ABDR Newsletter May 2018 #7

Welcome to the seventh issue of the Australian Breast Device Registry (ABDR) Newsletter to keep you up to date on the progress and latest news about this world-first registry.

2018 NATIONAL RECRUITMENT

Almost 27,000 patients who have undergone breast device surgery nationally are included in the registry, thanks to the support of more than 400 surgeons.

A list of participating sites is here:

ABDR RELEASES FIRST REPORT

The first comprehensive report on breast device surgeries captured by the Australian Breast Device Registry (ABDR) between 2012 – 2016, marks a significant milestone in the development of registry’s potential to safeguard patient health.

Each year brings us closer to having a representative snapshot of device surgery nationally, to the benefit of stakeholders in the field, and most importantly the Australians who receive these devices.

Between March 2012 – December 2016 the report found:
* 67% of 321 sites where breast surgery is performed were participating in the ABDR
* 61% of the 552 surgeons were participating
* Patient opt out rate is < 1%
* 71% of breast device surgery took place in a private overnight facility, and 26% in a private same day facility
* Of the 26,505 breast level procedures registered, 72% were for cosmetic augmentation, 21% for breast reconstruction (post cancer or benign/risk reducing) and 3% to correct developmental deformity
* The median age of patients undergoing cosmetic augmentation was 33 years; breast reconstruction 50 years and correction of a deformity 26 years
* The most common issues identified at revision were device malposition and capsular contracture
* Based on 17,987 primary implant breasts*, 2.2 % of primary breast devices were revised within one year of insertion and 3.5% within two years of the initial surgery. (*has not been risk adjusted).

Download the full report here:

We would like to thank all three of the medical professional groups (plastic, cosmetic and general breast surgeons), health care providers and patients contributing to this important health project. Preparations for the 2017 annual report, and individual surgeon reports are currently underway.

ABDR WELCOMES RAMSAY HEALTH CARE

It is with great pleasure that we welcome Ramsay Health Care as a contributor to the ABDR. They join other major health care service providers around the country to support the registry. So far, more than 30 Ramsay hospitals are ready to contribute data to the ABDR, with more in the pipeline.

Leaflets & Data Collection Forms (DCFs)

ABDR is an opt-out registry . Patients must be given this leaflet – prior to surgery – so they know their data will be transferred to the registry. To order more pre-printed ABDR information leaflets or posters, please email abdr@monash.edu

Surgeons can return completed DCFs to the ABDR with coversheets that can be downloaded here.

News in brief

PROMS update

The ABDR is collecting Patient Reported Outcome Measures (PROMs) using a short survey which collects feedback from patients on the appearance and feel of their breasts 1, 2, 5 and 10 years after implant surgery. This information augments registry data to help predict long term trends or complications associated with breast implants or the surgery.
To date, text message has been the most effective engagement strategy and yielded the highest rate of PROMs completion.

International harmonisation of data

A globally agreed set of data points to enable breast implant registries world-wide to talk to one another is expected to be finalised data in the next few weeks. Pooled data from all breast device registries internationally will help identify trends faster. We sincerely thank members of ICOBRA (International Collaboration of Breast Registry Activities) for their expert input into the process. Findings are expected to be published this year.

Benchmarking quality of care

Three indicators to measure quality of care in augmentation and reconstruction surgeries have been selected by a panel of clinical experts. A paper describing the selection process has been submitted for publication.

Staff update

Earlier this year we farewelled research officer, Sarah Barrington-Smith. Vanessa Fox is your contact for all site and surgeon enquiries until Alice Noone’s return later this year. Vanessa can be contacted on +61 3 9905 2571 or abdr@monash.edu

Publications

* Hopper I, Ahern S, Nguyen T, Mulvany C, McNeil J, Deva A, Klein H, Stark B, Rakhorst H, Cooter R. Breast Implant Registries: A Call to Action. Aesthetic Surgery Journal, May 3 2018 doi: org/10.1093/asj/sjx153
* Hopper I, Best R, McNeil J, Mulvany C, Moore C, Elder E, Pase E, Cooter RD, Evans S. Pilot for the Australian Breast Device Registry (ABDR): a national opt-out clinical quality registry for breast device surgery. BMJ Open, 2017;7:e017778. doi: 10.1136/bmjopen-2017-017778
* Cooter RD, Hopper I. The power of collaboration. Australasian Journal of Plastic Surgery. Invited editorial, Jan 20 2018; 1(1).
* Brightman L, Ng N, Ahern S, Cooter RD, Hopper I. Cosmetic tourism for breast augmentation: a systematic review. ANZ Journal of Surgery, Dec 3 2017. doi:10.1111/ans.14326
* Ahern S, Evans S, Hopper I, Zalcberg J. Towards a strategy for clinical quality registries in Australia. Australian Health Review, Feb 8 2018. doi.org/10.1071/AH17201
* Ahern S, Earnest A, Hopper I, Evans S. Clinical quality registries for clinician-level reporting: strengths and limitations. Letter. Med J Aust. April 16 2018, 208(7):323. doi: 10.5694/mja17.00644

A full list of publications can be found here:

Breast Device Related Conferences

Breast Masters Symposium, Hilton Sydney, 18 – 20th October, 2018
Breast Masters is the first Australasian plastic surgery symposium that is focusses on aesthetic surgery of the breast. The program includes workshops detailing technical aspects of the field as well as the latest product research.
Registrations are open at breastmasters.com.au