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Efficiency in the operating room can be difficult in long cases with multiple surgeons. We used a team based approach to develop an intraoperative pathway for microsurgical breast reconstruction with a deep inferior epigastric perforator flap.
A team based approach was developed with an intraoperative pathway for microsurgical breast reconstruction with a deep inferior epigastric perforator flap.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Pre pathway | Pre pathway | ||
| Post pathway | Post pathway |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| pathway | Other | Comparison of pre and post pathway |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Operative Time | Length of Time in surgery | 3 years |
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Inclusion Criteria:
Exclusion Criteria:
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Patients undergoing breast reconstruction
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| Name | Affiliation | Role |
|---|---|---|
| Bernard T Lee, MD | Beth Israel Deaconess Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Beth Israel Deaconess Medical Center | Boston | Massachusetts | 02215 | United States |
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2006-2008. Operating room records
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| ID | Title | Description |
|---|---|---|
| FG000 | Pre Pathway | Patients prior to pathway implementation |
| FG001 | Post Pathway | Patients after pathway implementation |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Pre Pathway | Patients prior to pathway implementation |
| BG001 | Post Pathway | Patients after pathway implementation |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Operative Time | Length of Time in surgery | Posted | Mean | 95% Confidence Interval | hours | 3 years |
|
|
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Pre Pathway | Patients prior to pathway implementation |
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More patient enrollment is necessary to ascertain long term outcomes
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Bernard Lee | BIDMC | 617-632-7835 | blee3@bidmc.harvard.edu |
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| ID | Term |
|---|---|
| D001943 | Breast Neoplasms |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
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| BG002 |
| Total |
Total of all reporting groups |
| Participants |
|
| Sex/Gender, Customized | Number | paticipants |
|
|
| 0 |
| 100 |
| 0 |
| 100 |
| EG001 | Post Pathway | Patients after pathway implementation | 0 | 50 | 0 | 50 |
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| D017437 |
| Skin and Connective Tissue Diseases |