NESPS - Northeastern Society of Plastic Surgeons NESPS - Northeastern Society of Plastic Surgeons
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26th Annual Meeting Abstracts


PREFERENCES IN CHOOSING BETWEEN BREAST RECONSTRUCTION OPTIONS: A SURVEY OF FEMALE PLASTIC SURGEONS
*Hani Sbitany, Ashley N Amalfi, *Howard N Langstein
University of Rochester, Rochester, NY

BACKGROUND: Female Plastic Surgeons are well suited to make a personal choice regarding breast reconstruction options, based on their knowledge of the actual procedures, and first hand experience with results. We surveyed this group, to elicit their personal views on various modalities of breast reconstruction, and to ascertain which types of reconstruction they would choose if faced with such a decision.
METHODS: All board-certified female plastic surgeons in the United States and Canada were surveyed via electronic mail. This survey included questions regarding basic demographic and practice data. Respondents were requested to rank desired methods of reconstruction for themselves, and cite reasons for these choices.
RESULTS: A total of 435 surveys were sent, and 143 were returned (response rate of 33%). Overall, 66% of respondents chose implant-based reconstruction, 25% chose autologous reconstruction, and 9% chose no reconstruction. Respondents selecting autologous reconstruction cited cosmetic outcome as the most important factor considered in 47% of cases, compared with 14% of those choosing implant-based breast reconstruction (p=.0001). Invasiveness of the procedure/recovery time was cited as most important factor by 83% of those surgeons opting for no breast reconstruction, and 51% of those choosing implant-based breast reconstruction (p=.0175).
CONCLUSIONS: Board-certified female plastic surgeons exhibit a strong desire to pursue implant-based breast reconstruction over autologous reconstruction. When chosen, autologous reconstruction was felt to offer improved aesthetic outcomes. When making such a decision, patients can use female Plastic Surgeons as a resource for information, thus helping them to make an informed decision.
CLINICAL PRACTICE CHARACTERISTICS OF RESPONDING SURGEONS
BREAST RECONSTRUCTION PRACTICED CLINICALLYWANT NO RECONSTRUCTIONWANT IMPLANT-BASED RECONSTRUCTIONWANT AUTOLOGOUS-BASED RECONSTRUCTIONP-VALUE (Fisher's Exact Test)
<30 cases/year, any type75126.1745
>30 cases/year, primarily implant-based5335.0324
>30 cases/year, primarily autologous-based033.3981

MOST IMPORTANT FACTORS CITED IN RECONSTRUCTIVE CHOICE
MOST IMPORTANT FACTOR IN DECISIONWANT NO RECONSTRUCTIONWANT IMPLANT-BASED RECONSTRUCTIONWANT AUTOLOGOUS-BASED RECONSTRUCTIONP-VALUE (Fisher's Exact Test)
Number In Cohort128532
Cosmetic Outcome01215.00014
Recovery Time3201.0175
Least Invasive Procedure7230.00001
Removal Of Tissue From Other Sites In The Body0010.0001
Post-Surgical Level of Functioning1256.222