"Assessing the Quality of Breast Reconstruction Outcomes Reporting: A Five-Year Scoping Review".

IF 3.2 2区医学 Q1 SURGERY

Plastic and reconstructive surgery Pub Date : 2025-04-01 DOI:10.1097/PRS.0000000000012133

Sonali Biswas, Alexandria M Mullikin, Steven L Zeng, William M Tian, Brett T Phillips

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引用次数: 0

Abstract

Background: Outcomes reporting is essential to advancing healthcare quality in plastic surgery and aligns closely with patient satisfaction. At present, there is no widely used set of standards for breast reconstruction reporting in the literature. This study aims to define how breast reconstruction outcomes are characterized in the literature and identify opportunities to improve consistency across studies.

Methods: All articles published between 2015 and 2021 in Plastic and Reconstructive Surgery and Annals of Plastic Surgery were screened for original articles that pertain to breast reconstruction. Included articles were evaluated using existing outcomes reporting criteria for breast reconstruction that were adapted from general surgery literature.

Results: Of 833 breast reconstruction articles reviewed, 192 met inclusion criteria. Approximately one-half of the articles (n = 87, 45.38%) pertained to autologous breast reconstruction, 66% (n = 127) pertained to prosthetic breast reconstruction, and 16.15% (n = 31) included both procedures. Less than 1/5 of studies (n = 53, 27.42%) defined at least half of the complications in their study. Less than 1/3 included at least half of the suggested procedure-specific complications (n = 53, 27.42%), utilized severity grades (n = 46, 24.19%), or considered risk factors in analyses (n = 64, 33.33%). Infection was the most reported complication (n=120, 62.71%), and 18 distinct definitions were used. Outcomes reporting criteria assessment revealed the average number of criteria met was 3.3 out of a possible 10.

Conclusions: This study demonstrates significant gaps in outcomes reporting with regards to study design, complications included, and definitions used. There was little improvement in outcomes reporting from 2015 - 2021 compared to 2000-2014. This study supports the need for outcomes reporting standards in breast reconstruction to improve study generalizability and quality.

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来源期刊

Plastic and reconstructive surgery 医学-外科

CiteScore

5.00

自引率

13.90%

发文量

1436

审稿时长

1.5 months

期刊介绍： For more than 70 years Plastic and Reconstructive Surgery® has been the one consistently excellent reference for every specialist who uses plastic surgery techniques or works in conjunction with a plastic surgeon. Plastic and Reconstructive Surgery® , the official journal of the American Society of Plastic Surgeons, is a benefit of Society membership, and is also available on a subscription basis. Plastic and Reconstructive Surgery® brings subscribers up-to-the-minute reports on the latest techniques and follow-up for all areas of plastic and reconstructive surgery, including breast reconstruction, experimental studies, maxillofacial reconstruction, hand and microsurgery, burn repair, cosmetic surgery, as well as news on medicolegal issues. The cosmetic section provides expanded coverage on new procedures and techniques and offers more cosmetic-specific content than any other journal. All subscribers enjoy full access to the Journal''s website, which features broadcast quality videos of reconstructive and cosmetic procedures, podcasts, comprehensive article archives dating to 1946, and additional benefits offered by the newly-redesigned website.