Robert J. Allen
YOU?
Author Swipe
View article: Managing emergency department patients with potential medication-related harm: a qualitative study
Managing emergency department patients with potential medication-related harm: a qualitative study Open
Findings indicate that, in the absence of standardised prioritisation processes, ED clinicians rely heavily on individual clinical judgement. This underscores the need for the development of a tool specifically designed for the ED context …
View article: Antimicrobial Stewardship in German non-university hospitals: baseline status and impact of a multifaceted AMS intervention within the prospective ID ROLL OUT study
Antimicrobial Stewardship in German non-university hospitals: baseline status and impact of a multifaceted AMS intervention within the prospective ID ROLL OUT study Open
Purpose Non-university hospitals are the major provider of inpatient care in Germany, but the extent of antimicrobial stewardship (AMS) activities in this sector is not well known. We aimed to evaluate the implementation of AMS in ten non-…
View article: Outcomes From the Multicenter Laser In Situ Fenestrated Endovascular Repair (LIFE) Registry for Complex Thoracoabdominal and Pararenal Aortic Pathology
Outcomes From the Multicenter Laser In Situ Fenestrated Endovascular Repair (LIFE) Registry for Complex Thoracoabdominal and Pararenal Aortic Pathology Open
View article: D155. Biosynthetic Versus Synthetic Mesh in Ventral Hernia Repair Among Oncologic Patients
D155. Biosynthetic Versus Synthetic Mesh in Ventral Hernia Repair Among Oncologic Patients Open
View article: Supercharged and Delayed Thoracodorsal and Dorsal Intercostal Artery Perforator Flaps for Autologous Breast Reconstruction
Supercharged and Delayed Thoracodorsal and Dorsal Intercostal Artery Perforator Flaps for Autologous Breast Reconstruction Open
Summary: In patients seeking total autologous breast reconstruction following mastectomy, prior abdominal surgery can present as a contraindication to utilizing traditional abdominal-based free flaps. The thoracodorsal artery perforator (T…
View article: A Unique Advantage of a 24-hour Surgical Delay in Autologous Breast Reconstruction
A Unique Advantage of a 24-hour Surgical Delay in Autologous Breast Reconstruction Open
Summary: The surgical delay technique can be used effectively in autologous breast reconstruction when there is unfavorable flap vascular anatomy or when the reconstruction necessitates a larger volume of donor tissue to obtain optimal res…
View article: ASO Visual Abstract: Reducing Disparities—Regional Anesthesia Blocks for Mastectomy with Reconstruction Within Standardized Regional Anesthesia Pathways
ASO Visual Abstract: Reducing Disparities—Regional Anesthesia Blocks for Mastectomy with Reconstruction Within Standardized Regional Anesthesia Pathways Open
View article: 61. Age Impacts Clinical And Patient Reported Outcomes Following Post Mastectomy Breast Reconstruction
61. Age Impacts Clinical And Patient Reported Outcomes Following Post Mastectomy Breast Reconstruction Open
PURPOSE: The incremental impact of increasing age on complications and patient reported outcomes (PROs) after postmastectomy breast reconstruction (PMBR) remains unknown. The purpose of this study is to understand the impact of age on comp…
View article: D94. Reconstructing Failure: Assessing Surgical and Patient Reported Outcomes Following Loss of Initial Breast Reconstruction
D94. Reconstructing Failure: Assessing Surgical and Patient Reported Outcomes Following Loss of Initial Breast Reconstruction Open
PURPOSE: Reconstructive loss is uncommon but challenging and distressing to patients. We aimed to describe the post-loss progression of patients who experience reconstructive failure, assess which patients are more likely to undergo additi…
View article: Analyzing mastectomy and reconstruction weight in immediate autologous breast reconstruction: A preliminary study
Analyzing mastectomy and reconstruction weight in immediate autologous breast reconstruction: A preliminary study Open
Background This study aims to explore the ideal breast size by assessing the relationship between mastectomy to free flap weight ratio and complications as well as patient‐reported outcomes in autologous breast reconstruction (ABR). Method…
View article: BREAST-Q REACT: Qualitative Assessment of the Design, Functionality, and Clinical Utility of a New Score Interpretation Tool
BREAST-Q REACT: Qualitative Assessment of the Design, Functionality, and Clinical Utility of a New Score Interpretation Tool Open
View article: SP54. Reconstructing Failure: Assessing Surgical And Patient Reported Outcomes Following Loss Of Initial Breast Reconstruction
SP54. Reconstructing Failure: Assessing Surgical And Patient Reported Outcomes Following Loss Of Initial Breast Reconstruction Open
Purpose: Reconstructive loss is uncommon but challenging and distressing to patients. We aimed to describe the post-loss progression of patients who experience reconstructive failure, assess which patients are more likely to undergo additi…
View article: Reducing Disparities: Regional Anesthesia Blocks for Mastectomy with Reconstruction Within Standardized Regional Anesthesia Pathways
Reducing Disparities: Regional Anesthesia Blocks for Mastectomy with Reconstruction Within Standardized Regional Anesthesia Pathways Open
View article: Response to the Letter to the Editor: Surgical Delay of Thoracodorsal Artery Perforator Flaps for Bilateral Autologous Breast Reconstruction
Response to the Letter to the Editor: Surgical Delay of Thoracodorsal Artery Perforator Flaps for Bilateral Autologous Breast Reconstruction Open
Sir, We thank you for your interest in our report, and for sharing your experience with the muscle-sparing latissimus dorsi (MSLD) flap.1,2 We appreciate the insight you provide regarding the collateral flow from the transverse branch of t…
View article: Complications and Hardware Failure Following Synthetic Cranioplasty Implants and Free Flap Coverage
Complications and Hardware Failure Following Synthetic Cranioplasty Implants and Free Flap Coverage Open
Background: Composite defects of the scalp and calvarium are complex reconstructive problems. When locoregional reconstructive options have been exhausted or the scalp has been compromised by radiation, infection, and prior reconstructive …
View article: Complication Risk after Autologous Reconstruction Stratified By BMI Classification
Complication Risk after Autologous Reconstruction Stratified By BMI Classification Open
Background: Numerous studies have identified patient-related factors associated with increased risk of surgical complications. This study sought to update the current literature on the effect of body mass index (BMI) on complication rates …
View article: Using the 5-Item Modified Frailty Index to Predict Breast-Q Scores— an Analysis of 2,160 Autologous Breast Reconstruction Patients.
Using the 5-Item Modified Frailty Index to Predict Breast-Q Scores— an Analysis of 2,160 Autologous Breast Reconstruction Patients. Open
Background: Frailty, defined as decreased physiological reserve and resistance to stressors, has a significant impact on outcomes among surgical patients. The 5-item modified frailty index (mFI-5) was developed to measure frailty and it ha…
View article: Clinical, functional, and patient‐reported outcomes of radial forearm versus anterolateral thigh free tissue transfer for reconstruction of glossectomy defects
Clinical, functional, and patient‐reported outcomes of radial forearm versus anterolateral thigh free tissue transfer for reconstruction of glossectomy defects Open
Background There is a lack of literature of health‐related quality of life endpoints for radial forearm (RF) versus anterolateral thigh (ALT) free flap reconstruction for glossectomy defects. Our goal was to perform a comprehensive evaluat…
View article: A preliminary analysis of patient reported outcomes following posterolateral mandible reconstruction: The role of flap type
A preliminary analysis of patient reported outcomes following posterolateral mandible reconstruction: The role of flap type Open
Background The choice of tissue type for free flap reconstruction of posterolateral mandible resections is dependent on patient and defect characteristics. We compared clinical and patient‐reported outcomes following reconstruction of thes…
View article: Biologic versus synthetic prosthesis for chest wall reconstruction: a matched analysis
Biologic versus synthetic prosthesis for chest wall reconstruction: a matched analysis Open
OBJECTIVES The aim of this study was to compare postoperative outcomes between biologic and synthetic reconstructions after chest wall resection in a matched cohort. METHODS All patients who underwent reconstruction after full-thickness ch…
View article: Determinants of implementing the ID ROLL OUT study's interventions: qualitative results
Determinants of implementing the ID ROLL OUT study's interventions: qualitative results Open
Issue Antimicrobial stewardship programmes (ASP) and infectious disease (ID) specialists aim to ensure the rational use of antimicrobials and to improve patient outcomes. Whilst ASPs are established to varying degrees, ID specialists are r…
View article: Alternative Flap-Based Breast Reconstruction: The PAP Flap
Alternative Flap-Based Breast Reconstruction: The PAP Flap Open
The profunda artery perforator flap, like many perforator-based flaps in breast reconstruction, has evolved from its initial introduction more than a decade ago. It is considered by many to be the priority alternative flap when abdominal f…
View article: A Cohort Analysis of Early Outcomes After AlloDerm, FlexHD, and SurgiMend Use in Two-Stage Prepectoral Breast Reconstruction
A Cohort Analysis of Early Outcomes After AlloDerm, FlexHD, and SurgiMend Use in Two-Stage Prepectoral Breast Reconstruction Open
Background Acellular dermal matrix (ADM) is frequently utilized in prepectoral breast reconstruction, but few studies have examined the role of ADM type in complication risk. Objectives This study was performed to determine the impact of A…
View article: Surgical Delay of Thoracodorsal Artery Perforator Flaps for Bilateral Autologous Breast Reconstruction
Surgical Delay of Thoracodorsal Artery Perforator Flaps for Bilateral Autologous Breast Reconstruction Open
Summary: Autologous reconstruction accounts for nearly one-quarter of all breast reconstruction cases in the United States, with the abdomen functioning as the most popular donor site. This case describes a 62-year-old woman who presented …
View article: The Preferred Design of the Profunda Artery Perforator Flap for Autologous Breast Reconstruction: Transverse or Diagonal?
The Preferred Design of the Profunda Artery Perforator Flap for Autologous Breast Reconstruction: Transverse or Diagonal? Open
Background: Since its introduction for autologous breast reconstruction in 2010, the profunda artery perforator (PAP) flap has emerged as a preferred choice when an abdominal flap is suboptimal. The traditional transverse design (tPAP) was…
View article: Decreasing length of stay in breast reconstruction patients: A national analysis of 2019–2020
Decreasing length of stay in breast reconstruction patients: A national analysis of 2019–2020 Open
Background The effects of COVID‐19 on breast reconstruction included shifts toward alloplastic reconstruction methods to preserve hospital resources and minimize COVID exposures. We examined the effects of COVID‐19 on breast reconstruction…
View article: The contribution of microvascular free flaps and pedicled flaps to successful chest wall surgery
The contribution of microvascular free flaps and pedicled flaps to successful chest wall surgery Open
View article: Strategies to avoid mastectomy skin-flap necrosis during nipple-sparing mastectomy
Strategies to avoid mastectomy skin-flap necrosis during nipple-sparing mastectomy Open
Background Nipple-sparing mastectomy is associated with a higher risk of mastectomy skin-flap necrosis than conventional skin-sparing mastectomy. There are limited prospective data examining modifiable intraoperative factors that contribut…
View article: SP10. Factors Associated with BREAST-Q Physical Well-being of the Chest and Abdomen following Abdominal Free Flap Breast Reconstruction
SP10. Factors Associated with BREAST-Q Physical Well-being of the Chest and Abdomen following Abdominal Free Flap Breast Reconstruction Open
PURPOSE: The lower abdominal region is the gold standard donor site for free flap autologous breast reconstruction. A deeper understanding of factors related to physical wellbeing, however, is needed. We aimed to identify factors associate…
View article: 33. Long-term Clinical Outcomes Following Free Fibula Flap Reconstruction of Maxillomandibular Defects with Immediate Dental Implant Placement
33. Long-term Clinical Outcomes Following Free Fibula Flap Reconstruction of Maxillomandibular Defects with Immediate Dental Implant Placement Open
PURPOSE: Immediate dental implant placement (IDIP) at the time of ablative/reconstructive surgery for maxillomandibular cancer is a novel technique that has yet to be evaluated for its long-term clinical outcomes. This study describes long…