Person: Lee, Bernard
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Publication Abstract: Autologous or Implant-Based Breast Reconstruction? Crowdsourcing Aesthetic Preferences of the General Population
(Wolters Kluwer Health, 2017) Bucknor, Alexandra; Chen, Austin D.; Kamali-Sadeghian, Parisa; Chattha, Anmol S.; Bletsis, Patrick P.; van Veldhuisen, Charlotte; Tobias, Adam; Lee, Bernard; Lin, SamuelPublication Abstract: A Study of 39,478 Firearm Injuries in the Pediatric Population: Trends over Time and Disparities in Flap Reconstruction
(Wolters Kluwer Health, 2017) Chen, Austin D.; Ultee, Klaas H.J.; Bucknor, Alexandra; Chattha, Anmol S.; Ruan, Qing Zhao; Lee, Bernard; Afshar, Salim; Lin, SamuelPublication Abstract: Surgical Site Infection in Immediate Breast Reconstruction: Does Chemotherapy Timing Make a Difference?
(Wolters Kluwer Health, 2017) Chattha, Anmol S.; Bucknor, Alexandra; Chen, Austin D.; Tobias, Adam; 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: Crowdsourcing the Natural Breast in Ethnically-Diverse Women: Population Preferences
(Wolters Kluwer Health, 2017) Bucknor, Alexandra; Chen, Austin D.; Kamali-Sadeghian, Parisa; Chattha, Anmol S.; van Veldhuisen, Charlotte; Branford, Olivier Alexandre; Chi, David; Wu, Winona; Lee, Bernard; Lin, SamuelPublication 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: #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 The National Surgical Quality Improvement Program 30-Day Challenge: Microsurgical Breast Reconstruction Outcomes Reporting Reliability
(Wolters Kluwer Health, 2018) Chen, Austin D.; Kamali-Sadeghian, Parisa; Chattha, Anmol S.; Bucknor, Alexandra; Cohen, Justin B.; Bletsis, Patrick P.; Flecha-Hirsch, Renata; Tobias, Adam; Lee, Bernard; Lin, SamuelBackground: The aim was to assess reliability of the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) 30-day perioperative outcomes and complications for immediate, free-tissue transfer breast reconstruction by direct comparisons with our 30-day and overall institutional data, and assessing those that occur after 30 days. Methods: Data were retrieved for consecutive immediate, free-tissue transfer breast reconstruction patients from a single-institution database (2010–2015) and the ACS-NSQIP (2011–2014). Multiple logistic regressions were performed to compare adjusted outcomes between the 2 datasets. Results: For institutional versus ACS-NSQIP outcomes, there were no significant differences in surgical-site infection (SSI; 30-day, 3.6% versus 4.1%, P = 0.818; overall, 5.3% versus 4.1%, P = 0.198), wound disruption (WD; 30-day, 1.3% versus 1.5%, P = 0.526; overall, 2.3% versus 1.5%, P = 0.560), or unplanned readmission (URA; 30-day, 2.3% versus 3.3%, P = 0.714; overall, 4.6% versus 3.3%, P = 0.061). However, the ACS-NSQIP reported a significantly higher unplanned reoperation (URO) rate (30-day, 3.6% versus 9.5%, P < 0.001; overall, 5.3% versus 9.5%, P = 0.025). Institutional complications consisted of 5.3% SSI, 2.3% WD, 5.3% URO, and 4.6% URA, of which 25.0% SSI, 28.6% WD, 12.5% URO, and 7.1% URA occurred at 30–60 days, and 6.3% SSI, 14.3% WD, 18.8% URO, and 42.9% URA occurred after 60 days. Conclusion: For immediate, free-tissue breast reconstruction, the ACS-NSQIP may be reliable for monitoring and comparing SSI, WD, URO, and URA rates. However, clinicians may find it useful to understand limitations of the ACS-NSQIP for complications and risk factors, as it may underreport complications occurring beyond 30 days.