Our Summary

The research paper discusses the importance of quality over quantity in healthcare, particularly in relation to breast reconstruction surgery. The researchers conducted a systematic review of quality measures for this type of surgery and found 27 applicable measures. However, they noticed a heavy emphasis on process measures, with only a few focusing on outcomes. They also found that there were no measures assessing the structural aspects of the surgery. The study concludes by suggesting that more focus should be placed on designing quality measures that address the structural and outcome aspects of breast reconstruction surgery to ensure it is properly evaluated in value-based payment models. These models link the payments for healthcare services to the quality of care provided, rather than the number of services.

FAQs

  1. What were the main findings of the research on quality measures for breast reconstruction surgery?
  2. Why does the study suggest that more focus should be placed on structural and outcome aspects of breast reconstruction surgery?
  3. How could the findings of this research impact value-based payment models in healthcare?

Doctor’s Tip

One helpful tip a doctor might tell a patient about breast reconstruction is to carefully follow post-operative instructions provided by your healthcare team, including taking prescribed medications, attending follow-up appointments, and avoiding strenuous activities until cleared by your surgeon. Proper care and adherence to instructions can help ensure a successful recovery and optimal results from the surgery.

Suitable For

Patients who have undergone a mastectomy due to breast cancer or other medical conditions are typically recommended for breast reconstruction. Additionally, patients who have a high risk of developing breast cancer or have a strong family history of the disease may also be recommended for breast reconstruction as a preventative measure. It is important for patients to discuss their options with their healthcare provider to determine if breast reconstruction is the right choice for them.

Timeline

Before breast reconstruction surgery:

  • Patient is diagnosed with breast cancer or undergoes prophylactic mastectomy
  • Patient consults with plastic surgeon to discuss options for breast reconstruction
  • Patient undergoes pre-operative testing and preparation for surgery
  • Surgery is scheduled and performed, which may include tissue expander placement, flap reconstruction, or implant placement

After breast reconstruction surgery:

  • Patient goes through a recovery period, which may involve pain management and monitoring for complications
  • Patient may undergo additional procedures to achieve desired cosmetic outcome, such as nipple reconstruction or fat grafting
  • Patient follows up with plastic surgeon for post-operative care and monitoring
  • Patient adjusts to life with reconstructed breasts, including potential changes in physical appearance and sensation
  • Patient may experience emotional and psychological challenges related to body image and self-esteem
  • Patient continues with regular follow-up appointments for long-term monitoring and care

What to Ask Your Doctor

  1. What are the different options for breast reconstruction surgery?
  2. What are the risks and potential complications associated with each type of reconstruction?
  3. How will the reconstruction surgery impact my physical appearance and sensation in the breast area?
  4. What is the recovery process like after breast reconstruction surgery?
  5. How long does it typically take to fully recover from the surgery?
  6. Are there any long-term effects or considerations I should be aware of?
  7. How will breast reconstruction surgery affect my ability to undergo further treatments or screenings for breast cancer in the future?
  8. What are the success rates for the different types of breast reconstruction surgery?
  9. Are there any alternative or complementary therapies that can aid in the reconstruction process?
  10. Can you provide me with before and after photos of previous patients who have undergone breast reconstruction surgery?

Reference

Authors: Nazerali RN, Finnegan MA, Divi V, Lee GK, Kamal RN. Journal: Ann Plast Surg. 2017 Sep;79(3):320-325. doi: 10.1097/SAP.0000000000001088. PMID: 28570449