首页|Operative efficiency in autologous breast reconstruction:a systematic review
Operative efficiency in autologous breast reconstruction:a systematic review
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Breast cancer is a leading cause of cancer in women worldwide.With increased public awareness of routine breast cancer screening,the incidence of mastectomy and,therefore,breast reconstruction continues to increase year over year.Value-based healthcare has become a universal priority in medical systems.A systematic review of the literature was performed in March 2024 across four electronic databases(PubMed,Embase,Google Scholar,and MEDLINE)and in accordance with the PRISMA guidelines.Screening was performed at two levels(title/abstract and full text screening)by two independent reviewers.Data items extracted included:year,authors,country,study size,duration,strategy implemented,main aims,area of application,study design and methodology,outcomes,relevant statistical analysis,and follow-up.Eleven articles were identified that met all inclusion criteria.Six were retrospective reviews and five were prospective cohort studies.The efficiency models implemented included Lean Six Sigma,the Four Disciplines of Execution,and process mapping and analysis.Emphasizing efficiency is pivotal in delivering outstanding breast reconstruction services and enhancing the overall patient journey.
Autologous breast reconstructionmicrosurgeryDIEPefficiencyprocess analysis
Nicholas T.Haddock、Thomas Steele、Sumeet S.Teotia
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Department of Plastic Surgery,University of Texas Southwestern,Dallas,TX 75390,United States
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