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The impact of obesity on outcomes for patients undergoing mastectomy using the ACS-NSQIP data set.

Publication ,  Journal Article
Garland, M; Hsu, F-C; Clark, C; Chiba, A; Howard-McNatt, M
Published in: Breast Cancer Res Treat
April 2018

PURPOSE: According to the World Health Organization (WHO), 34.7% of females in the United States are obese (BMI ≥ 30) in 2014, compared to 32.5% in 2010. The previous research has demonstrated high BMI as an independent risk factor for surgical complications after breast surgery. As more patients become obese, we sought to examine whether increasing obesity had an effect on outcomes of women who underwent a unilateral mastectomy without breast reconstruction. METHODS: The study reviewed the 2007-2012 ACS-NSQIP database and identified all patients who underwent a unilateral mastectomy without reconstruction. Patients were then categorized and compared according to the World Health Organization obesity classification. Data were analyzed for minor complications (e.g., UTI and SSI) and major complications (e.g., renal failure, sepsis, deep vein thrombosis, return to operating room [RTOR], and cardiac arrest). RESULTS: A total of 7207 women were identified. Median BMI was 27.3 kg/m2. From the cohort, 453 patients (6.29%) had a major complication and 173 patients (2.40%) had a minor complication. 53 (0.74%) had bleeding complications, 148 (2.05%) had a surgical site infection (SSI), 352 (4.88%) RTOR, and 7 (0.01%) died within 30 days. Major complications (p = 0.005) and minor complications (p < 0.001) significantly increased as BMI increased. SSI and RTOR had increasing trends, but were not statistically significant. CONCLUSIONS: This study characterizes the risk of complications in women undergoing unilateral mastectomies and shows that increasing obesity is associated with major and minor postoperative complications. Our finding highlights the need for personalized preoperative risk assessment and counseling of obese patients.

Duke Scholars

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Published In

Breast Cancer Res Treat

DOI

EISSN

1573-7217

Publication Date

April 2018

Volume

168

Issue

3

Start / End Page

723 / 726

Location

Netherlands

Related Subject Headings

  • United States
  • Surgical Wound Infection
  • Risk Factors
  • Risk Assessment
  • Postoperative Complications
  • Oncology & Carcinogenesis
  • Obesity
  • Middle Aged
  • Mastectomy
  • Mammaplasty
 

Citation

APA
Chicago
ICMJE
MLA
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Garland, M., Hsu, F.-C., Clark, C., Chiba, A., & Howard-McNatt, M. (2018). The impact of obesity on outcomes for patients undergoing mastectomy using the ACS-NSQIP data set. Breast Cancer Res Treat, 168(3), 723–726. https://doi.org/10.1007/s10549-017-4651-4
Garland, Mary, Fang-Chi Hsu, Clancy Clark, Akiko Chiba, and Marissa Howard-McNatt. “The impact of obesity on outcomes for patients undergoing mastectomy using the ACS-NSQIP data set.Breast Cancer Res Treat 168, no. 3 (April 2018): 723–26. https://doi.org/10.1007/s10549-017-4651-4.
Garland M, Hsu F-C, Clark C, Chiba A, Howard-McNatt M. The impact of obesity on outcomes for patients undergoing mastectomy using the ACS-NSQIP data set. Breast Cancer Res Treat. 2018 Apr;168(3):723–6.
Garland, Mary, et al. “The impact of obesity on outcomes for patients undergoing mastectomy using the ACS-NSQIP data set.Breast Cancer Res Treat, vol. 168, no. 3, Apr. 2018, pp. 723–26. Pubmed, doi:10.1007/s10549-017-4651-4.
Garland M, Hsu F-C, Clark C, Chiba A, Howard-McNatt M. The impact of obesity on outcomes for patients undergoing mastectomy using the ACS-NSQIP data set. Breast Cancer Res Treat. 2018 Apr;168(3):723–726.
Journal cover image

Published In

Breast Cancer Res Treat

DOI

EISSN

1573-7217

Publication Date

April 2018

Volume

168

Issue

3

Start / End Page

723 / 726

Location

Netherlands

Related Subject Headings

  • United States
  • Surgical Wound Infection
  • Risk Factors
  • Risk Assessment
  • Postoperative Complications
  • Oncology & Carcinogenesis
  • Obesity
  • Middle Aged
  • Mastectomy
  • Mammaplasty