ArticleThe Canadian journal of plastic surgery = Journal canadien de chirurgie plastique2010
Factors affecting surgical wait times for breast reconstruction.
Article in The Canadian journal of plastic surgery = Journal canadien de chirurgie plastique, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Factors Associated with Delays in Breast Cancer Surgery Among Patients From Neighboring Hawaiian Islands Treated on O'ahu.Annals of surgical oncology · 2026Article
- Canadian Expert Opinion on Breast Reconstruction Access: Strategies to Optimize Care during COVID-19.Plastic and reconstructive surgery. Global open · 2022Article
- Patient-Reported Satisfaction Following Radiation of Implant-Based Breast Reconstruction.Plastic surgery (Oakville, Ont.) · 2019Article
- Innovative practice model to optimize resource utilization and improve access to care for high-risk andCanadian journal of surgery. Journal canadien de chirurgie · 2017Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine factors that affect wait times for women seeking breast reconstruction at a Canadian academic centre.
methodsA retrospective audit of 57 women seeking breast reconstruction over a three-year period was completed. Comparisons of wait times were made considering the surgical pathology, timing of reconstruction (immediate versus delayed), urgency of pathology, method of reconstruction (implant versus autologous) and the number of surgeons involved. Specifically, the wait times from referral to specialist consultation, consultation to surgery, and referral to surgery were examined.
resultsWOMEN WITH ACTIVE CANCER (DUCTAL CARCINOMA IN SITU: 43 days, invasive cancer: 40 days) had shorter wait times compared with those who had no active cancer (benign/high risk: 242 days, previously treated cancer: 343 days) (P<0.05). Women seeking delayed reconstruction had longer wait times (359 days) from referral to surgery than women seeking immediate reconstruction (98 days) (P<0.0001). Women seeking reconstruction at the time of mastectomy, with benign/high-risk disease, waited longer (242 days) than those with ductal carcinoma in situ (43 days) or invasive cancer (40 days) (P<0.001). Wait times for autologous free tissue transfer (213 days) were not significantly longer compared with implant reconstruction (116 days) (P=0.27). Women with acute cancer experienced similar wait times for implant reconstruction (44 days) as for a free tissue transfer (56 days) (P=0.46). Women with no acute cancer had similar wait times for implant (239 days) as free tissue transfer (369 days) (P=0.25). Patients requiring only plastic surgeons involved in the reconstructive effort waited longer (one surgeon: 299 days, two surgeons: 550 days) than patients requiring either two plastic surgeons and one general surgeon (130 days) or one plastic surgeon and one general surgeon (82 days) (P<0.05). Although more coordination is required with three surgeons, this is frequently associated with a diagnosis of acute cancer and, therefore, wait times are shorter.
Indexed as
Identifiers
21886436PMC2940968What OpenQuestion holds
Registered trials
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