Evidence map›Paper›PMID 26495223›Full record

ArticlePlastic and reconstructive surgery. Global open2015

Development of Standardized Clinical Assessment and Management Plans (SCAMPs) in Plastic and Reconstructive Surgery.

Stephanie A Caterson, Mansher Singh, Dennis Orgill, Roya Ghazinouri, Elizabeth Han, George Ciociolo, Karl Laskowski, Jeffery O Greenberg

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Stephanie A CatersonDivision of Plastic Surgery, Brigham and Women's Hospital, Boston, Mass.; and Department of Medicine, Brigham and Women's Hospital, Boston, Mass.
Mansher SinghDivision of Plastic Surgery, Brigham and Women's Hospital, Boston, Mass.; and Department of Medicine, Brigham and Women's Hospital, Boston, Mass.
Dennis OrgillDivision of Plastic Surgery, Brigham and Women's Hospital, Boston, Mass.; and Department of Medicine, Brigham and Women's Hospital, Boston, Mass.
Roya GhazinouriDivision of Plastic Surgery, Brigham and Women's Hospital, Boston, Mass.; and Department of Medicine, Brigham and Women's Hospital, Boston, Mass.
Elizabeth HanDivision of Plastic Surgery, Brigham and Women's Hospital, Boston, Mass.; and Department of Medicine, Brigham and Women's Hospital, Boston, Mass.
George CiocioloDivision of Plastic Surgery, Brigham and Women's Hospital, Boston, Mass.; and Department of Medicine, Brigham and Women's Hospital, Boston, Mass.
Karl LaskowskiDivision of Plastic Surgery, Brigham and Women's Hospital, Boston, Mass.; and Department of Medicine, Brigham and Women's Hospital, Boston, Mass.
Jeffery O GreenbergDivision of Plastic Surgery, Brigham and Women's Hospital, Boston, Mass.; and Department of Medicine, Brigham and Women's Hospital, Boston, Mass.
Brigham and Women's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWith rising cost of healthcare, there is an urgent need for developing effective and economical streamlined care. In clinical situations with limited data or conflicting evidence-based data, there is significant institutional and individual practice variation. Quality improvement with the use of Standardized Clinical Assessment and Management Plans (SCAMPs) might be beneficial in such scenarios. The SCAMPs method has never before been reported to be utilized in plastic surgery.

methodsThe topic of immediate breast reconstruction was identified as a possible SCAMPs project. The initial stages of SCAMPs development, including planning and implementation, were entered. The SCAMP Champion, along with the SCAMPs support team, developed targeted data statements. The SCAMP was then written and a decision-tree algorithm was built. Buy-in was obtained from the Division of Plastic Surgery and a SCAMPs data form was generated to collect data.

resultsDecisions pertaining to "immediate implant-based breast reconstruction" were approved as an acceptable topic for SCAMPs development. Nine targeted data statements were made based on the clinical decision points within the SCAMP. The SCAMP algorithm, and the SDF, required multiple revisions. Ultimately, the SCAMP was effectively implemented with multiple iterations in data collection.

conclusionsFull execution of the SCAMP may allow better-defined selection criteria for this complex patient population. Deviations from the SCAMP may allow for improvement of the SCAMP and facilitate consensus within the Division. Iterative and adaptive quality improvement utilizing SCAMPs creates an opportunity to reduce cost by improving knowledge about best practice.

Identifiers

PMID26495223
PMCPMC4596435
OpenAlexW2180400009

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.