Abdominoplasty: Can American Society of Anesthesiologists Classification Help Determine When it Is Safe to Say No?

Familusi, Olatomide; Shin, Joseph; Doscher, Matthew; Manrique, Oscar J.; Benacquista, Teresa

doi:10.1016/j.jamcollsurg.2015.07.259

Cited by 4 publications

(12 citation statements)

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“…After applying the full inclusion and exclusion criteria, a consensus was made for the discrepancies and 106 studies were eligible for analysis. 2,8,12 …”

Section: Resultsmentioning

confidence: 99%

“…It was found that their classification system predicted significant complications and successfully screened patients undergoing abdominal contouring. 30 In this context, the NSQIP was used as a means of validating another screening tool to reliably predict risk and complications for elective procedures. The objective data collection process of the program ensures its robustness in assessing post-operative outcomes that apply to elective surgical procedures.…”

Section: Future Stepsmentioning

confidence: 99%

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Scoping Review of the National Surgical Quality Improvement Program in Plastic Surgery Research

Augustine

Najarali

et al. 2018

Plast Surg (Oakv)

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Background: The National Surgical Quality Improvement Program (NSQIP) is a robust, high-quality surgical outcomes database that measures risk-adjusted 30-day outcomes of surgical interventions. The purpose of this scoping review is to describe how the NSQIP is being used in plastic surgery research. Methods: A comprehensive electronic literature search was completed in PubMed, Embase, MEDLINE, and CINAHL. Two reviewers independently reviewed articles to determine their relevance using predefined inclusion criteria. Articles were included if they utilized NSQIP data to conduct research in a domain of plastic surgery or analyzed surgical procedures completed by plastic surgeons. Extracted information included the domain of plastic surgery, country of origin, journal, and year of publication. Results: A total of 106 articles met the inclusion criteria. The most common domain of plastic surgery was breast reconstruction representing 35% of the articles. Of the 106 articles, 95% were published within the last 5 years. The Plastic and Reconstructive Surgery journal published most of the (59%) NSQIP-related articles. All of the studies were retrospective. Of note, there were no articles on burns and only one study on trauma as the domain of plastic surgery. Conclusion: This scoping review describes how NSQIP data are being used to analyze plastic surgery interventions and outcomes in order to guide quality improvement in 106 articles. It demonstrates the utility of NSQIP in the literature, however also identifies some limitations of the program as it applies to plastic surgery. Résumé Historique : Le Programme national d'amélioration de la qualité des soins chirurgicaux (PNAQC) est une base de données des résultats chirurgicaux à la fois solide et de qualité, qui mesure les résultats des interventions chirurgicales rajustées au risque au bout de 30 jours. La présenteétude exploratoire vise à décrire le mode d'utilisation du PNAQC dans la recherche en chirurgie plastique. Méthodologie : Les chercheurs ont procédé à une analyse bibliographiqueélectronique fouillée dans PubMed, Embase, MEDLINE et CINAHL. À l'aide de critères d'inclusion prédéfinis, deux analystes ont examiné des articles de manière indépendante pour en déterminer la pertinence. Ils ont inclus les articles qui utilisaient les données du PNAQC pour mener des recherches dans un domaine de la chirurgie plastique ou analyser les interventions chirurgicales effectuées par des plasticiens. L'information extraite incluait le domaine de la chirurgie plastique, le pays d'origine, la revue scientifique et l'année de publication. Résultats : Au total, 106 articles respectaient les critères d'inclusion. Le principal domaine de chirurgie plastiqueétait la reconstruction mammaire, qui représentait 35 % des articles. Des 106 articles, 95 % avaientété publiés au cours des cinq années précédentes. La revue Plastic and Reconstructive Surgery avait publié la plupart des articles liés au PNAQC (59 %). Toutes lesétudes

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“…After applying the full inclusion and exclusion criteria, a consensus was made for the discrepancies and 106 studies were eligible for analysis. 2,8,12 …”

Section: Resultsmentioning

confidence: 99%

Section: Future Stepsmentioning

confidence: 99%

Scoping Review of the National Surgical Quality Improvement Program in Plastic Surgery Research

Augustine

Najarali

et al. 2018

Plast Surg (Oakv)

View full text Add to dashboard Cite

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“…18,21,22 Other reporting systems such as the PBCCRS were seldom used for the reviewed operation types. 9,15 Based on the current literature findings, we hypothesize events with grade CDC I or CDC II to be underreported. A numerical example from our collective can illustrate this: by simply "ignoring" events with grade CDC I or CDC II, the overall event rate would be reduced to 18.9% (comparable to Table 4).…”

Section: Discussionmentioning

confidence: 97%

“…Contradicting conclusions on the effects of the aforementioned risk factors can be found in the literature. 9 , 10 , 19 , 20 , 23 , 30 31 32 …”

Section: Discussionmentioning

confidence: 99%

“… 3 4 5 Reported CSLT complication rates vary from 4% to greater than 70%. 6 7 8 9 10 11 Reports on postoperative events after CSLT lack comparability. With no consensus on how to define postoperative events, most literature sources continue to apply confusing and similar terms like “minor,” “major,” and “severe” for classification of complications.…”

Section: Introductionmentioning

confidence: 99%

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BMI and Revision Surgery for Abdominoplasties: Complication Definitions Revisited Using the Clavien-Dindo Classification

Reischies

Tiefenbacher

Holzer-Geissler

et al. 2023

Plastic and Reconstructive Surgery - Global Open

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Background: After body contouring surgery of the lower trunk (CSLT), the definition, rate (4%–70%), and documentation of complications vary. Objectives: We analyzed the effect of risk factors on the outcome based on the Clavien-Dindo classification (CDC) after CSLT surgery and polled postoperative satisfaction among patients. Methods: All patients undergoing CSLT from 2001 to 2016 were included and were classified according to the CDC for postoperative events. Statistical analysis included proportional odds logistic regression analysis. We polled patients to grade their satisfaction with the postoperative result and whether they would have the operation performed again. Results: A total of 265 patients were included: 60 (22.6%), 25 (9.4%), 28 (10.6%), and 21 (7.9%) were in CDC grades I, II, IIIa, and IIIb, respectively. A high preoperative body mass index significantly increased the odds for a postoperative event requiring revision surgery under general anesthesia (CDC grade IIIb, odds ratio 0.93, 95% confidence interval 0.89–0.97, P = 0.001). One-hundred twenty-eight patients (48.3%) participated in the poll: 101 (78.9%) were either happy or content with the postoperative results, and 117 (91.4%) would have the procedure performed again, including all nine patients with CDC grade IIIb. Conclusions: Our results confirm that a high body mass index is a statistically significant risk factor for requiring major revision surgery after CSLT. Despite being a complication prone intervention, postoperative satisfaction after CSLT was ranked favorably in our sample. We recommend that the CDC be used in all surgical specialties to evaluate complications and permit future comparability of pooled data.

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Association of Autoimmune Connective Tissue Disease With Abdominoplasty Outcomes

2018

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Abdominoplasty is generally associated with favorable outcomes and high levels of patient satisfaction. Nonetheless, abdominoplasties have one of the highest complication rates among aesthetic procedures. 1 Patient selection and risk stratification is paramount to preventing postoperative complications. Patients with autoimmune connective tissue diseases (CTDs) may have associated systemic and soft tissue manifestations that increase their risk of complications. 2 To date, the association of CTDs with abdominoplasty outcomes has not been reported. The purpose of this study was to evaluate whether patients with autoimmune CTDs undergoing abdominoplasties are at an increased risk of complications.

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Abdominoplasty: Can American Society of Anesthesiologists Classification Help Determine When it Is Safe to Say No?

Cited by 4 publications

References 0 publications

Scoping Review of the National Surgical Quality Improvement Program in Plastic Surgery Research

Scoping Review of the National Surgical Quality Improvement Program in Plastic Surgery Research

BMI and Revision Surgery for Abdominoplasties: Complication Definitions Revisited Using the Clavien-Dindo Classification

Association of Autoimmune Connective Tissue Disease With Abdominoplasty Outcomes

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