Quality of Surgical Outcomes Reporting in Plastic Surgery: A 15-Year Analysis of Complication Data

Plastic and Reconstructive Surgery
Rajiv P ParikhTerence M Myckatyn

Abstract

Postoperative complication data are integral to assessing patient outcomes and identifying areas for improving quality in surgical care. Accurate appraisal of surgical techniques requires consistency and reliability in complication data reporting. The purpose of this study was to analyze the quality of complication reporting in plastic surgery. The authors critically reviewed the literature from January 1, 2000, to December 31, 2014, to identify articles reporting surgical outcomes after three index procedures: autologous breast reconstruction, prosthetic breast reconstruction, and reduction mammaplasty. Studies were extracted from the journals Plastic and Reconstructive Surgery and Annals of Plastic Surgery. Two authors independently analyzed data using a modification of established criteria for complication reporting that incorporates 10 critical elements. Two hundred ninety-six articles reporting outcomes for 299,819 procedures in 249,942 patients were analyzed. Of the 10 reporting criteria, no articles met all criteria, fewer than 1 percent met nine, 16 percent met seven to eight, 43 percent met five to six, 35 percent met three to four, and 6 percent met one to two (mean, five criteria met). Commonly underreported criteria...Continue Reading

References

May 30, 2002·Annals of Surgery·Robert C G MartinDavid P Jaques
May 19, 2005·JAMA : the Journal of the American Medical Association·Nikolaos A PatsopoulosJohn P A Ioannidis
Dec 20, 2007·Plastic and Reconstructive Surgery·Erika Davis SearsKevin C Chung
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Jan 5, 2011·Plastic and Reconstructive Surgery·Rod J Rohrich, Felmont F Eaves
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Nov 15, 2011·European Urology·Dionysios MitropoulosUNKNOWN European Association of Urology Guidelines Panel
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Jun 4, 2013·Annals of Surgery·Ksenija SlankamenacPierre-Alain Clavien
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Citations

Sep 25, 2020·Plastic and Reconstructive Surgery·Rod J RohrichKevin C Chung
Feb 26, 2020·Plastic and Reconstructive Surgery. Global Open·Yang HaiMelissa A Lazar
Mar 30, 2021·Plastic and Reconstructive Surgery·You J Kim, Kevin C Chung
Aug 19, 2020·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·Fredrik BrorsonEmma Hansson
Jun 25, 2021·JAMA Ophthalmology·Zheng Yang XuUNKNOWN CORDS Study Group
Sep 23, 2021·Plastic and Reconstructive Surgery·Elizabeth LaikhterSamuel J Lin

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