(Mis)understanding the Treatment Team and the Measurement of Outcomes in Breast Reconstruction.

We appreciate the opportunity to discuss Kaidar-Person et al.’s commentary on our summary of breast reconstruction guidelines. Distilling a huge data corpus into a digestible manuscript risks losing detail that may have allayed Kaidar-Person et al.’s concern that reconstructive surgeons lack oncologic allegiance. What are the guidelines for immediate breast reconstruction?European Journal of Surgical OncologyVol. 47Issue 5PreviewPoppwich et al. [1] evaluated the differences in 10 published clinical guidelines for breast reconstruction using the Appraisal of Guidelines for REsearch & Evaluation (AGREE) instrument. A tool is designed to assess the quality of guidelines, aiming to assure that the potential biases of guideline development have been addressed adequately and that the recommendations are feasible for clinical practice [1]. The authors concluded that the most comprehensive guidelines were published by Cancer Care Ontario (CCO); the American Society of Plastic Surgeons (ASPS); and the Association of Breast Surgery/British Association of Plastic Reconstructive and Aesthetic Surgeons (BAPRAS). Full-Text PDF