title: An analysis of delayed breast reconstruction outcomes as recorded in the American College of Surgeons National Surgical Quality Improvement Program.
abstract: The American College of Surgeons National Surgical Quality Improvement Program (NSQIP) is a prospective, multi-institutional clinical registry established as an auditing instrument to monitor and improve patient care in surgery. To date no publication has queried the NSQIP dataset from a plastic surgery perspective. A retrospective analysis was carried out of all delayed breast reconstruction cases recorded by the NSQIP from 2005 to 2008 (n=645). The 30-day morbidity was 5.7%, with wound infections being the most common complication. Logistic regression analysis identified BMI >25 and preoperative radiotherapy as independent risk factors for overall morbidity and wound infection. The NSQIP does not allow for capture of procedure-specific outcomes and this results in underreporting of overall morbidity compared to the literature; this may limit the capability to assess risk factors for complications. As breast reconstruction modules for NSQIP are currently under development, modifications to capture procedure-specific outcomes are recommended.
authors: Department of Surgery, Harlem Hospital Center, Columbia University, NY, NY, USA.
authors: Adeyemi A
authors: AA
authors: Ogunleye
authors: Catherine
authors: C
authors: de Blacam
authors: Michael S
authors: MS
authors: Curtis
authors: Salih
authors: S
authors: Colakoglu
authors: Adam M
authors: AM
authors: Tobias
authors: Bernard T
authors: BT
authors: Lee
mesh_terms: D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016462:Mammaplasty / Q000592:standards*; D008875:Middle Aged; D015397:Program Evaluation / Q000706:statistics & numerical data*; D058996:Quality Improvement; D012189:Retrospective Studies; D012955:Societies, Medical; D013997:Time Factors; D016896:Treatment Outcome; D014481:United States