TY - JOUR

T1 - ESPRAS Umfrage zur Brustrekonstruktion in Europa

AU - Giunta, Riccardo E.

AU - Hansson, Emma

AU - Andresen, Carolina

AU - Athanasopoulos, Elias

AU - di Benedetto, Giovanni

AU - Celebic, Aleksandra Bozovic

AU - Caulfield, Robert

AU - Costa, Horacio

AU - Demirdover, Cenk

AU - Georgescu, Alexandru

AU - van Hemelryck, Thierry

AU - Henley, Mark

AU - Kappos, Elisabeth A.

AU - Karabeg, Reuf

AU - Karhunen-Enckell, Ulla

AU - Korvald, Christian

AU - de Mortillet, Stephane

AU - Murray, Dylan J.

AU - Palenčár, Drahomír

AU - Piatkowski, Andrzej

AU - di Pompeo, Fabio Santanelli

AU - Psaras, Georgios

AU - Rakhorst, Hinne

AU - Rogelj, Klemen

AU - Holmich, Lisbet Rosenkrantz

AU - Schaefer, Dirk J.

AU - Spendel, Stephan

AU - Stepic, Nenad

AU - Vandevoort, Marc

AU - Vasar, Olavi

AU - Waters, Ruth

AU - Zic, Rado

AU - Moellhoff, Nicholas

AU - Elander, Anna

N1 - Publisher Copyright: © 2021. Thieme. All rights reserved.

PY - 2021/8/1

Y1 - 2021/8/1

N2 - 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.

AB - 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.

KW - Breast reconstruction

KW - Breast reconstruction registry

KW - DIEP

KW - ESPRAS

KW - Free flap

KW - Microsurgery

U2 - 10.1055/a-1424-1428

DO - 10.1055/a-1424-1428

M3 - Review

C2 - 33784792

AN - SCOPUS:85103647029

VL - 53

SP - 340

EP - 348

JO - Handchirurgie Mikrochirurgie Plastische Chirurgie

JF - Handchirurgie Mikrochirurgie Plastische Chirurgie

SN - 0722-1819

IS - 4

ER -