breast reconstruction access strategies to optimize care during covid 19 |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004204 |
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