Evidence map›Paper›PMID 31592377›Full record

ArticlePlastic and reconstructive surgery. Global open2019

Defining Quality Indicators for Breast Device Surgery: Using Registries for Global Benchmarking.

Husna Begum, Swarna Vishwanath, Michelle Merenda, Mark Tacey, Nicola Dean, Elisabeth Elder, Marc Mureau, Ron Bezic, Pamela Carter, Rodney D Cooter and 10 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

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

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Husna BegumDepartment of Epidemiology and Preventive Medicine, Monash University, Victoria, Australia.
Swarna VishwanathDepartment of Epidemiology and Preventive Medicine, Monash University, Victoria, Australia.
Michelle MerendaDepartment of Epidemiology and Preventive Medicine, Monash University, Victoria, Australia.
Mark TaceyDepartment of Epidemiology and Preventive Medicine, Monash University, Victoria, Australia.
Nicola DeanDepartment of Plastic and Reconstructive Surgery, Flinders Medical Center, Flinders University, South Australia, Australia.
Elisabeth ElderDepartment of Epidemiology and Preventive Medicine, Monash University, Victoria, Australia.
Marc MureauErasmus MC Cancer Institute, University Medical Centre Rotterdam, Rotterdam, The Netherlands.
Ron BezicRefine Cosmetic Clinic, New South Wales, Australia.
Pamela CarterTherapeutic Goods Administration, Australian Capital Territory Australia.
Rodney D CooterDepartment of Epidemiology and Preventive Medicine, Monash University, Victoria, Australia.
Anand DevaMacquarie Plastic & Reconstructive Surgery, Faculty of Medicine and Health Sciences, Macquarie University, New South Wales, Australia.
Arul EarnestDepartment of Epidemiology and Preventive Medicine, Monash University, Victoria, Australia.
Michael HiggsParkside Cosmetic Surgery, South Australia Australia.
Howard KleinSouth Island Plastic Surgery, Christchurch, New Zealand.
Mark MagnussonSchool of Medicine, Griffith University, Queensland, Australia; Australasian College of Cosmetic Surgery, New South Wales, Australia.
Colin MooreRefine Cosmetic Clinic, New South Wales, Australia.
Hinne RakhorstDepartment of Plastic, Reconstructive and Hand surgery, Medisch Spectrum Twente and ZGT Almelo, Enschede, The Netherlands.
Christobel SaundersSchool of Medicine, University of Western Australia, Western Australia, Australia.
Birgit StarkKliniken för Rekonstruktiv Plastikkirurgi Karolinska Institute, Stockholm, Sweden.
Ingrid HopperDepartment of Epidemiology and Preventive Medicine, Monash University, Victoria, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Breast device registries monitor devices encompassing breast implants, tissue expanders and dermal matrices, and the quality of care and patient outcomes for breast device surgery. Defining a standard set of quality indicators and risk adjustment factors will enable consistency and adjustment for case-mix in benchmarking quality of care across breast implant registries. This study aimed to develop a set of quality indicators to enable assessment and reporting of quality of care for breast device surgery which can be applied globally.

methodsA scoping literature review was undertaken, and potential quality indicators were identified. Consensus on the final list of quality indicators was obtained using a modified Delphi approach. This process involved a series of online surveys, and teleconferences over 6 months. The Delphi panel included participants from various countries and representation from surgical specialty groups including breast and general surgeons, plastic and reconstructive surgeons, cosmetic surgeons, a breast-care nurse, a consumer, a devices regulator (Therapeutic Goods Administration), and a biostatistician. A total of 12 candidate indicators were proposed: Intraoperative antibiotic wash, intraoperative antiseptic wash, preoperative antibiotics, nipple shields, surgical plane, volume of implant, funnels, immediate versus delayed reconstruction, time to revision, reoperation due to complications, patient satisfaction, and volume of activity.

resultsThree of the 12 proposed indicators were endorsed by the panel: preoperative intravenous antibiotics, reoperation due to complication, and patient reported outcome measures.

conclusionThe 3 endorsed quality indicator measures will enable breast device registries to standardize benchmarking of care internationally for patients undergoing breast device surgery.

Identifiers

PMID31592377
PMCPMC6756659

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.