Archives of surgery (Chicago, Ill. : 1960)
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Multicenter Study Comparative Study
Accelerating the pace of surgical quality improvement: the power of hospital collaboration.
A regional collaborative approach is an efficient platform for surgical quality improvement. ⋯ A statewide surgical quality improvement collaborative supported by a third-party payer showed significant improvement in quality and high levels of participant satisfaction.
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To determine the impact of chemotherapy and the timing of chemotherapy on postoperative outcomes after mastectomy and immediate breast reconstruction. ⋯ Although the highest rate of surgical site infections was in the adjuvant chemotherapy group, there were no differences between groups with respect to unplanned return to the operating room, expander loss, and donor-site complications. Neither the inclusion of chemotherapy nor the timing of its administration significantly affected the complication rates after mastectomy and immediate breast reconstruction in this population.