TY - JOUR
T1 - THE EPIDEMIOLOGY AND OUTCOMES OF BREAST CANCER SURGERY
AU - Fraser, Victoria J.
AU - Nickel, Katelin B.
AU - Fox, Ida K.
AU - Margenthaler, Julie A.
AU - Olsen, Margaret A.
PY - 2016/1/1
Y1 - 2016/1/1
N2 - We studied women after breast-conserving surgery and mastectomy with immediate (IR) and delayed reconstruction to determine the risk of surgical site infections (SSIs). The SSI rate was 1.3% for BCS, 5.2% for mastectomy, and 10.3% for mastectomy plus IR with flap. SSI risk was higher for mastectomy and IR with implantation versus delayed reconstruction with implantation (8.8% versus 5.9%, P = 0.039) or staged reconstruction with implantation (3.3%, P <0.001). Women with SSI had more SSIs after second-staged reconstruction and implantation compared to those without SSI (10.9% versus 2.7%, P <0.001). SSI was first coded 2 to 30 days postoperatively in 50.3%, and 23% between 31 and 60 days postoperatively. The noninfectious wound complication rate was 10.8%. The noninfectious wound complication rate was 5.8% after mastectomy, 13.4% after mastectomy with implantation, 18.7% after mastectomy with flap, and 15.2% with mastectomy flap and implantation (P <0.001). Implants were removed within 60 days in 6% of mastectomies with implantation.
AB - We studied women after breast-conserving surgery and mastectomy with immediate (IR) and delayed reconstruction to determine the risk of surgical site infections (SSIs). The SSI rate was 1.3% for BCS, 5.2% for mastectomy, and 10.3% for mastectomy plus IR with flap. SSI risk was higher for mastectomy and IR with implantation versus delayed reconstruction with implantation (8.8% versus 5.9%, P = 0.039) or staged reconstruction with implantation (3.3%, P <0.001). Women with SSI had more SSIs after second-staged reconstruction and implantation compared to those without SSI (10.9% versus 2.7%, P <0.001). SSI was first coded 2 to 30 days postoperatively in 50.3%, and 23% between 31 and 60 days postoperatively. The noninfectious wound complication rate was 10.8%. The noninfectious wound complication rate was 5.8% after mastectomy, 13.4% after mastectomy with implantation, 18.7% after mastectomy with flap, and 15.2% with mastectomy flap and implantation (P <0.001). Implants were removed within 60 days in 6% of mastectomies with implantation.
UR - http://www.scopus.com/inward/record.url?scp=85043358008&partnerID=8YFLogxK
M3 - Article
C2 - 28066037
AN - SCOPUS:85043358008
SN - 0065-7778
VL - 127
SP - 46
EP - 58
JO - Transactions of the American Clinical and Climatological Association
JF - Transactions of the American Clinical and Climatological Association
ER -