Hospital Variations in Clinical Complications and Patient-reported Outcomes at 2 Years After Immediate Breast Reconstruction

Annals of Surgery
Nicholas L BerlinEdwin G Wilkins

Abstract

Our objectives were to investigate case-mix adjusted hospital variations in 2-year clinical and patient-reported outcomes following immediate breast reconstruction. Over the past few decades, variations in medical practice have been viewed as opportunities to promote best practices and high-value care. The Mastectomy Reconstruction Outcomes Consortium Study is an National Cancer Institute-funded longitudinal, prospective cohort study assessing clinical and patient-reported outcomes of immediate breast reconstruction after mastectomy at 11 leading medical centers. Case-mix adjusted comparisons were performed using generalized linear mixed-effects models to assess variation across the centers in any complication, major complications, satisfaction with outcome, and satisfaction with breast. Among 2252 women in the analytic cohort, 1605 (71.3%) underwent implant-based and 647 (28.7%) underwent autologous breast reconstruction. There were significant differences in the sociodemographic and clinical characteristics, and distribution of procedure types at the different Mastectomy Reconstruction Outcomes Consortium Study centers. After case-mix adjustments, hospital variations in the rates of any and major postoperative complications w...Continue Reading

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Citations

Nov 28, 2018·Journal of Surgical Oncology·Hinaben PanchalEvan Matros
Nov 28, 2019·Plastic and Reconstructive Surgery. Global Open·Ankur KhajuriaAfshin Mosahebi
Dec 24, 2018·Cancers·Joanne Kotsopoulos
Nov 26, 2020·Plastic and Reconstructive Surgery·Nicholas L BerlinAdeyiza O Momoh
Dec 29, 2020·Plastic and Reconstructive Surgery·Aaron L WiegmannLoren S Schechter
May 28, 2020·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·David M LesniakKrishna B Clough
Dec 17, 2020·American Journal of Surgery·Ryan HowardDana A Telem

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