Decreased postoperative pain and opioid use following prepectoral versus subpectoral breast reconstruction after mastectomy: A retrospective cohort study: Pain after pre- versus subpectoral reconstruction. (Record no. 6053)

MARC details
000 -LEADER
fixed length control field 04065nam a22005897a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 210217s20212021 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 1748-6815
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1016/j.bjps.2020.12.009 [doi]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code S1748-6815(20)30676-8 [pii]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 33451949
245 ## - TITLE STATEMENT
Title Decreased postoperative pain and opioid use following prepectoral versus subpectoral breast reconstruction after mastectomy: A retrospective cohort study: Pain after pre- versus subpectoral reconstruction.
251 ## - Source
Source Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS. 74(8):1763-1769, 2021 Aug.
252 ## - Abbreviated Source
Abbreviated source J Plast Reconstr Aesthet Surg. 74(8):1763-1769, 2021 Aug.
252 ## - Abbreviated Source
Former abbreviated source J Plast Reconstr Aesthet Surg. 2020 Dec 13
253 ## - Journal Name
Journal name Journal of plastic, reconstructive & aesthetic surgery : JPRAS
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2021
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2022
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status aheadofprint
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status ppublish
266 ## - Date added to catalog
Date added to catalog 2021-02-17
268 ## - Previous citation
-- Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS. 2020 Dec 13
269 ## - Original dates
Original fiscal year FY2021
501 ## - WITH NOTE
Local holdings Available online from MWHC library: 1995 - present
520 ## - SUMMARY, ETC.
Abstract BACKGROUND: Prepectoral (PP) breast reconstruction is now commonly performed and minimizes dissection of the pectoralis major muscle. Data are lacking comparing the immediate postoperative recovery of these patients as compared with traditional subpectoral (SP) breast reconstruction.
520 ## - SUMMARY, ETC.
Abstract CONCLUSION: Following mastectomy, PP breast reconstruction results in significantly reduced pain, opioid use, and hospital LOS compared with SP reconstruction. Copyright (c) 2020 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
520 ## - SUMMARY, ETC.
Abstract METHODS: From December 2015 to February 2017, 73 patients underwent PP prosthetic-based reconstruction at a single academic institution. PP cases were matched 1:1, by age and stage, to patients undergoing traditional SP reconstruction. Analysis of postoperative pain (visual analog scale) and opioid use (oral morphine equivalents, OME), was performed with both bi- and multivariate analyses. Additional outcomes explored included length of stay (LOS) and reconstructive intervention by plane of prosthetic reconstruction.
520 ## - SUMMARY, ETC.
Abstract RESULTS: A total of 146 patients were included in the final cohort. PP reconstruction was associated with higher rates of direct-to-implant reconstruction (84.9% vs. 34.3%, p <0.001) and higher rates of initial prosthetic fill (401.53mL vs. 280.88mL, p<0.001). Patients undergoing PP reconstruction had significantly reduced postoperative pain (4.29vs. 5.44, p<0.001) and in-hospital opioid use (62.63mg OME vs. 98.84mg OME, p=0.03) compared with SP patients. This result remained in multivariate analysis for both pain (3.94vs. 5.25, p<0.001) and opioid use (17.14mg OME vs. 63.03mg OME, p=0.03). Additionally, patients undergoing PP reconstruction had significantly reduced overall LOS on multivariate analysis (21.36vs. 26.28 h, p=0.02).
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Analgesics, Opioid/ad [Administration & Dosage]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Breast Neoplasms/su [Surgery]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Mammaplasty/mt [Methods]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Pain, Postoperative/dt [Drug Therapy]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Pectoralis Muscles/su [Surgery]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Breast Implants
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Female
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Humans
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Length of Stay/sn [Statistics & Numerical Data]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Mastectomy
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Middle Aged
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Pain Measurement
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Retrospective Studies
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution Washington Cancer Institute
657 ## - INDEX TERM--FUNCTION
Medline publication type Journal Article
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Chan, Mabel C
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Cox, Solange
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Tambar, Stuti
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Tung, Shawndeep
790 ## - Authors
All authors Bartholomew AJ, Bozzuto LM, Chan MC, Cox S, King CA, Perez-Alvarez IM, Pittman TA, Sosin M, Tambar S, Tousimis EA, Tung S
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1016/j.bjps.2020.12.009">https://dx.doi.org/10.1016/j.bjps.2020.12.009</a>
Public note https://dx.doi.org/10.1016/j.bjps.2020.12.009
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 02/17/2021   33451949 33451949 02/17/2021 02/17/2021 Journal Article

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