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New research · Plastic Surgery
Annals of surgical oncology · 2d
Cohort studyAnnals of surgical oncology · 2026

Targeted Multidisciplinary Continuous Improvement Process Reduces Time to Breast Cancer Surgery with Immediate Reconstruction.

Pooja M Varman, Rahul Rangan, Amanda Maggiotto … Zahraa Al-Hilli
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Plastic SurgeryCohort study

QI initiative reduced time to breast cancer surgery with immediate reconstruction.

Targeted Multidisciplinary Continuous Improvement Process Reduces Time to Breast Cancer Surgery with Immediate Reconstruction.

Pooja M Varman et al. · Annals of surgical oncology · 2026
Background

Breast surgery with immediate breast reconstruction (IBR) is associated with delays in definitive surgery and adjuvant therapy.

Methods

With metastatic disease, neoadjuvant therapy, or first treatment outside this institution were excluded.

n = 3,324 patients
Results

median wait time for breast cancer surgery with immediate reconstruction was reduced

56
Before
36
After
More results

A total of 3,324 patients met inclusion criteria; 1,100 (33.1%) underwent surgery with IBR and 2,224 (66.9%) without.

The cohort was predominantly early-stage (82.8% cTis/T1).

The proportion waiting longer than 45 days declined from 67.4 to 27.3% for IBR and from 40.5 to 22.9% for non-IBR (both P < 0.001).

More results

Only the IBR group demonstrated statistically significant improvement through Phase 3 (P < 0.001), while the non-IBR group plateaued after Phase 2.

“
Conclusion · 1 of 2

A targeted multidisciplinary QI initiative meaningfully reduced TTT for breast cancer patients undergoing upfront surgery with IBR without delaying non-IBR patients.

Conclusion · 2 of 2

Operating room (OR) alignment was the pivotal intervention, highlighting the importance of system-level coordination between breast and plastic surgery.

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