title: A feasible computer-based evaluation tool for reduction mammaplasty patients: indications for operation and monitoring of guidelines.
abstract: In Sweden, evidence-based national guidelines for the indication for reduction mammaplasty in the public health-care system have been developed by a group of experts. They were defined as breast volume≥800 ml at normal weight. Furthermore, a volume asymmetry of 25% or at least 200 ml or an extreme ptosis may be an indication in some cases. The aim of the present paper was to describe an easy-to-use computer-based tool that has been developed to assure that patients with mammary hyperplasia are evaluated and offered care in a standardized fashion and that the adherence to the guidelines is monitored. Included variables were based on a model for priority grouping originally presented by Strömbeck and Malm in 1986 and comprise body mass index (BMI), BMI-corrected breast volume, ptosis, asymmetry, and general breast-related factors preoperatively and 1 year postoperatively and complications postoperatively. Between June 2007 and January 2013, 377 patients were evaluated. Of which, 275 qualified for operation. With the help of the computer-based tool, compliance to the indications for operation can be easily followed, and hence the intended patients offered a reduction mammaplasty in the public health-care system.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Skåne University Hospital, Malmö, Sweden; Department of Clinical Sciences, Lund University, Malmö, Sweden. Electronic address: emma.hansson@med.lu.se.
authors.forename: Emma
authors.initials: E
authors.lastname: Hansson
authors.affiliation: Department of Plastic and Reconstructive Surgery, Skåne University Hospital, Malmö, Sweden; Department of Clinical Sciences, Lund University, Malmö, Sweden.
authors.forename: Jonas
authors.initials: J
authors.lastname: Manjer
authors.affiliation: Department of Biomedical Engineering, Skåne University Hospital, Malmö, Sweden.
authors.forename: Jerker
authors.initials: J
authors.lastname: Börrén
authors.affiliation: Department of Plastic and Reconstructive Surgery, Skåne University Hospital, Malmö, Sweden.
authors.forename: Malin
authors.initials: M
authors.lastname: Levin
authors.affiliation: Department of Plastic and Reconstructive Surgery, Skåne University Hospital, Malmö, Sweden.
authors.forename: Lotta
authors.initials: L
authors.lastname: Mulder
authors.affiliation: Department of Plastic and Reconstructive Surgery, Skåne University Hospital, Malmö, Sweden; Department of Clinical Sciences, Lund University, Malmö, Sweden.
authors.forename: Anita
authors.initials: A
authors.lastname: Ringberg
mesh_terms: D015992:Body Mass Index; D001940:Breast / Q000033:anatomy & histology / Q000473:pathology* / Q000601:surgery; D003658:Decision Making, Computer-Assisted; D003661:Decision Support Techniques; D005260:Female; D019983:Guideline Adherence; D006801:Humans; D006965:Hyperplasia / Q000601:surgery; D016462:Mammaplasty; D009313:National Health Programs; D009929:Organ Size; D018579:Patient Selection; D017410:Practice Guidelines as Topic; D013548:Sweden
keywords: Breast reduction; Breast surgery; Computer-based evaluation tool; Follow-up; Indication; Reduction mammaplasty