Journal article
Variation in the perioperative care of women undergoing abdominal-based microvascular breast reconstruction in the United Kingdom (The optiFLAPP Study)
- Abstract:
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Introduction
Abdominal-based microvascular breast reconstruction constitutes approximately one fifth of reconstructions following mastectomy for breast cancer. Enhanced recovery after surgery (ERAS) protocols have been implemented to improve patient care. The aim of this project was to identify variation in the perioperative care of women undergoing microvascular breast reconstruction to inform development of an ERAS protocol.
Methods
Surveys were developed for plastic surgeons, anaesthetists and the lead clinician for breast reconstruction at each unit. These assessed most aspects of perioperative care. A team of medical student collaborators was identified. This team created a list of surgeons and anaesthetists in the United Kingdom by unit. REDCap was used to record their responses.
Results
Nineteen (19/39, 49%) lead clinicians, 83 (83/134, 62%) plastic surgeons and 71 (71/100, 71%) anaesthetists from units across the UK completed the surveys. Marked variation was identified in the clinician responses when compared with the national and international guidance. This variation covered many aspects of patient care including antibiotic and fluid prescribing, surgical technique, postoperative care and recording of patient outcomes.
Conclusions
The optiFLAPP national practice survey has demonstrated variation in the perioperative care of women undergoing abdominal-based microvascular breast reconstruction. We propose a large prospective audit to assess current protocols and support development of randomised controlled trials.
- Publication status:
- Published
- Peer review status:
- Peer reviewed
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- Files:
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(Preview, Accepted manuscript, pdf, 1.1MB, Terms of use)
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- Publisher copy:
- 10.1016/j.bjps.2018.08.007
Authors
- Publisher:
- Elsevier
- Journal:
- Journal of Plastic, Reconstructive and Aesthetic Surgery More from this journal
- Volume:
- 72
- Issue:
- 1
- Pages:
- 35-42
- Publication date:
- 2018-08-25
- Acceptance date:
- 2018-08-19
- DOI:
- EISSN:
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1878-0539
- ISSN:
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1748-6815
- Keywords:
- Pubs id:
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pubs:918593
- UUID:
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uuid:46c99a73-9777-44be-9f02-b8d925e43aad
- Local pid:
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pubs:918593
- Source identifiers:
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918593
- Deposit date:
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2018-09-12
- ARK identifier:
Terms of use
- Copyright holder:
- Elsevier Ltd
- Copyright date:
- 2018
- Notes:
- © 2018 Published by Elsevier Ltd on behalf of British Association of Plastic, Reconstructive and Aesthetic Surgeons. This is the accepted manuscript version of the article. The final version is available online from Elsevier at: 10.1016/j.bjps.2018.08.007
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