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A feasible computer-based evaluation tool for reduction mammaplasty patients: Indications for operation and monitoring of guidelines.

Hansson, Emma LU ; Manjer, Jonas LU ; Börrén, Jerker LU ; Levin, Malin; Mulder, Lotta and Ringberg, Anita LU (2014) In Journal of Plastic, Reconstructive and Aesthetic Surgery 67(7). p.927-931
Abstract
In Sweden, evidence-based national guidelines for the indication for reduction mammaplasty in the public health-care system have been developed by a group of experts. They were defined as breast volume ≥800 ml at normal weight. Furthermore, a volume asymmetry of 25% or at least 200 ml or an extreme ptosis may be an indication in some cases. The aim of the present paper was to describe an easy-to-use computer-based tool that has been developed to assure that patients with mammary hyperplasia are evaluated and offered care in a standardized fashion and that the adherence to the guidelines is monitored. Included variables were based on a model for priority grouping originally presented by Strömbeck and Malm in 1986 and comprise body mass... (More)
In Sweden, evidence-based national guidelines for the indication for reduction mammaplasty in the public health-care system have been developed by a group of experts. They were defined as breast volume ≥800 ml at normal weight. Furthermore, a volume asymmetry of 25% or at least 200 ml or an extreme ptosis may be an indication in some cases. The aim of the present paper was to describe an easy-to-use computer-based tool that has been developed to assure that patients with mammary hyperplasia are evaluated and offered care in a standardized fashion and that the adherence to the guidelines is monitored. Included variables were based on a model for priority grouping originally presented by Strömbeck and Malm in 1986 and comprise body mass index (BMI), BMI-corrected breast volume, ptosis, asymmetry, and general breast-related factors preoperatively and 1 year postoperatively and complications postoperatively. Between June 2007 and January 2013, 377 patients were evaluated. Of which, 275 qualified for operation. With the help of the computer-based tool, compliance to the indications for operation can be easily followed, and hence the intended patients offered a reduction mammaplasty in the public health-care system. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Journal of Plastic, Reconstructive and Aesthetic Surgery
volume
67
issue
7
pages
927 - 931
publisher
Elsevier
external identifiers
  • pmid:24816579
  • wos:000339354900012
  • scopus:84902298533
ISSN
1878-0539
DOI
10.1016/j.bjps.2014.03.028
language
English
LU publication?
yes
id
1bfa57f8-0271-4fae-8623-d70522a4ca21 (old id 4455391)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/24816579?dopt=Abstract
date added to LUP
2014-06-03 23:09:20
date last changed
2017-01-01 03:55:22
@article{1bfa57f8-0271-4fae-8623-d70522a4ca21,
  abstract     = {In Sweden, evidence-based national guidelines for the indication for reduction mammaplasty in the public health-care system have been developed by a group of experts. They were defined as breast volume ≥800 ml at normal weight. Furthermore, a volume asymmetry of 25% or at least 200 ml or an extreme ptosis may be an indication in some cases. The aim of the present paper was to describe an easy-to-use computer-based tool that has been developed to assure that patients with mammary hyperplasia are evaluated and offered care in a standardized fashion and that the adherence to the guidelines is monitored. Included variables were based on a model for priority grouping originally presented by Strömbeck and Malm in 1986 and comprise body mass index (BMI), BMI-corrected breast volume, ptosis, asymmetry, and general breast-related factors preoperatively and 1 year postoperatively and complications postoperatively. Between June 2007 and January 2013, 377 patients were evaluated. Of which, 275 qualified for operation. With the help of the computer-based tool, compliance to the indications for operation can be easily followed, and hence the intended patients offered a reduction mammaplasty in the public health-care system.},
  author       = {Hansson, Emma and Manjer, Jonas and Börrén, Jerker and Levin, Malin and Mulder, Lotta and Ringberg, Anita},
  issn         = {1878-0539},
  language     = {eng},
  number       = {7},
  pages        = {927--931},
  publisher    = {Elsevier},
  series       = {Journal of Plastic, Reconstructive and Aesthetic Surgery},
  title        = {A feasible computer-based evaluation tool for reduction mammaplasty patients: Indications for operation and monitoring of guidelines.},
  url          = {http://dx.doi.org/10.1016/j.bjps.2014.03.028},
  volume       = {67},
  year         = {2014},
}