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dc.contributor.authorBegum, Husna
dc.contributor.authorVishwanath, Swarna
dc.contributor.authorMerenda, Michelle
dc.contributor.authorTacey, Mark
dc.contributor.authorDean, Nicola
dc.contributor.authorElder, Elisabeth
dc.contributor.authorMureau, Marc
dc.contributor.authorBezic, Ron
dc.contributor.authorCarter, Pamela
dc.contributor.authorCooter, Rodney D
dc.contributor.authorDeva, Anand
dc.contributor.authorEarnest, Arul
dc.contributor.authorHiggs, Michael
dc.contributor.authorKlein, Howard
dc.contributor.authorMagnusson, Mark
dc.contributor.authorMoore, Colin
dc.contributor.authorRakhorst, Hinne
dc.contributor.authorSaunders, Christobel
dc.contributor.authorStark, Birgit
dc.contributor.authorHopper, Ingrid
dc.date.accessioned2020-01-13T22:22:50Z
dc.date.available2020-01-13T22:22:50Z
dc.date.issued2019
dc.identifier.issn2169-7574
dc.identifier.doi10.1097/GOX.0000000000002348
dc.identifier.urihttp://hdl.handle.net/10072/390179
dc.description.abstractBackground: Breast device registries monitor devices encompassing breast implants, tissue expanders and dermal matrices, and the quality of care and patient outcomes for breast device surgery. Defining a standard set of quality indicators and risk adjustment factors will enable consistency and adjustment for case-mix in benchmarking quality of care across breast implant registries. This study aimed to develop a set of quality indicators to enable assessment and reporting of quality of care for breast device surgery which can be applied globally. Methods: A scoping literature review was undertaken, and potential quality indicators were identified. Consensus on the final list of quality indicators was obtained using a modified Delphi approach. This process involved a series of online surveys, and teleconferences over 6 months. The Delphi panel included participants from various countries and representation from surgical specialty groups including breast and general surgeons, plastic and reconstructive surgeons, cosmetic surgeons, a breast-care nurse, a consumer, a devices regulator (Therapeutic Goods Administration), and a biostatistician. A total of 12 candidate indicators were proposed: Intraoperative antibiotic wash, intraoperative antiseptic wash, preoperative antibiotics, nipple shields, surgical plane, volume of implant, funnels, immediate versus delayed reconstruction, time to revision, reoperation due to complications, patient satisfaction, and volume of activity. Results: Three of the 12 proposed indicators were endorsed by the panel: preoperative intravenous antibiotics, reoperation due to complication, and patient reported outcome measures. Conclusion: The 3 endorsed quality indicator measures will enable breast device registries to standardize benchmarking of care internationally for patients undergoing breast device surgery.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherLippincott Williams & Wilkins
dc.relation.ispartofissue8
dc.relation.ispartofjournalPlastic and Reconstructive Surgery - Global Open
dc.relation.ispartofvolume7
dc.subject.keywordsScience & Technology
dc.subject.keywordsLife Sciences & Biomedicine
dc.subject.keywordsSurgery
dc.subject.keywordsCLINICAL INDICATORS
dc.subject.keywordsCANCER SURGERY
dc.titleDefining Quality Indicators for Breast Device Surgery: Using Registries for Global Benchmarking
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationBegum, H; Vishwanath, S; Merenda, M; Tacey, M; Dean, N; Elder, E; Mureau, M; Bezic, R; Carter, P; Cooter, RD; Deva, A; Earnest, A; Higgs, M; Klein, H; Magnusson, M; Moore, C; Rakhorst, H; Saunders, C; Stark, B; Hopper, I, Defining Quality Indicators for Breast Device Surgery: Using Registries for Global Benchmarking, Plastic and Reconstructive Surgery - Global Open, 2019, 7 (8)
dcterms.dateAccepted2019-05-29
dcterms.licensehttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.date.updated2020-01-13T22:14:37Z
dc.description.versionVersion of Record (VoR)
gro.rights.copyright© 2019 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International (CC BY-NC-ND 4.0) License, which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited.
gro.hasfulltextFull Text
gro.griffith.authorMagnusson, Mark


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