There has been a recent increase in the number and complexity of quality improvement studies in breast reconstruction. To assist with the development of thorough quality improvement reporting practices, with the goal of improving the transferability of these initiatives, we conducted a systematic review of studies describing the implementation of quality improvement initiatives in breast reconstruction. We used the SQUIRE 2.0 guideline to appraise the quality of reporting of these initiatives.
English language articles published in EMBASE, MEDLINE, CINAHL, and the Cochrane databases were searched. Quantitative studies evaluating the implementation of QI initiatives in breast reconstruction were included. The primary endpoint of interest in this review was the distribution of studies per SQUIRE 2.0 criteria scores in proportions. Abstracts and full-text screening, and data extraction were completed independently and in duplicate by the review team.
Significant opportunity exists to improve quality improvement reporting in breast reconstruction, especially in the realm of costs, strategic trade-offs, ethical considerations, project sustainability and potential for spread to other contexts. Improvements in these areas will help to further advance the transferability of QI initiatives in breast reconstruction.
Read the full article here: https://pubmed.ncbi.nlm.nih.gov/36461897/