Comparison of Ischemic Complications with Direct-to-Implant versus Immediate Free Flap Reconstruction After Nipple Sparing Mastectomy: A Propensity-Score Matched Analysis. (Record no. 11511)

MARC details
000 -LEADER
fixed length control field 03261nam a22004217a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 230317s20222022 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 0032-1052
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 00006534-990000000-01392 [pii]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1097/PRS.0000000000010094 [doi]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 36729691
245 ## - TITLE STATEMENT
Title Comparison of Ischemic Complications with Direct-to-Implant versus Immediate Free Flap Reconstruction After Nipple Sparing Mastectomy: A Propensity-Score Matched Analysis.
251 ## - Source
Source Plastic & Reconstructive Surgery. 2022 Dec 14
253 ## - Journal Name
Journal name Plastic and reconstructive surgery
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2022
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2023
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Publication date 2022 Dec 14
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status aheadofprint
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Medline status Publisher
266 ## - Date added to catalog
Date added to catalog 2023-03-17
520 ## - SUMMARY, ETC.
Abstract BACKGROUND: Both direct-to-implant (DTI) and immediate free flap (FF) breast reconstruction following nipple sparing mastectomy (NSM) have been described in the literature. However, there is a paucity of comparative studies between these two techniques. Furthermore, existing studies do not control for factors influencing ischemic complications.
520 ## - SUMMARY, ETC.
Abstract CONCLUSION: Both DTI and immediate FF reconstruction can be safely offered to patients undergoing NSM while providing the benefit of a single reconstructive procedure. Copyright 2022 by the American Society of Plastic Surgeons.
520 ## - SUMMARY, ETC.
Abstract METHODS: A retrospective review of all NSMs performed at a single institution between January 2014 and January 2020 was performed. Immediate FF reconstructions were propensity score matched using probit regression to identify a comparable DTI cohort based on mastectomy weight, smoking, age, and history of prior radiotherapy. Primary outcomes of interest were 30-day ischemic complications.
520 ## - SUMMARY, ETC.
Abstract RESULTS: 108 NSMs performed in 79 patients were included. Average age was 45.7 +/- 10.5 years old and mean BMI was 27.1 +/- 4.8 kg/m2. There were 54 breasts in both the DTI group and the immediate FF group. Median mastectomy weight in the DTI group was 508 (264 IQR) grams as compared to 473 (303 IQR) in the FF group [(p=0.792). There was no significant difference in the rate of partial nipple-areola complex (NAC) necrosis in the DTI and FF groups (5.6 percent versus 3.7 percent, respectively; p=0.500) or mastectomy flap necrosis (5.6 percent versus 11.1 percent; p= 0.297). Both the DTI and FF groups had a total NAC necrosis rate of 1.9 percent (p= 0.752).
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Washington Hospital Center
656 ## - INDEX TERM--OCCUPATION
Department MedStar Georgetown University Hospital/MedStar Washington Hospital Center
656 ## - INDEX TERM--OCCUPATION
Department Plastic Surgery Residency
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Department Surgery/Plastic Surgery
657 ## - INDEX TERM--FUNCTION
Medline publication type Journal Article
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Abdou, Salma
Institution Code MGUH
Program Plastic Surgery Residency
Degree MD
Resident year Resident PGY 4
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Fan, Kenneth L
Institution Code MWHC
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Sharif-Askary, Banafsheh
Institution Code MGUH
Program Plastic Surgery Residency
Degree MD
Resident year Resident PGY 4
790 ## - Authors
All authors Abdou SA
-- Bartholomew AJ
-- Fan KL
-- Lavin CV
-- Perez-Alvarez I
-- Sharif-Askary B
-- Song DH
-- Sosin M
-- Tousimis E
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1097/PRS.0000000000010094">https://dx.doi.org/10.1097/PRS.0000000000010094</a>
Public note https://dx.doi.org/10.1097/PRS.0000000000010094
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Journal 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 03/17/2023   36729691 36729691 03/17/2023 03/17/2023 Journal Article

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