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 |