ESPRAS Survey on Breast Reconstruction in Europe.

Autor:	Giunta RE; Abteilung für Hand-, Plastische und Ästhetische Chirurgie, Klinikum der Universität München, LMU München., Hansson E; Department of Plastic Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg., Andresen C; Plastic Reconstructive Craniomaxillofacial Hand and Microsurgical Unit, Centro Hospitalar de Vila Nova de Gaia, Portugal., Athanasopoulos E; Dept. of Plastic Surgery, 424 General Military Training Hospital, Thessaloniki, Greece., Benedetto GD; Department of Plastic and Reconstructive Surgery, Marche Polytechnic University, Ancona, Italy., Celebic AB; Surgical Center of Plastic Surgery -A medic, Beogradska 24E, Podgorica, Montenegro., Caulfield R; Department of Plastic Surgery, Mater Misericordiae University Hospital, Dublin, Ireland., Costa H; Aveiro University, Plastic Reconstructive Craniomaxilofacial Hand and Microsurgical Unit, Gaia Hospital Center., Demirdöver C; Department of Plastic, Reconstructive and Aesthetic Surgery and Hand Surgery, Dokuz Eylul University,Izmir, Turkey., Georgescu A; University of Medicine Iuliu Hatieganu, Clinic of Plastic Surgery, Cluj-Napoca, Romania., Hemelryck TV; La Clinique Esthétique, les Sables d'Olonne, France., Henley M; Department of Plastic and Reconstructive Surgery, Nottingham University Hospitals, United Kingdom., Kappos EA; Breast Center and Department of Plastic, Reconstructive, Aesthetic and Handsurgery, University Hospital Basel and University of Basel, Basel, Switzerland., Karabeg R; Surgical Clinic 'Karabeg', Sarajevo, Bosnia and Herzegovina., Karhunen-Enckell U; Head of Breast Surgery Unit, Department of Surgery, Tampere University Hospital, Finland., Korvald C; Department of Plastic and Reconstructive Surgery, Oslo University Hospital, Oslo, Norway., Mortillet S; Chirurgie Plastique, Reconstructrice et Esthétique, Pôle santé Léonard de Vinci, Chambray les Tours cedex, France., Murray DJ; National Paediatric Craniofacial Center, Children's Hospital Ireland, Temple Street, Dublin, Ireland., Palenčár D; Department of Plastic Surgery, Medical Faculty of Comenius University Bratislava, Slovakia., Piatkowski A; Department of Plastic Surgery, MUMC+, Maastricht, The Netherlands., Pompeo FSD; Plastic Surgery Unit, Sant'Andrea Hospital, School of Medicine and Psychology, 'Sapienza' University of Rome, Rome, Italy., Psaras G; American Medical Centre, Cyprus., Rakhorst H; Plastic and reconstructive surgery, ZGT, Hengelo, The Netherlands., Rogelj K; Department of Plastic Surgery and Burns, University Medical Centre Ljubljana, Slovenia., Rosenkrantz Hölmich L; Department of Plastic Surgery, Herlev and Gentofte Hospital, Herlev, Denmark., Schaefer DJ; Department of Plastic, Reconstructive, Aesthetic & Hand Surgery, University Hospital Basel, Basel, Switzerland., Spendel S; Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Medical University of Graz, Graz, Austria., Stepic N; Clinic for Plastic Surgery and Burns Military Medical Academy, Belgrade, Serbia., Vandevoort M; University Hospital Gasthuisberg, Leuven, Belgium., Vasar O; Hospital of Reconstructive Surgery, Tallinn, Estonia., Waters R; Department of Burns & Plastic Surgery, Queen Elizabeth Hospital Birmingham, United Kingdom., Zic R; University Hospital Dubrava, Department of Plastic Reconstructive and Aesthetic Surgery, School of Medicine, University of Zagreb., Moellhoff N; Abteilung für Hand-, Plastische und Ästhetische Chirurgie, Klinikum der Universität München, LMU München., Elander A; Department of Plastic Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg.
Jazyk:	angličtina
Zdroj:	Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V.. [Handchir Mikrochir Plast Chir] 2021 Aug; Vol. 53 (4), pp. 340-348. Date of Electronic Publication: 2021 Mar 30.
DOI:	10.1055/a-1424-1428
Abstrakt:	Background:  The European Leadership Forum (ELF) of the European Society of Plastic, Reconstructive and Aesthetic Surgery (ESPRAS) previously identified the need for harmonisation of breast reconstruction standards in Europe, in order to strengthen the role of plastic surgeons. This study aims to survey the status, current trends and potential regional differences in the practice of breast reconstruction in Europe, with emphasis on equity and access. Materials and Methods:  A largescale web-based questionnaire was sent to consultant plastic and reconstructive surgeons, who are experienced in breast reconstruction and with understanding of the national situation in their country. Suitable participants were identified via the Executive Committee (ExCo) of ESPRAS and national delegates of ESPRAS. The results were evaluated and related to evidence-based literature. Results:  A total of 33 participants from 29 European countries participated in this study. Overall, the incidence of breast reconstruction was reported to be relatively low across Europe, comparable to other large geographic regions, such as North America. Equity of provision and access to breast reconstruction was distributed evenly within Europe, with geographic regions potentially affecting the type of reconstruction offered. Standard practices with regard to radiotherapy differed between countries and a clear demand for European guidelines on breast reconstruction was reported. Conclusion:  This study identified distinct lack of consistency in international practice patterns across European countries and a strong demand for consistent European guidance. Large-scale and multi-centre European clinical trials are required to further elucidate the presented areas of interest and to define European standard operating procedures. Competing Interests: The authors declare that there is no conflict of interest. (Thieme. All rights reserved.)
Databáze:	MEDLINE
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