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Chest wall perforator flaps for breast reconstruction : international survey on attitudes and training needs
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- Karakatsanis, Andreas (författare)
- Uppsala universitet,Endokrinkirurgi,Uppsala Univ Hosp, Dept Surg, Sect Breast Surg, Uppsala, Sweden
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- Sund, Malin (författare)
- Umeå universitet,Institutionen för kirurgisk och perioperativ vetenskap,Department of Surgery/CLINICUM, University of Helsinki and Helsinki University Hospital, Helsinki, Finland,Umeå Univ, Dept Surg & Perioperat Sci, Umeå, Sweden.;Univ Helsinki, Dept Surg, CLINICUM, Helsinki, Finland.;Helsinki Univ Hosp, Helsinki, Finland.
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- Rocco, Nicola (författare)
- G.Re.T.A. Group for Reconstructive and Therapeutic Advancements Fondazione ETS, Naples, Italy; Department of Advanced Biomedical Sciences, University of Naples 'Federico II', Naples, Italy,G Re TA Grp Reconstruct Therapeut Advancements Fd, Naples, Italy.;Univ Naples Federico II, Dept Adv Biomed Sci, Naples, Italy.
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- Oxford University Press, 2023
- 2023
- Engelska.
- Ingår i: British Journal of Surgery. - : Oxford University Press. - 0007-1323 .- 1365-2168. ; 110:8, s. 966-972
- Tidskriftsartikel (refereegranskat)
Abstract
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- BACKGROUND: Volume replacement using chest wall perforator flaps (CWPFs) is a promising technique to reduce mastectomy rates without sacrificing function or aesthetics. Owing to limited availability of the technique, only a minority of patients currently have access to CWPF procedures.METHODS: An international web-based survey was disseminated through social media, dedicated webpages, and national and international societies for breast surgery. The survey explored surgeons' attitudes towards CWPFs and their perceived training needs.RESULTS: Of 619 respondents, 88.4 per cent agreed that CWPF surgery was desirable, with one-third offering it and performing a median of 10 (i.q.r. 5-15) procedures annually. They were more likely to be senior (OR 1.35, 95 per cent c.i. 1.18 to 1.55; P < 0.001), with formal oncoplastic training (OR 4.80, 3.09 to 7.48; P < 0.001), and working in larger units (OR 1.18, 1.03 to 1.35; P = 0.018) with a free-flap (OR 1.62, 1.06 to 2.48; P = 0.025) or CWPF (OR 3.02, 1.87 to 4.89; P < 0.001) service available. In cluster and latent class analysis, none showed high cohesion with performance of CWPF surgery.CONCLUSION: There is a discrepancy between perceived importance and availability of CWPF surgery, indicating that optimal training is needed.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
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