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The purpose of this study is to analyze an institution's experience with starting a subspecialized DIEP flap program.
The purpose of this study is to analyze an institution's experience with starting a subspecialized DIEP flap program and to determine whether other hospitals would benefit from instituting a similar program. Prior studies have compared the outcome from a DIEP flap program with that of TRAM flaps within the same center. Other studies have calculated the cost of a DIEP flap and its complication rate. However, no one has examined the overall effects of a subspecialized reconstruction program and its impact on a health center. In this study, we will determine if the institutionalization of a DIEP flap program has increased our center's rate of breast reconstruction, as well as evaluate its outcomes and overall financial viability.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Pre programmatic development | Patients who have undergone mastectomy for breast cancer prior to implementation of the deep inferior epigastric perforator flap microsurgical breast reconstruction program | ||
| Post programmatic development | Patients who have undergone mastectomy for breast cancer after implementation of the deep inferior epigastric perforator flap microsurgical breast reconstruction program |
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| Measure | Description | Time Frame |
|---|---|---|
| complication rate | complication rate | 6 years |
| Measure | Description | Time Frame |
|---|---|---|
| reconstruction rate | reconstruction rate | 6 years |
| patient satisfaction | Breast Q, Michigan Breast Outcomes Survey | 6 years |
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Inclusion Criteria:
Exclusion Criteria:
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All women who have undergone mastectomy for breast cancer between 1999 and 2008 at the BIDMC.
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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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| ID | Term |
|---|---|
| D001943 | Breast Neoplasms |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
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| D017437 |
| Skin and Connective Tissue Diseases |