Accepted for Publication: January 21, 2014.
Published Online: August 13, 2014. doi:10.1001/jamasurg.2014.1076.
Study concept and design: Abt, Flores, Baltodano, Sarhane, Cooney, Manahan, Stearns, Makary, Rosson.
Acquisition, analysis, or interpretation of data: Abt, Flores, Baltodano, Sarhane, Abreu, Stearns, Makary, Rosson.
Drafting of the manuscript: Abt, Flores, Baltodano, Rosson.
Critical revision of the manuscript for important intellectual content: All authors.
Statistical analysis: Abt, Flores, Baltodano, Sarhane, Abreu.
Administrative, technical, or material support: Abt, Stearns, Makary.
Study supervision: Abt, Cooney, Manahan, Makary, Rosson.
Conflict of Interest Disclosures: Dr Rosson reported having intellectual property licensed to Aegeria Soft Tissue LLC. No other disclosures were reported.
Funding/Support: This study was supported in part by Center of Excellence Award AVON 01-2008-012 from the Avon Foundation for Women, which supports laboratory space for the investigators in the Johns Hopkins Hospital Avon Foundation Breast Center and regulatory and study coordinator support.
Role of the Funder/Sponsor: The funding source had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication.
Disclaimer: The ACS-NSQIP and the hospitals participating in the ACS-NSQIP are the source of the data used herein; they have not verified and are not responsible for the statistical validity of the data analysis or the conclusions derived by the authors.
Previous Presentations: Presented as a podium presentation at the 11th Annual AMA Research Symposium; November 15, 2013; National Harbor, Maryland; and as a poster presentation at the 59th Annual Plastic Surgery Research Council; March 7, 2014; New York, New York.
Additional Information: Deidentified patient information is freely available to all institutional members who comply with the ACS-NSQIP Data Use Agreement. The Data Use Agreement implements the protections afforded by the Health Insurance Portability and Accountability Act of 1996 and the ACS-NSQIP Hospital Participation Agreement. This study conforms to the Declaration of Helsinki.