Article
Surgery
Tyler Safran, Becher Al-Halabi, Alex Viezel-Mathieu, Jessica Hazan, Tassos Dionisopoulos
Summary: The study showed that breast satisfaction, psychosocial well-being, chest physical well-being, and sexual well-being did not significantly change at 12 months post-reconstruction. Factors such as neoadjuvant chemotherapy, increased age, and rippling negatively influenced patient-reported outcomes.
PLASTIC AND RECONSTRUCTIVE SURGERY
(2021)
Article
Surgery
Malke Asaad, Jessie Z. Yu, Jacquelynn P. Tran, Jun Liu, Brittney O'Grady, Mark W. Clemens, Rene D. Largo, Alexander F. Mericli, Mark Schaverien, John Shuck, Melissa P. Mitchell, Charles E. Butler, Jesse C. Selber
Summary: The study compared complication rates and patient satisfaction between prepectoral and subpectoral implant-based breast reconstruction (IBR). The results showed similar surgical outcomes and patient satisfaction between the two groups, indicating that prepectoral breast reconstruction is a viable option.
PLASTIC AND RECONSTRUCTIVE SURGERY
(2023)
Article
Oncology
Shibani R. Chettri, Michael P. Pignone, Allison M. Deal, Karen R. Sepucha, Lillian B. Blizard, Ruth Huh, Yuen-Jong Liu, Peter A. Ubel, Clara N. Lee
Summary: Breast reconstruction surgery is associated with certain domains of patient-reported outcomes (PROs), but not all domains. Making a high-quality decision is not associated with better PROs overall. Among patients undergoing mastectomy with reconstruction, higher decision quality is associated with poorer psychosocial well-being.
ANNALS OF SURGICAL ONCOLOGY
(2023)
Article
Oncology
Shibani R. Chettri, Michael P. Pignone, Allison M. Deal, Karen R. Sepucha, Lillian B. Blizard, Ruth Huh, Yuen-Jong Liu, Peter A. Ubel, Clara N. Lee
Summary: Breast reconstruction is associated with better patient-reported outcomes (PROs) in terms of satisfaction with breasts, psychosocial well-being, and sexual well-being, but not physical well-being. Making a high-quality decision is not associated with better PROs overall, but among patients undergoing mastectomy with reconstruction, higher decision quality is associated with lower psychosocial well-being.
ANNALS OF SURGICAL ONCOLOGY
(2023)
Article
Surgery
Jessica J. Hsu, Carrie A. Kubiak, Jessica Billig, Ji Qi, Jennifer B. Hamill, Hyungjin M. Kim, Edwin G. Wilkins, Theodore A. Kung
Summary: While previous studies found that female patients often prefer female providers, surgeon gender has little impact on patient satisfaction with breast reconstruction surgery. Patient-reported outcomes showed no significant differences in satisfaction with surgeon, outcome, or psychosocial well-being, except for information satisfaction where patients of female surgeons reported higher satisfaction levels. Further research is needed to determine if the difference in information delivery between male and female surgeons is clinically significant.
PLASTIC AND RECONSTRUCTIVE SURGERY
(2021)
Article
Oncology
Catherine Pesce, Jennifer Jaffe, Kristine Kuchta, Katharine Yao, Mark Sisco
Summary: Although patients who undergo mastectomy have less long-term breast satisfaction, all patients can expect to experience similar improvements in anxiety and psychosocial well-being. Efforts should be made to ensure that patients feel informed and confident before surgery, as this is the greatest predictor of better outcomes. Women who felt very confident and very informed before surgery had lower anxiety, lower fear of recurrence, better psychosocial well-being, and greater breast satisfaction at 15 months postoperatively.
BREAST CANCER RESEARCH AND TREATMENT
(2021)
Article
Oncology
Jonas A. Nelson, Meghana G. Shamsunder, Paige L. Myers, Thais O. Polanco, Michelle R. Coriddi, Colleen M. McCarthy, Evan Matros, Joseph H. Dayan, Joseph J. Disa, Babak J. Mehrara, Andrea L. Pusic, Robert J. Allen
Summary: This study compared patient-reported outcomes between autologous breast reconstruction (ABR) and implant-based breast reconstruction (IBR) patients using propensity score matching. The results showed no significant differences in breast satisfaction and well-being between ABR and IBR patients who did not receive radiotherapy.
ANNALS OF SURGICAL ONCOLOGY
(2022)
Article
Oncology
Abbas M. Hassan, Praneet Paidisetty, Nicholas Ray, Janhavi G. Govande, Jonas A. Nelson, Babak J. Mehrara, Charles E. Butler, Alexander F. Mericli, Jesse C. Selber
Summary: This study found that frailty is associated with an increased risk of complications in breast reconstruction, but there is no significant difference in long-term patient-reported outcomes. MFI should be considered in high-risk frail patients to improve the outcomes of breast reconstruction.
ANNALS OF SURGICAL ONCOLOGY
(2023)
Article
Surgery
Sabine Oskar, Jonas A. Nelson, Madeleine E. Hicks, Kenneth P. Seier, Kay See Tan, Jacqueline J. Chu, Scott West, Robert J. Allen, Andrea Barrio, Evan Matros, Anoushka M. Afonso
Summary: Racial disparities are evident in the perioperative outcomes of breast cancer patients undergoing autologous breast reconstruction. African American patients have a higher incidence of major complications following surgery, but patient-reported outcomes do not differ between racial groups.
PLASTIC AND RECONSTRUCTIVE SURGERY
(2022)
Article
Oncology
Kate R. Pawloski, Marissa K. Srour, Tracy-Ann Moo, Varadan Sevilimedu, Jonas A. Nelson, Paula Garcia, Laurie J. Kirstein, Monica Morrow, Audree B. Tadros
Summary: This study examined the impact of timing of chemotherapy on patient-reported outcomes after breast surgery. The results showed that the satisfaction levels after breast-conserving surgery were not affected by the timing of chemotherapy, while the satisfaction levels after mastectomy with immediate reconstruction varied based on the timing of chemotherapy.
ANNALS OF SURGICAL ONCOLOGY
(2023)
Article
Surgery
Chris Baliski, Brendan Bakos
Summary: This study investigated the impact of volume of breast tissue removed and performance of re-excisions on patient quality of life and breast satisfaction following breast conserving surgery. The findings suggest that larger volume of tissue removal and re-excisions negatively impact physical and psychosocial well-being of patients, emphasizing the importance of minimizing these factors for optimal patient reported outcomes.
AMERICAN JOURNAL OF SURGERY
(2022)
Article
Oncology
Melissa Afshar-Bakshloo, Sarah Albers, Chiara Richter, Ottilia Berninger, Jens-Uwe Blohmer, Robert Roehle, Dorothee Speiser, Maria Margarete Karsten
Summary: This study analyzed the long-term impact of different surgical approaches on body image in breast cancer patients. The results showed that breast-conserving surgery and mastectomy with immediate breast reconstruction had a smaller negative impact on body image compared to mastectomy alone. Additionally, radiotherapy was found to have a negative long-term effect on body image. These findings are important for informed decision-making and postoperative care in breast cancer patients.
Article
Oncology
Anna Chichura, Deanna J. Attai, Kristine Kuchta, Kyra Nicholson, Katherine Kopkash, Catherine Pesce, Katharine Yao
Summary: This study identified a discrepancy between the satisfaction of male breast cancer patients with their surgeries and the recommendations and experiences of surgeons, highlighting an opportunity to optimize the experience of these patients.
ANNALS OF SURGICAL ONCOLOGY
(2022)
Article
Surgery
Malke Asaad, Cedar Slovacek, David Mitchell, Jun Liu, Jesse C. Selber, Mark W. Clemens, Carrie K. Chu, Alexander F. Mericli, Charles E. Butler
Summary: In patients who underwent explantation of implants due to infection in the context of implant-based breast reconstruction, both implant-based and free flap breast reconstruction had similar rates of overall complications. However, implant-based reconstruction had higher rates of infection and reconstructive failures, as well as lower patient-reported satisfaction scores for the breasts.
PLASTIC AND RECONSTRUCTIVE SURGERY
(2022)
Article
Surgery
Sarah E. Hart, David L. Brown, Hyungjin M. Kim, Ji Qi, Jennifer B. Hamill, Edwin G. Wilkins
Summary: This study aimed to evaluate the association of neoadjuvant and adjuvant chemotherapy with complications and patient-reported outcomes in immediate breast reconstruction. The results showed that chemotherapy did not affect the likelihood of complications in patients undergoing implant-based or autologous reconstruction, and also did not impact patient satisfaction with reconstruction or psychosocial well-being. This information can assist patients and clinicians in making informed decisions about breast reconstruction in the setting of chemotherapy.
Article
Health Care Sciences & Services
Elizabeth Austin, Cynthia LeRouge, Andrea L. Hartzler, Courtney Segal, Danielle C. Lavallee
QUALITY OF LIFE RESEARCH
(2020)
Article
Health Care Sciences & Services
Patricia D. Franklin, Hua Zheng, Christina Bond, Danielle C. Lavallee
Summary: Informatics tools have been developed to collect patient-reported outcomes (PROs) and medical risk factors, generating personalized predictive reports for shared decision-making in clinics. Through iterative interviews with patients and clinicians, the system was refined and implemented in a cluster randomized trial, showing successful patient completion of assessments and positive reception of the report by clinicians and patients.
QUALITY OF LIFE RESEARCH
(2021)
Article
Oncology
Judy Hamad, John Gore, Stephanie Chisolm, Morgan Powell, Danielle C. Lavallee, Robert Lipman, Nancy Lindsey, Angela Smith
Summary: This study establishes an online learning program for bladder cancer patients to train in research methods specific to bladder cancer, with participants contributing to research topics and studies. The PEER program provides a model for fostering patient engagement in disease-specific research, with potential for broader application in other disease processes and malignancies.
UROLOGIC ONCOLOGY-SEMINARS AND ORIGINAL INVESTIGATIONS
(2021)
Article
Medicine, General & Internal
Gwen M. Bernacki, Ruth A. Engelberg, J. Randall Curtis, Manjula Kurella Tamura, Lyndia C. Brumback, Danielle C. Lavallee, Elizabeth K. Vig, Ann M. O'Hare
Article
Oncology
Angela B. Smith, Jenney R. Lee, Sarah O. Lawrence, Danielle C. Lavallee, Stephanie Chisolm, Doug B. MacLean, Renata K. Louwers, Erika M. Wolff, Larry G. Kessler, Kristin M. Follmer, John L. Gore
Summary: Patient-centered approaches are crucial for diseases with complex treatment decision-making. The article describes patient and public involvement in designing a large observational trial for high-grade non-muscle-invasive bladder cancer. Stakeholders were engaged to prioritize research questions, refine study design, and create an engagement plan. Through intentional involvement, the study aims to produce generalizable results for informed decision-making by patients facing difficult treatment choices.
Article
Urology & Nephrology
Fahad Saeed, Catherine R. Butler, Carlyn Clark, Kristen O'Loughlin, Ruth A. Engelberg, Paul L. Hebert, Danielle C. Lavallee, Elizabeth K. Vig, Manjula Kurella Tamura, J. Randall Curtis, Ann M. O'Hare
Summary: The study found that the majority of family members of patients undergoing maintenance dialysis had discussed end-of-life care preferences with the patients, but fewer had discussed stopping dialysis or hospice care. Family members had a fair understanding of patients' preferences regarding cardiopulmonary resuscitation, but lacked detailed understanding of their perspectives on other aspects of end-of-life care.
CLINICAL JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY
(2021)
Article
Surgery
Sara Khor, David R. Flum, Lisa L. Strate, Mariam N. Hantouli, Heather M. Harris, Danielle C. Lavallee, Brennan M. R. Spiegel, Giana H. Davidson
Summary: This study established the minimal clinically important difference (MCID) and patient acceptable symptom state (PASS) for DV-QOL, providing crucial thresholds for measuring the impact of diverticular disease and evaluating treatment effectiveness.
JOURNAL OF SURGICAL RESEARCH
(2021)
Article
Medicine, General & Internal
Jennifer S. Scherer, Kaylin C. Milazzo, Paul L. Hebert, Ruth A. Engelberg, Danielle C. Lavallee, Elizabeth K. Vig, Manjula Kurella Tamura, Glenda Roberts, J. Randall Curtis, Ann M. O'Hare
Summary: This study reveals that religious or spiritual beliefs play a significant role in the end-of-life care preferences of adults receiving maintenance dialysis. Those who consider these beliefs important are more likely to favor resuscitation, shared decision-making roles, and less likely to consider stopping dialysis. Addressing these beliefs in care for dialysis patients is crucial for providing holistic care.
Letter
Medicine, General & Internal
Giana H. Davidson, David R. Flum, Sarah E. Monsell, Lillian S. Kao, Emily C. Voldal, Patrick J. Heagerty, Erin Fannon, Danielle C. Lavallee, Bonnie Bizzell, Sarah O. Lawrence, Bryan A. Comstock, Anusha Krishnadasan, Robert J. Winchell, Wesley H. Self, Callie M. Thompson, Farhood Farjah, Pauline K. Park, Hasan B. Alam, Darin Saltzman, Gregory J. Moran, Amy H. Kaji, Daniel A. DeUgarte, Matthew Salzberg, Lisa Ferrigno, Katherine A. Mandell, Thea P. Price, Nicole Siparsky, Jacob Glaser, Patricia Ayoung-Chee, William Chiang, Jesse Victory, Bruce Chung, Damien W. Carter, Matthew E. Kutcher, Alan Jones, Julie Holihan, Mike K. Liang, Brett A. Faine, Joseph Cuschieri, Heather L. Evans, Jeffrey Johnson, Joe H. Patton, Natasha Coleman, Katherine Fischkoff, F. Thurston Drake, Sabrina E. Sanchez, Charles Parsons, Stephen R. Odom, Larry G. Kessler, David A. Talan
NEW ENGLAND JOURNAL OF MEDICINE
(2021)
Article
Surgery
Sarah E. Monsell, Emily C. Voldal, Giana H. Davidson, Katherine Fischkoff, Natasha Coleman, Bonnie Bizzell, Thea Price, Mayur Narayan, Nicole Siparsky, Callie M. Thompson, Patricia Ayoung-Chee, Stephen R. Odom, Sabrina Sanchez, F. Thurston Drake, Jeffrey Johnson, Joseph Cuschieri, Heather L. Evans, Mike K. Liang, Karen McGrane, Quinton Hatch, Jesse Victory, Jon Wisler, Matthew Salzberg, Lisa Ferrigno, Amy Kaji, Daniel A. DeUgarte, Melinda Maggard Gibbons, Hasan B. Alam, John Scott, Lillian S. Kao, Wesley H. Self, Robert J. Winchell, Cassandra M. Villegas, David A. Talan, Larry G. Kessler, Danielle C. Lavallee, Anusha Krishnadasan, Sarah O. Lawrence, Bryan Comstock, Erin Fannon, David R. Flum, Patrick J. Heagerty
Summary: This study aimed to evaluate patient factors associated with undergoing appendectomy within 30 days of initiating antibiotics for appendicitis. The results found that the presence of an appendicolith was associated with a nearly 2-fold increased risk of undergoing appendectomy, while clinical characteristics often used to describe the severity of appendicitis were not associated with the odds of 30-day appendectomy.
Article
Surgery
Giana H. Davidson, Sarah E. Monsell, Heather Evans, Emily C. Voldal, Erin Fannon, Sarah O. Lawrence, Anusha Krishnadasan, David A. Talan, Bonnie Bizzell, Patrick J. Heagerty, Bryan A. Comstock, Danielle C. Lavallee, Cassandra Villegas, Robert Winchell, Callie M. Thompson, Wesley H. Self, Lillian S. Kao, Shah-Jahan Dodwad, Amber K. Sabbatini, David Droullard, David Machado-Aranda, Melinda Maggard Gibbons, Amy H. Kaji, Daniel A. DeUgarte, Lisa Ferrigno, Matthew Salzberg, Katherine A. Mandell, Nicole Siparsky, Thea P. Price, Anooradha Raman, Joshua Corsa, Jon Wisler, Patricia Ayoung-Chee, Jesse Victory, Alan Jones, Matthew Kutcher, Karen McGrane, Julie Holihan, Mike K. Liang, Joseph Cuschieri, Jeffrey Johnson, Katherine Fischkoff, F. Thurston Drake, Sabrina E. Sanchez, Stephen R. Odom, Larry G. Kessler, David R. Flum
Summary: This study compared participants in the randomized and self-selection cohorts of the CODA trial, and found similar clinical characteristics and outcomes, suggesting that the results of the randomized trial are generalizable to the wider community.
Article
Health Policy & Services
Adeera Levin, Michelle Malbeuf, Alison M. Hoens, Christopher Carlsten, Christopher J. Ryerson, Alessandro Cau, Stirling Bryan, Jaclyn Robinson, Tamsin Tarling, Joanne Shum, Danielle C. Lavallee
Summary: Research on the long-term impacts of COVID-19 is limited, and the PC-ICCN is a provincial initiative in British Columbia that aims to enhance knowledge and understanding of the sequelae of COVID-19 infection over time. The network includes post COVID-19 Recovery Clinics that provide direct patient care, standardized testing, and education for a minimum of 12 months post enrolment. The PC-ICCN patient registry captures data on all COVID-19 patients with confirmed infection.
LEARNING HEALTH SYSTEMS
(2023)
Article
Health Policy & Services
Erin Abu-Rish Blakeney, Hebatallah Naim Ali, Nicole Summerside, Danielle C. Lavallee, Benjamin Kragen, Mayumi A. Willgerodt, Bryan J. Weiner, Leah Spacciante, Brenda K. Zierler
Summary: The study aimed to improve communication and coordination in an inpatient heart failure care unit through interventions, resulting in sustained positive changes, especially for nonrotating workgroups. This intervention holds promise for teams seeking best practice models of high-reliability care organization and delivery, representing an important area for future practice-based research.
HEALTH CARE MANAGEMENT REVIEW
(2021)
Article
Health Policy & Services
Elizabeth J. Austin, Cynthia LeRouge, Jenney R. Lee, Courtney Segal, Savitha Sanganneswaran, Joseph Heim, William B. Lober, Andrea L. Hartzler, Danielle C. Lavallee
Summary: This study presents guidelines for integrating ePROs into clinical practice within an LHS framework, developed through action research methodology. The guidelines focus on three core thematic areas: governance, integration, and reporting, highlighting the importance of organizational learning, workflow, technology, and knowledge translation in improving patient outcomes within LHS contexts.
LEARNING HEALTH SYSTEMS
(2021)
Article
Health Care Sciences & Services
Elizabeth Austin, Jenney R. Lee, Dagmar Amtmann, Rich Bloch, Sarah O. Lawrence, Debbe McCall, Sean Munson, Danielle C. Lavallee