From Henry Ford Hospital; West Virginia University; University of Utah Health; M. D. Anderson Cancer Center; PRMA Plastic Surgery; the American Society of Plastic Surgeons; Central Park South Plastic Surgery; Johns Hopkins University School of Medicine; Memorial Sloan Kettering Cancer Center; South Bay Plastic Surgeons; the University of Vermont; LSU Health Sciences Center; the Breast Center of Southern Arizona; and Beth Israel Deaconess Medical Center, Harvard Medical School.
Plast Reconstr Surg. 2020 Feb;145(2):284e-294e. doi: 10.1097/PRS.0000000000006478.
The American Society of Plastic Surgeons commissioned the Autologous Breast Reconstruction Performance Measure Development Work Group to identify and draft quality measures for the care of patients undergoing autologous breast reconstruction and other breast reconstruction surgery. Four outcome measures and one process measure were identified. Outcomes include patient satisfaction with information for all breast reconstruction, a subscale of the BREAST-Q, and the length of stay, operative time, and rate of blood transfusion for autologous blood transfusion. The process measure looks at coordination of care around managing the breast reconstruction patient's care, with the physician coordinating the ongoing care, be it an oncologist, radiologist, other specialist, or primary care physician. All measures in this report were approved by the American Society of Plastic Surgeons Quality and Performance Measures Work Group and the American Society of Plastic Surgeons Executive Committee. The Work Group recommends the use of these measures for quality initiatives, continuing medical education, maintenance of certification, American Society of Plastic Surgeons' Qualified Clinical Data Registry reporting, and national quality-reporting programs.
美国整形外科学会委托自体乳房重建绩效衡量制定工作组确定并起草用于自体乳房重建和其他乳房重建手术患者护理的质量衡量标准。工作组确定了四项结果衡量标准和一项流程衡量标准。结果衡量标准包括患者对所有乳房重建信息的满意度、BREAST-Q 子量表、自体输血的住院时间、手术时间和输血率。流程衡量标准关注围绕管理乳房重建患者护理的医疗协调情况，由医生协调持续护理，无论是肿瘤医生、放射科医生、其他专家还是初级保健医生。本报告中的所有衡量标准均获得美国整形外科学会质量和绩效衡量标准工作组以及美国整形外科学会执行委员会的批准。工作组建议将这些衡量标准用于质量计划、继续医学教育、维持认证、美国整形外科学会合格临床数据登记报告以及国家质量报告计划。
