The Influence of Surgical Specialty on Oncoplastic Breast Reconstruction
Background:. The integration of oncological surgery with reconstructive techniques has gained popularity in the treatment of breast cancer. oncoplastic reconstruction after partial mastectomy can be performed by the breast surgeon or in cooperation with a consulted plastic surgeon. This study aims t...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2019-05-01
|
| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000002248 |
| _version_ | 1819092311193157632 |
|---|---|
| author | Louise L. Blankensteijn, MD Dustin T. Crystal, BS Sabine A. Egeler, MD Rens R.B. Varkevisser, BS Ahmed M.S. Ibrahim, MD, PhD Ranjna Sharma, MD Bernard T. Lee, MD, MBA, MPH Samuel J. Lin, MD, MBA, FACS |
| author_facet | Louise L. Blankensteijn, MD Dustin T. Crystal, BS Sabine A. Egeler, MD Rens R.B. Varkevisser, BS Ahmed M.S. Ibrahim, MD, PhD Ranjna Sharma, MD Bernard T. Lee, MD, MBA, MPH Samuel J. Lin, MD, MBA, FACS |
| author_sort | Louise L. Blankensteijn, MD |
| collection | DOAJ |
| description | Background:. The integration of oncological surgery with reconstructive techniques has gained popularity in the treatment of breast cancer. oncoplastic reconstruction after partial mastectomy can be performed by the breast surgeon or in cooperation with a consulted plastic surgeon. This study aims to objectively assess the differences in outcomes for partial mastectomy and subsequent oncoplastic reconstruction performed by either general surgery alone or in combination with a plastic and reconstructive surgery team.
Methods:. Unilateral oncoplastic breast reconstruction cases were extracted from the National Surgical Quality Improvement Program databases from 2005 to 2017. Outcomes of cases performed by the general surgery team alone were compared with those in which the partial mastectomy was performed by the general surgeon with subsequent reconstruction performed by plastic surgeons. To account for cohort baseline differences, propensity score-matched analysis was performed.
Results:. In total, 4,350 patients were included in this study; 3,759 procedures were performed by general surgery alone versus 591 combined with plastic surgery. The analysis of propensity score-matched cohorts, comprising 490 patients each, showed no statistical difference in the risk for postoperative complications when surgery was performed by either of the 2 specialty services. A longer operative time and length of stay were found in the group reconstructed by plastic surgeons.
Conclusions:. This study found no significant differences in adverse postoperative outcomes for oncoplastic reconstructions after partial mastectomy between the 2 groups. The data may indicate collaboration between both surgical specialties in oncoplastic breast care was not associated with increased morbidity in these patients. |
| first_indexed | 2024-12-21T22:53:36Z |
| format | Article |
| id | doaj.art-69daf20e39be4ad3b8e8d1ef1041dd1c |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-12-21T22:53:36Z |
| publishDate | 2019-05-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-69daf20e39be4ad3b8e8d1ef1041dd1c2022-12-21T18:47:31ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742019-05-0175e224810.1097/GOX.0000000000002248201905000-00012The Influence of Surgical Specialty on Oncoplastic Breast ReconstructionLouise L. Blankensteijn, MD0Dustin T. Crystal, BS1Sabine A. Egeler, MD2Rens R.B. Varkevisser, BS3Ahmed M.S. Ibrahim, MD, PhD4Ranjna Sharma, MD5Bernard T. Lee, MD, MBA, MPH6Samuel J. Lin, MD, MBA, FACS7From the *Department of Surgery, Division of Plastic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Mass.From the *Department of Surgery, Division of Plastic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Mass.From the *Department of Surgery, Division of Plastic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Mass.†Department of Surgery, Division of Vascular and Endovascular Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Mass.From the *Department of Surgery, Division of Plastic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Mass.‡Department of Surgery, Division of Breast Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Mass.From the *Department of Surgery, Division of Plastic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Mass.From the *Department of Surgery, Division of Plastic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Mass.Background:. The integration of oncological surgery with reconstructive techniques has gained popularity in the treatment of breast cancer. oncoplastic reconstruction after partial mastectomy can be performed by the breast surgeon or in cooperation with a consulted plastic surgeon. This study aims to objectively assess the differences in outcomes for partial mastectomy and subsequent oncoplastic reconstruction performed by either general surgery alone or in combination with a plastic and reconstructive surgery team. Methods:. Unilateral oncoplastic breast reconstruction cases were extracted from the National Surgical Quality Improvement Program databases from 2005 to 2017. Outcomes of cases performed by the general surgery team alone were compared with those in which the partial mastectomy was performed by the general surgeon with subsequent reconstruction performed by plastic surgeons. To account for cohort baseline differences, propensity score-matched analysis was performed. Results:. In total, 4,350 patients were included in this study; 3,759 procedures were performed by general surgery alone versus 591 combined with plastic surgery. The analysis of propensity score-matched cohorts, comprising 490 patients each, showed no statistical difference in the risk for postoperative complications when surgery was performed by either of the 2 specialty services. A longer operative time and length of stay were found in the group reconstructed by plastic surgeons. Conclusions:. This study found no significant differences in adverse postoperative outcomes for oncoplastic reconstructions after partial mastectomy between the 2 groups. The data may indicate collaboration between both surgical specialties in oncoplastic breast care was not associated with increased morbidity in these patients.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000002248 |
| spellingShingle | Louise L. Blankensteijn, MD Dustin T. Crystal, BS Sabine A. Egeler, MD Rens R.B. Varkevisser, BS Ahmed M.S. Ibrahim, MD, PhD Ranjna Sharma, MD Bernard T. Lee, MD, MBA, MPH Samuel J. Lin, MD, MBA, FACS The Influence of Surgical Specialty on Oncoplastic Breast Reconstruction Plastic and Reconstructive Surgery, Global Open |
| title | The Influence of Surgical Specialty on Oncoplastic Breast Reconstruction |
| title_full | The Influence of Surgical Specialty on Oncoplastic Breast Reconstruction |
| title_fullStr | The Influence of Surgical Specialty on Oncoplastic Breast Reconstruction |
| title_full_unstemmed | The Influence of Surgical Specialty on Oncoplastic Breast Reconstruction |
| title_short | The Influence of Surgical Specialty on Oncoplastic Breast Reconstruction |
| title_sort | influence of surgical specialty on oncoplastic breast reconstruction |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000002248 |
| work_keys_str_mv | AT louiselblankensteijnmd theinfluenceofsurgicalspecialtyononcoplasticbreastreconstruction AT dustintcrystalbs theinfluenceofsurgicalspecialtyononcoplasticbreastreconstruction AT sabineaegelermd theinfluenceofsurgicalspecialtyononcoplasticbreastreconstruction AT rensrbvarkevisserbs theinfluenceofsurgicalspecialtyononcoplasticbreastreconstruction AT ahmedmsibrahimmdphd theinfluenceofsurgicalspecialtyononcoplasticbreastreconstruction AT ranjnasharmamd theinfluenceofsurgicalspecialtyononcoplasticbreastreconstruction AT bernardtleemdmbamph theinfluenceofsurgicalspecialtyononcoplasticbreastreconstruction AT samueljlinmdmbafacs theinfluenceofsurgicalspecialtyononcoplasticbreastreconstruction AT louiselblankensteijnmd influenceofsurgicalspecialtyononcoplasticbreastreconstruction AT dustintcrystalbs influenceofsurgicalspecialtyononcoplasticbreastreconstruction AT sabineaegelermd influenceofsurgicalspecialtyononcoplasticbreastreconstruction AT rensrbvarkevisserbs influenceofsurgicalspecialtyononcoplasticbreastreconstruction AT ahmedmsibrahimmdphd influenceofsurgicalspecialtyononcoplasticbreastreconstruction AT ranjnasharmamd influenceofsurgicalspecialtyononcoplasticbreastreconstruction AT bernardtleemdmbamph influenceofsurgicalspecialtyononcoplasticbreastreconstruction AT samueljlinmdmbafacs influenceofsurgicalspecialtyononcoplasticbreastreconstruction |