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The Influence of Age on Complications After Correction of Congenital Breast Deformities: A National Analysis of the Pediatric and Adult NSQIP Data Sets.

Publication ,  Journal Article
Sergesketter, AR; Geng, Y; Tian, WM; Langdell, HC; Shammas, RL; Knackstedt, R; Rezak, K
Published in: Aesthet Surg J
October 13, 2023

BACKGROUND: Timing of surgical intervention is controversial among patients seeking correction of congenital breast deformities. OBJECTIVES: This study aimed to assess the influence of age on 30-day complications and unplanned healthcare utilization after reconstruction of congenital breast deformities. METHODS: Female patients undergoing breast reconstruction for congenital breast deformities and Poland syndrome were identified on the basis of International Classification of Diseases (ICD) codes in the 2012 to 2021 pediatric and adult National Surgical Quality Improvement Project (NSQIP) data sets. Complications based on age at correction were compared, and multivariate logistic regression was used to identify predictors of overall and wound healing complications. RESULTS: Among 528 patients meeting inclusion criteria, mean (SD) age at surgical correction was 30.2 (13.3) years. Patients most commonly underwent implant placement (50.5%), mastopexy (26.3%), or tissue expander placement (11.6%). Across the cohort, overall incidence of postoperative complications was 4.4%, most commonly superficial surgical site infection (1.0%), reoperation (1.1%), or readmission (1.0%). After multivariate adjustment, increasing age at time of correction was associated with higher incidence of wound complications [odds ratio (OR) 1.001; 95% confidence interval (CI) 1.0003-1.002; P = .009], in addition to BMI (OR 1.002; 95% CI 1.0007-1.004; P = .006) and tobacco use (OR 1.06; 95% CI 1.02-1.11; P = .003). CONCLUSIONS: Breast reconstruction for congenital breast deformities may be safely undertaken at a young age with a low associated risk of postoperative complications. Large, multi-institutional studies are needed to assess the influence of surgical timing on psychosocial outcomes in this population.

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Published In

Aesthet Surg J

DOI

EISSN

1527-330X

Publication Date

October 13, 2023

Volume

43

Issue

11

Start / End Page

1273 / 1282

Location

England

Related Subject Headings

  • Surgery
  • 3202 Clinical sciences
  • 11 Medical and Health Sciences
 

Citation

APA
Chicago
ICMJE
MLA
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Sergesketter, A. R., Geng, Y., Tian, W. M., Langdell, H. C., Shammas, R. L., Knackstedt, R., & Rezak, K. (2023). The Influence of Age on Complications After Correction of Congenital Breast Deformities: A National Analysis of the Pediatric and Adult NSQIP Data Sets. Aesthet Surg J, 43(11), 1273–1282. https://doi.org/10.1093/asj/sjad137
Sergesketter, Amanda R., Yisong Geng, William M. Tian, Hannah C. Langdell, Ronnie L. Shammas, Rebecca Knackstedt, and Kristen Rezak. “The Influence of Age on Complications After Correction of Congenital Breast Deformities: A National Analysis of the Pediatric and Adult NSQIP Data Sets.Aesthet Surg J 43, no. 11 (October 13, 2023): 1273–82. https://doi.org/10.1093/asj/sjad137.
Sergesketter AR, Geng Y, Tian WM, Langdell HC, Shammas RL, Knackstedt R, et al. The Influence of Age on Complications After Correction of Congenital Breast Deformities: A National Analysis of the Pediatric and Adult NSQIP Data Sets. Aesthet Surg J. 2023 Oct 13;43(11):1273–82.
Sergesketter, Amanda R., et al. “The Influence of Age on Complications After Correction of Congenital Breast Deformities: A National Analysis of the Pediatric and Adult NSQIP Data Sets.Aesthet Surg J, vol. 43, no. 11, Oct. 2023, pp. 1273–82. Pubmed, doi:10.1093/asj/sjad137.
Sergesketter AR, Geng Y, Tian WM, Langdell HC, Shammas RL, Knackstedt R, Rezak K. The Influence of Age on Complications After Correction of Congenital Breast Deformities: A National Analysis of the Pediatric and Adult NSQIP Data Sets. Aesthet Surg J. 2023 Oct 13;43(11):1273–1282.
Journal cover image

Published In

Aesthet Surg J

DOI

EISSN

1527-330X

Publication Date

October 13, 2023

Volume

43

Issue

11

Start / End Page

1273 / 1282

Location

England

Related Subject Headings

  • Surgery
  • 3202 Clinical sciences
  • 11 Medical and Health Sciences