A Population- Level Analysis of Bilateral Breast Reduction: Does Age Affect Early Complications?

作者：Nelson Jonas A^*; Fischer John P; Wink Jason D; Kovach Stephen J III

来源：Aesthetic Surgery Journal, 2014, 34(3): 409-416.

DOI：10.1177/1090820X14525393

• breast surgery
• breast reduction
• reduction mammaplasty
• age
• American College of Surgeons
• National Surgical Quality Improvement Program

Background: As the American population ages, a growing number of women may suffer from symptomatic macromastia in their later years.
Objectives: The authors analyzed population data from the 2005-2010 American College of Surgeons National Surgical Quality Improvement Program database to investigate effects of age on 30-day surgical outcomes for reduction mammaplasty with the hope of improving patient care, counseling, and risk stratification.
Methods: Overall, 3537 patients were included in the analysis. Outcome variables included 30-day postoperative major surgical, medical, and wound complications. Patients were initially stratified into 2 groups: <60 years and 60 years. The World Health Organization defines age >60 years as elderly. The authors then performed a subgroup analysis, further stratifying the younger cohort into <50 years and 50-60 years of age. Univariate analysis was performed to assess the dependency of preoperative factors on surgical outcomes (P < .05).
Results: Of the 3547 patients, 3050 were <60 years of age (39.7 11.8 years) and 487 were 60 years of age (65.1 +/- 4.7 years). A total of 182 thirty-day postoperative surgical complications were documented. Stratifying patients into 2 age groups did not reveal an association between age and any surgical complication (P = .26).
Conclusions: This population-level analysis of reduction mammaplasty indicated that, with proper patient selection, the procedure can be performed safely on older patients.

• 出版日期2014-3