MARC details
| 000 -LEADER |
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| fixed length control field |
03191nam a22003257a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
201229s20202020 xxu||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
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| International Standard Serial Number |
0032-1052 |
| 040 ## - CATALOGING SOURCE |
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| Original cataloging agency |
Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
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| PMID |
33009332 |
| 245 ## - TITLE STATEMENT |
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| Title |
The Influence of Functional Shoulder Biomechanics as a Mediator of Patient Reported Outcomes Following Mastectomy and Breast Reconstruction. |
| 251 ## - Source |
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| Source |
Plastic & Reconstructive Surgery. 2020 Oct 01 |
| 252 ## - Abbreviated Source |
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| Abbreviated source |
Plast Reconstr Surg. 2020 Oct 01 |
| 253 ## - Journal Name |
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| Journal name |
Plastic and reconstructive surgery |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Year |
2020 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Manufacturer |
FY2021 |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
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| Publication status |
aheadofprint |
| 266 ## - Date added to catalog |
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| Date added to catalog |
2020-12-29 |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
BACKGROUND: Post-mastectomy breast reconstruction techniques differentially influence patient-reported physical and psychosocial well-being. Objective measures of shoulder biomechanics, which are uniquely influenced by reconstruction technique, may provide insight into the influence of reconstruction technique on patient-reported outcomes. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
CONCLUSIONS: In the current cohort, LD+subpectoral implant breast reconstructions significantly reduced shoulder strength and stiffness when compared to the other techniques. Additionally, objective measures of shoulder biomechanics were predictive of patient-reported physical and psychosocial well-being. Our results emphasize the need for improved peri-operative screening for shoulder functional deficits in patients undergoing breast reconstruction. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
METHODS: Robot-assisted measures of shoulder strength and stiffness, and patient-reported outcomes surveys (PROMIS-UE, SPADI, QuickDASH, SF12-PCS, SF12-MCS) were obtained from 46 women who had previously undergone mastectomy and a combined latissimus dorsi flap + subpectoral implant (LD + subpectoral implant), subpectoral implant, or DIEP flap breast reconstruction. Mediation analyses examined the role of functional shoulder biomechanics as a mediator between reconstruction technique and patient-reported outcomes. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
RESULTS: Reconstruction technique uniquely affected shoulder biomechanics, with LD+subpectoral implant patients exhibiting reduced shoulder strength and stiffness compared to subpectoral implant and DIEP flap patients. Increasing external rotation strength was predictive of increasing PROMIS-UE score (p=0.04), indicating improved upper extremity function. Increasing shoulder stiffness while at rest was predictive of increasing QuickDASH score (p=0.03), indicating worsened upper extremity function, while increasing stiffness at rest and during contraction was indicative of decreasing SF12-MCS score (all p<=0.02), indicating worsened psychosocial well-being. Reconstruction technique did not predict survey scores of function directly, or when mediated by functional shoulder biomechanics. |
| 546 ## - LANGUAGE NOTE |
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| Language note |
English |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
IN PROCESS -- NOT YET INDEXED |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
Curtis National Hand Center |
| 657 ## - INDEX TERM--FUNCTION |
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| Medline publication type |
Journal Article |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Giladi, Aviram M |
| 790 ## - Authors |
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| All authors |
Giladi AM, Kidwell KM, Leonardis JM, Lipps DB, Lyons DA, Momoh AO |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
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| DOI |
<a href="https://dx.doi.org/10.1097/PRS.0000000000007486">https://dx.doi.org/10.1097/PRS.0000000000007486</a> |
| Public note |
https://dx.doi.org/10.1097/PRS.0000000000007486 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
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| Koha item type |
Journal Article |
| Item type description |
Article |
