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21건 · 최신순-
Factors associated with emergency free flap reoperation in postmastectomy breast reconstruction: A population-based cohort study.
[BACKGROUND] Reoperation shortly after free flap breast reconstruction is a substantial event with impacts on patients and healthcare utilization. The objective of the study was to evaluate the factors associated with the return to the oper…
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Closed-Incision Negative Pressure Therapy Compared to Conventional Dressing Following Autologous Abdominal Tissue Breast Reconstruction: The MACVAC Pilot Randomized Control Trial.
There is equipoise regarding the use of closed-incision negative pressure therapy (ciNPT) versus conventional dressings for abdominal incisions in deep inferior epigastric perforator (DIEP) flap breast reconstruction. The primary objective …
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Consecutive Microsurgical Cases Performed by Single Surgeon at a Canadian Tertiary Care Center: A Retrospective Review.
The practice of a microsurgeon evolves over time with experience, changes in clinical interest, and practice setting. Previous reports suggest that complication rates may be influenced by years of practice. The aim of this study was to anal…
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Co-surgeon versus Single-surgeon Outcomes in Free Tissue Breast Reconstruction: A Meta-analysis.
[BACKGROUND] Autologous breast reconstruction offers superior long-term patient reported outcomes compared with implant-based reconstruction. Universal adoption of free tissue transfer has been hindered by procedural complexity and long op…
- Unit of Analysis Guide, Part 2: Not Everything That Can Be Counted Counts.
- Unit of Analysis Guide, Part 1: More Than a Sum of Parts.
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Textbook outcomes in DIEP flap breast reconstruction: a Delphi study to establish consensus.
[PURPOSE] Composite measures, like textbook outcomes, may be superior to individual metrics when assessing hospital performance and quality of care. This study utilized a Delphi process to define a textbook outcome in DIEP flap breast recon…
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"Spin" in Plastic Surgery Randomized Controlled Trials with Statistically Nonsignificant Primary Outcomes: A Systematic Review.
[BACKGROUND] "Spin" refers to a manipulation of language that implies benefit for an intervention when none may exist. Randomized controlled trials (RCTs) in other fields have been demonstrated to employ spin, which can mislead clinicians t…
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Improving the Science in Plastic Surgery.
In 1906, George Bernard Shaw criticized the medical profession for its lack of science and compassion. Since then, advances in both medical and surgical subspecialties have improved quality of patient care. Unfortunately, the reporting of t…
- Seventy-Fifth Anniversary of Plastic and Reconstructive Surgery: How Evidence-Based Medicine Has Transformed Plastic Surgery.
- Commentary on: Evaluation of the Completeness of Interventions Reported in Published Randomized Controlled Trials in Plastic Surgery: A Systematic Review.
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US FDA Breast Implant Postapproval Studies: Long-term Outcomes in 99,993 Patients.
[OBJECTIVE] To analyze the long-term safety and efficacy outcomes of patients with breast implants. [SUMMARY BACKGROUND DATA] Research is ongoing regarding the safety of silicone breast implants. Despite the number of patients with breast …
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Adjunctive Dorsal Scapular Nerve Transfer to Suprascapular Nerve for Brachial Plexus Birth Injuries: Case Series.
[PURPOSE] Brachial plexus birth injury (BPBI) may result in permanent functional deficits. Brachial plexus birth injury involving the suprascapular nerve (SSN) is conventionally treated using accessory nerve transfer or excision and nerve g…
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Surgical Treatment of Lymphedema.
Lymphedema affects up to 250 million people worldwide. The understanding of the pathophysiology of the condition, however, is incomplete and a cure remains elusive. A growing body of evidence supports the effectiveness of modern surgical te…
- Interpreting the Results of Meta-Analyses in Plastic Surgery.
- Discussion: Meta-Analyses in Plastic Surgery: Can We Trust Their Results?
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The Fragility of Statistically Significant Randomized Controlled Trials in Plastic Surgery.
[BACKGROUND] The fragility index has been proposed as a metric to evaluate the robustness of statistically significant findings in randomized controlled trials. It measures the number of events that a trial result relies on to maintain stat…
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Perioperative Corticosteroids Reduce Short-Term Edema and Ecchymosis in Rhinoplasty: A Meta-Analysis.
[BACKGROUND] A number of randomized controlled trials (RCTs) have investigated the role of perioperative corticosteroids in rhinoplasty. Each of these trials however has an insufficient sample sizes to reach definitive conclusions and detec…
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A Systematic Review of Surgical Randomized Controlled Trials: Part I. Risk of Bias and Outcomes: Common Pitfalls Plastic Surgeons Can Overcome.
[BACKGROUND] The authors investigated the methodological validity of plastic surgery randomized controlled trials that compared surgical interventions. [METHODS] An electronic search identified randomized controlled trials published betwee…
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A Systematic Review of Surgical Randomized Controlled Trials: Part 2. Funding Source, Conflict of Interest, and Sample Size in Plastic Surgery.
[BACKGROUND] The authors examined industry support, conflict of interest, and sample size in plastic surgery randomized controlled trials that compared surgical interventions. They hypothesized that industry-funded trials demonstrate statis…
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Designing and reporting case series in plastic surgery.
The case series is the most prevalent type of clinical research in the plastic surgery literature. However, this is a lower level study design in the hierarchy of evidence. The case series is nevertheless a useful hypothesis generator for f…