| 000 | 03672nam a22004697a 4500 | ||
|---|---|---|---|
| 008 | 210607s20212021 xxu||||| |||| 00| 0 eng d | ||
| 022 | _a0743-684X | ||
| 024 | _a10.1055/s-0041-1726398 [doi] | ||
| 040 | _aOvid MEDLINE(R) | ||
| 099 | _a33853126 | ||
| 245 | _aThe Need to Improve Patient-Centered Outcome Reporting Following Lower Extremity Flap Reconstruction: A Systematic Review and Meta-analysis. | ||
| 251 | _aJournal of Reconstructive Microsurgery. 37(9):764-773, 2021 Nov. | ||
| 252 | _aJ Reconstr Microsurg. 37(9):764-773, 2021 Nov. | ||
| 252 | _zJ Reconstr Microsurg. 2021 Apr 14 | ||
| 253 | _aJournal of reconstructive microsurgery | ||
| 260 | _c2021 | ||
| 260 | _fFY2022 | ||
| 265 | _saheadofprint | ||
| 265 | _sppublish | ||
| 266 | _d2021-06-07 | ||
| 268 | _aJournal of Reconstructive Microsurgery. 2021 Apr 14 | ||
| 269 | _fFY2021 | ||
| 520 | _aCONCLUSION: Less than 50% of the literature report functional outcomes in comorbid patients undergoing LE flap reconstruction. Surprisingly, PCO reporting has seen a downward trend in the past 8 years relative to the preceding two decades. Standardized inclusion of PCO in research regarding this patient population should be established, especially as health care and governmental priorities shift toward patient-centered care. Copyright Thieme. All rights reserved. | ||
| 520 | _aINTRODUCTION: Research in lower extremity (LE) wound management involving flap reconstruction has primarily focused on surgeon-driven metrics. There has been a paucity in research that evaluates patient-centered outcomes (PCO). This systematic review and meta-analysis examines articles published between 2012 and 2020 to assess whether reporting of functional and quality of life (QOL) outcomes have increased in frequency and cohesiveness, compared with the previous two decades. | ||
| 520 | _aMETHODS: PubMed and Ovid were queried with appropriate Medical Subject Heading (MeSH) terms for studies published between June 2012 and July 2020. For inclusion, each study had to report any outcome of any tissue transfer procedure to the LE in comorbid patients, including complication rates, ambulation rates, flap success rates, and/or QOL measures. The PCO reporting prevalence was compared with a previous systematic review by Economides et al which analyzed papers published between 1990 and June 2012, using a Pearson's Chi-squared test. | ||
| 520 | _aRESULTS: The literature search yielded 40 articles for inclusion. The proportion of studies reporting PCO was greater for literature published between 1990 and 2012 compared with literature published between 2012 and 2020 (86.0 vs. 50.0%, p < 0.001). Functional outcomes were more commonly reported between 1990 and 2012 (78.0 vs. 47.5%, p = 0.003); similarly, ambulatory status was reported more often in the previous review (70.0 vs. 40.0%, p = 0.004). This study solely examined the rate at which PCO were reported in the literature; the individual importance and effect on medical outcomes of each PCO was not evaluated. | ||
| 546 | _aEnglish | ||
| 650 | _a*Quality of Life | ||
| 650 | _a*Walking | ||
| 650 | _aHumans | ||
| 650 | _aLower Extremity/su [Surgery] | ||
| 650 | _aPatient-Centered Care | ||
| 650 | _aSurgical Flaps | ||
| 651 | _aMedStar Washington Hospital Center | ||
| 656 | _aSurgery/Plastic Surgery | ||
| 657 | _aJournal Article | ||
| 700 | _aAttinger, Christopher | ||
| 700 | _aFan, Kenneth L | ||
| 790 | _aAttinger CE, Dekker PK, Evans KK, Fan KL, Haffner Z, Kim KG, Tirrell AR | ||
| 856 |
_uhttps://dx.doi.org/10.1055/s-0041-1726398 _zhttps://dx.doi.org/10.1055/s-0041-1726398 |
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| 942 |
_cART _dArticle |
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| 999 |
_c6315 _d6315 |
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