{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T12:47:23Z","timestamp":1787316443850,"version":"build-2736575974"},"reference-count":36,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,7,5]],"date-time":"2023-07-05T00:00:00Z","timestamp":1688515200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000098","name":"NIH Clinical Center","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000098","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Surgical Oncology"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The effects of COVID\u201019 on breast reconstruction included shifts toward\u00a0alloplastic reconstruction methods to preserve hospital resources and minimize COVID exposures. We examined the effects of COVID\u201019 on breast reconstruction hospital length of stay (LOS) and subsequent early postoperative complication rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using the National Surgical Quality Improvement Program, we examined female patients who underwent mastectomy with immediate breast reconstruction from 2019 to 2020. We compared postoperative complications across 2019\u20132020 for alloplastic and autologous reconstruction patients. We further performed subanalysis of 2020 patients based on LOS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Both alloplastic and autologous reconstruction patients had shorter inpatient stays. Regarding the alloplastic 2019 versus 2020 cohorts, complication rates did not differ (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.05 in all cases). Alloplastic patients in 2020 with longer LOS had more unplanned reoperations (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Regarding autologous patients in 2019 versus 2020, the only complication increasing from 2019 to 2020 was deep surgical site infection\u00a0(SSI) (2.0% vs. 3.6%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.024). Autologous patients in 2020 with longer LOS had more unplanned reoperations (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.007).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In 2020, hospital LOS decreased for all breast reconstruction patients with no complication differences in alloplastic patients and a slight increase in SSIs in autologous patients. Shorter LOS may lead to improved satisfaction and lower healthcare costs with low complication risk, and future research should examine the potential relationship between LOS and these outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jso.27378","type":"journal-article","created":{"date-parts":[[2023,7,5]],"date-time":"2023-07-05T03:48:50Z","timestamp":1688528930000},"page":"726-742","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Decreasing length of stay in breast reconstruction patients: A national analysis of 2019\u20132020"],"prefix":"10.1002","volume":"128","author":[{"given":"Robyn N.","family":"Rubenstein","sequence":"first","affiliation":[{"name":"Plastic and Reconstructive Surgery Service, Department of Surgery Memorial Sloan Kettering Cancer Center New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carrie S.","family":"Stern","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Surgery Service, Department of Surgery Memorial Sloan Kettering Cancer Center New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francis D.","family":"Graziano","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Surgery Service, Department of Surgery Memorial Sloan Kettering Cancer Center New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ethan L.","family":"Plotsker","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Surgery Service, Department of Surgery Memorial Sloan Kettering Cancer Center New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn","family":"Haglich","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Surgery Service, Department of Surgery Memorial Sloan Kettering Cancer Center New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Audree B.","family":"Tadros","sequence":"additional","affiliation":[{"name":"Breast Surgery Service, Department of Surgery Memorial Sloan Kettering Cancer Center  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2959-109X","authenticated-orcid":false,"given":"Robert J.","family":"Allen","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Surgery Service, Department of Surgery Memorial Sloan Kettering Cancer Center New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Babak J.","family":"Mehrara","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Surgery Service, Department of Surgery Memorial Sloan Kettering Cancer Center New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9516-8356","authenticated-orcid":false,"given":"Evan","family":"Matros","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Surgery Service, Department of Surgery Memorial Sloan Kettering Cancer Center New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0329-4422","authenticated-orcid":false,"given":"Jonas A.","family":"Nelson","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Surgery Service, Department of Surgery Memorial Sloan Kettering Cancer Center New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,7,5]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/jso.26889"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10549-020-06008-3"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000003852"},{"key":"e_1_2_8_5_1","unstructured":"Manstein SMLE ShiahE ComerCD LinSJ.2021. Impact of Transitioning to Same Day Discharge Following Immediate Prosthetic Breast Reconstruction during the COVID\u201019 Pandemic (Abstract Presentation presented at Northeastern Society of Plastic Surgeons)."},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000007269"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10549-020-05739-7"},{"key":"e_1_2_8_8_1","unstructured":"COVID\u201019: Guidance for Triage of Non\u2010Emergent Surgical Procedures.2020September 5 2022]; Available fromhttps:\/\/www.facs.org\/-\/media\/files\/covid19\/guidance_for_triage_of_nonemergent_surgical_procedures.ashx"},{"issue":"12","key":"e_1_2_8_9_1","first-page":"573","article-title":"Treatment protocol to allow reconstructive breast surgery during COVID\u201019 pandemic","volume":"107","author":"Sanchez AM","year":"2020","journal-title":"Br J Surg"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s42836-022-00131-w"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00423-022-02605-6"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/PPO.0b013e31817fb7c3"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpra.2019.09.002"},{"key":"e_1_2_8_14_1","unstructured":"National Surgical Quality Improvement Program. 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