Journal of the American College of Surgeons
Volume 208, Issue 2 , Pages 246-254 , February 2009

Impact of Regional Referral Centers for Microsurgical Breast Reconstruction: The New England Perforator Flap Program Experience

  • Janet H. Yueh, BA

      Affiliations

    • Department of Surgery, Division of Plastic and Reconstructive Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School Boston, MA
    • ,
  • Sumner A. Slavin, MD, FACS

      Affiliations

    • Department of Surgery, Division of Plastic and Reconstructive Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School Boston, MA
    • ,
  • Eran D. Bar-Meir, MD

      Affiliations

    • Department of Surgery, Division of Plastic and Reconstructive Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School Boston, MA
    • ,
  • Hasan S. Merali, BA

      Affiliations

    • Department of Surgery, Division of Plastic and Reconstructive Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School Boston, MA
    • ,
  • Mary Jane Houlihan, MD

      Affiliations

    • Division of Breast Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School Boston, MA
    • ,
  • Shiva Gautam, PhD

      Affiliations

    • Biostatistics Program, Harvard-Thorndike General Clinical Research Center, Beth Israel Deaconess Medical Center, Harvard Medical School Boston, MA
    • ,
  • Donald J. Morris, MD, FACS

      Affiliations

    • Department of Surgery, Division of Plastic and Reconstructive Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School Boston, MA
    • ,
  • Adam M. Tobias, MD

      Affiliations

    • Department of Surgery, Division of Plastic and Reconstructive Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School Boston, MA
    • ,
  • Bernard T. Lee, MD, FACS

      Affiliations

    • Department of Surgery, Division of Plastic and Reconstructive Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School Boston, MA
    • Corresponding Author InformationCorrespondence address: Bernard T Lee, MD, Department of Surgery, Division of Plastic and Reconstructive Surgery, Beth Israel Deaconess Medical Center, 110 Francis St, Suite 5A, Boston, MA 02215

Received 14 September 2008 ,Revised 28 October 2008 ,Accepted 29 October 2008.

References 

  1. Blondeel N, Vanderstraeten GG, Monstrey SJ, et al. The donor site morbidity of free DIEP flaps and free TRAM flaps for breast reconstruction. Br J Plast Surg. 1997;50:322–330
  2. Gill PS, Hunt JP, Guerra AB, et al. A 10-year retrospective review of 758 DIEP flaps for breast reconstruction. Plast Reconstruct Surg. 2004;113:1153–1160
  3. Kroll SS, Sharma S, Koutz C, et al. Postoperative morphine requirements of free TRAM and DIEP flaps. Plast Reconstruct Surg. 2001;107:338–341
  4. Kroll SS, Reece GP, Miller MJ, et al. Comparison of cost for DIEP and free TRAM flap breast reconstructions. Plast Reconstruct Surg. 2001;107:1413–1416discussion 1417−1418
  5. Cheng MH, Lin JY, Ulusal BG, Wei FC. Comparisons of resource costs and success rates between immediate and delayed breast reconstruction using DIEP or SIEA flaps under a well-controlled clinical trial. Plast Reconstruct Surg. 2006;117:2139–2142discussion 2143−2144
  6. Bradley DW, Sharma BK. Centers of Excellence in Bariatric Surgery: design, implementation, and one-year outcomes. Surg Obes Relat Dis. 2006;2:513–517
  7. Goldsmith MF. Future surgery: minimal invasion. JAMA. 1990;264:2723
  8. Jones DB, Soper NJ. Laparoscopic general surgery: current status and future potential. AJR Am J Roentgenol. 1994;163:1295–1301
  9. Alderman AK, Wilkins EG, Lowery JC, et al. Determinants of patient satisfaction in postmastectomy breast reconstruction. Plast Reconstruct Surg. 2000;106:769–776
  10. Dillman D. Mail and telephone surveys. New York: John Wiley & Sons, Inc; 1978;
  11. Anema MG, Brown BE. Increasing survey responses using the total design method. J Cont Educ Nursing. 1995;26:109–114
  12. Ware JE, Kosinski M, Turner-Bowker DM, Gandek B. User's manual for the SF-12v2 Health Survey with a supplement documenting SF-12 Health Survey. Lincoln, RI: Quality Metric Incorporated; 2007;
  13. Alderman AK, Wei Y, Birkmeyer JD. Use of breast reconstruction after mastectomy following the Women's Health and Cancer Rights Act. JAMA. 2006;295:387–388
  14. Christian CK, Niland J, Edge SB, et al. A multi-institutional analysis of the socioeconomic determinants of breast reconstruction: a study of the national comprehensive cancer network. Ann Surg. 2006;243:241–249
  15. Andrade WN, Baxter N, Semple JL. Clinical determinants of patient satisfaction with breast reconstruction. Plastic Reconstr Surg. 2001;107:46–54

 Disclosure Information: Nothing to disclose.

 Supported by grants from the Doris Duke Charitable Foundation (JHY) and the Peter Jay Sharp Foundation (BTL, AMT, EDBM).

PII: S1072-7515(08)01547-0

doi: 10.1016/j.jamcollsurg.2008.10.033

Journal of the American College of Surgeons
Volume 208, Issue 2 , Pages 246-254 , February 2009

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