Processes of Care in Breast Reconstruction and the Long-Term Impact of a Comprehensive Breast Center

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1、AnnSurgOncolDOI10.1245/s10434-015-4811-xORIGINALARTICLERECONSTRUCTIVEONCOLOGYProcessesofCareinBreastReconstructionandtheLong-TermImpactofaComprehensiveBreastCenter1121AlbertH.Chao,MD,IbrahimKhansa,MD,WilliamB.Farrar,MD,andMichaelJ.Miller,MD12Department

2、ofPlasticSurgery,TheOhioStateUniversity,Columbus,OH;DivisionofSurgicalOncology,DepartmentofSurgery,TheOhioStateUniversity,Columbus,OHABSTRACTtimelinessoftreatmentofpatientswhoundergoimmediateBackground.Increasedemphasishasbeenplacedonpostmastectomyreco

3、nstructioncanbesimilartotargetssetprocessoutcomesforbreastcancercare,butlimiteddataforpatientswhoundergomastectomyalone.existsonthesemeasuresforbreastreconstruction.Theseprocessesarelikelytobeimpactedbyincreasedcentral-izationofcareintocomprehensivebre

4、astcenters(CBC).ResearchonoutcomesinbreastreconstructionhasOurstudyobjectivesweretode?nemeasuresforprocessesfocusedprimarilyonsurgicaloutcomes,butrelativelyofcareinbreastreconstructionandtodeterminetheeffectlimitedresearchhasexaminedprocessoutcomes,suc

5、hasofaCBConthesemeasures.thosepertainingtoaccessandqualityofcare.Incontrast,Methods.A5-yearreviewwasperformedofpatientswhomostotherbreastcancerrelatedspecialtieshavede?nedunderwentmastectomywithorwithoutreconstructionforameasuresforprocessesofcareandse

6、tbenchmarksintheir1,2newlydiagnosedbreastcancerbetween2010and2014,respective?elds.Examplesincludethepercentageofwhichspansfrom1yearbeforeto4yearsafterintroduc-womenC40yearsoldwithaccesstoamammogram,andtionofourCBC.thenumberofdaysbetweenabreastbiopsyand

7、pathologyResults.Atotalof4179patientswerereviewed.Theresults.Moreover,manyorganizationshaveemphasizedreferralrateforimmediatereconstructionincreasedfromtheimportanceofthesetypesofmeasuresincancercare,40.0to70.8%(p.001),andtheimmediatereconstruc-includ

8、ingtheU.S.DepartmentofHealthandHumanSer-tionrateincreasedfrom36.7to65.0%(p.001),bothvices,WorldHealthOrganization,andAmericanMedical24plateauinginthefourthstudyyear.TheintervalbetweenAssociation.surgicaloncologyandplasticsurgeryconsult