Person: Lee, Bernard
Loading...
Email Address
AA Acceptance Date
Birth Date
Research Projects
Organizational Units
Job Title
Last Name
Lee
First Name
Bernard
Name
Lee, Bernard
27 results
Search Results
Now showing 1 - 10 of 27
Publication Recurrence Rates Over 20 Years in the Treatment of Malignant Melanoma: Immediate Versus Delayed Reconstruction(Wolters Kluwer Health, 2017) Koolen, Pieter G.L.; Matos, Tiago R.; Ibrahim, Ahmed M.S.; Sun, Jie; Lee, Bernard; Frankenthaler, Robert A.; Lin, SamuelBackground: Wide local excision (WLE) with a safety margin is the standard of treatment for primary head and neck cutaneous malignant melanoma (HNCMM). Studies have demonstrated inconsistency in recurrence rates following immediate versus delayed reconstruction. The objectives of this study were to assess and compare recurrence rates after WLE of HNCMM followed by immediate or delayed reconstruction in determining recurrence-free survival estimates. Methods: A consecutive, retrospective analysis of 451 patients undergoing WLE of primary HNCMM followed by reconstruction over a period of 20 years was performed. Patients were divided into 2 groups based on timing of reconstruction (immediate versus delayed). Univariate analyses were performed to assess distributions. Kaplan–Meier survival analysis and multivariate Cox proportional hazard analyses were performed to estimate recurrence-free survival. Results: Tumor specimen positive margins were comparable between immediate and delayed reconstruction groups (P = 0.129). Univariate analysis demonstrated comparable local melanoma recurrence after immediate or delayed reconstruction (41.4% versus 53.3%; P = 0.399). After adjusting for prognostic factors, multivariate analysis also failed to demonstrate an association between reconstruction timing and local recurrence-free survival (P = 0.167). Conclusions: In this long-term study, we were not able to demonstrate an association between reconstruction timing and local recurrence-free survival after excision WLE of HNCMM, rendering immediate reconstruction a reliable approach. In addition, the presence of ulceration and a positive sentinel lymph node were positively associated with the risk of recurrence.Publication Immediate Breast Reconstruction among Patients with Medicare and Private Insurance: A Matched Cohort Analysis(Wolters Kluwer Health, 2018) Kamali-Sadeghian, Parisa; Ricci, Joseph A.; Curiel, Daniel; Cohen, Justin B.; Chattha, Anmol; Rakhorst, Hinne A.; Lee, Bernard; Lin, SamuelBackground: By eliminating economic hurdles, the Women’s Health and Cancer Rights Act of 1998 represented a paradigm shift in the availability of breast reconstruction. Yet, studies report disparities among Medicare-insured women. These studies do not account for the inherent differences in age and comorbidities between a younger privately insured and an older Medicare population. We examined immediate breast reconstruction (IBR) utilization between a matched pre- and post-Medicare population. Methods: Using the Nationwide Inpatient Sample database (1992–2013), breast cancer patients undergoing IBR were identified. To minimize confounding medical variables, 64-year-old privately insured women were compared with 66-year-old Medicare-insured women. Demographic data, IBR rates, and complication rates were compared. Trend over time was plotted for both cohorts. Result: A total of 21,402 64-year-old women and 25,568 66-year-old women were included. Both groups were well matched in terms of demographic type of reconstruction and complication rates. 72.3% of 64-year-old and 71.2 of % 66-year-old women opted for mastectomy. Of these, 25.5% (n = 3,941) of 64-year-old privately insured and 17.7% (n = 3,213) of 66-year-old Medicare-insured women underwent IBR (P < 0.01). During the study period, IBR rates increased significantly in both cohorts in a similar cohort. Conclusion: This study demonstrates significant increasing IBR rates in both cohorts. Moreover, after an initial slower upward trend, after a decade, IBR in 66-year-old Medicare-insured women approached similar rates of breast reconstruction among those with private insurance. Trends in unilateral versus bilateral mastectomy are also seen.Publication Abstract 116: Literacy Analysis of Spanish Online Resources for Breast Reconstruction(Wolters Kluwer Health, 2018) Doval, Andres; Riba, Luis; Tran, Bao; Rudd, Rima; Lee, BernardPublication Abstract QS37: The Efficacy of Closed Incision Negative Pressure Therapy in Complex Abdominal Reconstruction in High-Risk Patients(Wolters Kluwer Health, 2018) Tran, Bao Ngoc; Johnson, Anna Rose; Shen, Changyu; Lee, Edward S.; Lee, BernardPublication Abstract: Indocyanine Green Angiography Use in Breast Reconstruction: A National Analysis of Outcomes and Cost in 110,320 Patients(Wolters Kluwer Health, 2017) Chattha, Anmol S.; Bucknor, Alexandra; Chen, Austin D.; Lee, Bernard; Lin, SamuelPublication Abstract: Referrals of Plastic Surgery Patients to Integrative Medicine Centers: A Review of Resource Utility(Wolters Kluwer Health, 2017) Chen, Austin D.; Ruan, Qing Zhao; Lee, Bernard; Singhal, DhruvPublication Abstract: #PlasticSurgery: Is the Message Reaching the Audience?(Wolters Kluwer Health, 2017) Chen, Austin D.; Ruan, Qing Zhao; Bucknor, Alexandra; Bletsis, Patrick P.; Chattha, Anmol S.; Lee, Bernard; Lin, SamuelPublication Abstract: Readability of Aesthetic Plastic Surgeon Websites: Regional and Procedural Variation(Wolters Kluwer Health, 2017) Chattha, Anmol S.; Ruan, Qing Z.; Bucknor, Alexandra; Bletsis, Patrick P.; Lee, Bernard; Lin, SamuelPublication Abstract: Impact of Blood Thinners on Flap Failure and Hematoma Rates in Patients Undergoing Non-Breast Flap Reconstruction: Analysis of 79,915 Patients(Wolters Kluwer Health, 2017) Chattha, Anmol S.; Ruan, Qing Z.; Bucknor, Alexandra; Chen, Austin D.; Lee, Bernard; Lin, SamuelPublication Abstract: Which Funding Sources are the Greatest Contributors to Scholastic Productivity for Academic Plastic Surgeons?(Wolters Kluwer Health, 2017) Chen, Austin D.; Ruan, Qing Z.; Baek, Yoonji; Lee, Bernard
- «
- 1 (current)
- 2
- 3
- »