Does oncoplastic surgery increase immediate (30-day) postoperative complications? An analysis of the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) database

Purpose Although there has been a significant increase in the use of oncoplastic surgery (OPS), data on the postoperative safety of this approach are limited compared to traditional lumpectomy. This study aimed to compare the immediate (30-day) postoperative complications associated with OPS and tra...

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Bibliographic Details
Published in:Breast cancer research and treatment 2020-07, Vol.182 (2), p.429-438
Main Authors: Angarita, Fernando A., Acuna, Sergio A., Cordeiro, Erin, McCready, David R., Cil, Tulin D.
Format: Article
Language:English
Subjects:
Aged
Breast - pathology
Breast - surgery
Breast cancer
Breast Neoplasms - mortality
Breast Neoplasms - pathology
Breast Neoplasms - surgery
Cancer research
Chemotherapy
Databases, Factual - statistics & numerical data
Epidemiology
Feasibility Studies
Female
Global Burden of Disease - statistics & numerical data
Hospital Mortality
Humans
Lumpectomy
Lymph nodes
Mammaplasty - adverse effects
Mammaplasty - methods
Mastectomy, Segmental - adverse effects
Mastectomy, Segmental - methods
Medicine
Medicine & Public Health
Middle Aged
Oncology
Postoperative Complications - epidemiology
Postoperative Complications - etiology
Postoperative Complications - prevention & control
Quality control
Quality improvement
Quality Improvement - statistics & numerical data
Retrospective Studies
Statistical analysis
Surgery
Treatment Outcome
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Summary:Purpose Although there has been a significant increase in the use of oncoplastic surgery (OPS), data on the postoperative safety of this approach are limited compared to traditional lumpectomy. This study aimed to compare the immediate (30-day) postoperative complications associated with OPS and traditional lumpectomy. Methods An analysis of the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) database was performed on women with breast cancer who underwent OPS or traditional lumpectomy. Logistic regression was used to explore the effect of type of surgery on the outcome of interest. Results A total of 109,487 women were analyzed of whom 8.3% underwent OPS. OPS had a longer median operative time than traditional lumpectomy. The unadjusted immediate (30-day) overall complication rate was significantly higher with OPS than traditional lumpectomy (3.8% versus 2.6%, p  
ISSN:0167-6806
1573-7217
DOI:10.1007/s10549-020-05665-8