The Impact of Metabolic Syndrome on Patients Undergoing Breast Reduction Surgery

Abstract

Metabolic syndrome affects 35% of individuals in the USA and has been correlated with increased complications following certain surgical procedures. There has been an increase of 11% in breast reduction procedures from 2016 to 2017 making it the seventh most common reconstructive procedure in the USA. Previous studies have identified an increase in demand for breast reduction among obese patients with BMI ≥ 30 but have not defined the role of metabolic syndrome in surgical outcomes. The authors aim to investigate the impact of metabolic syndrome on 30-day postoperative morbidity and mortality in patients who underwent reduction mammoplasty.

Metabolic syndrome and surgical complications: A systematic review and meta-analysis of 13 million individuals

“…Inclusion and Exclusion Criteria). The most commonly reported types of surgery were orthopaedic (22%) 5 , 6 , 15 , 26 , 27 , 29 , 46 – 48 , 67 , 72 , 73 , 75 , 78 , cardiac (21%) 19 , 20 , 37 , 38 , 41 , 42 , 50 , 51 , 54 , 63 , 64 , 69 , 76 , vascular (13%) 4 , 24 , 53 , 62 , 65 , 68 , 70 , 79 , hepatobiliary (11%) 50 – 56 , gastroenterology (6%) 57 – 60 , bariatric (5%) 39 , 43 , 57 , urology (5%) 21 , 58 , 74 , and plastics (5%) 52 , 56 , 77 (see Table 3 . Included Studies).…”

“…Included Studies). Most studies reported North America data ( n =40) 4 – 6 , 15 , 23 , 27 , 30 – 35 , 38 – 40 , 43 , 46 – 49 , 52 , 53 , 55 – 62 , 65 – 67 , 70 , 73 , 75 – 78 , 80 , with the remaining spanning Europe 19 , 21 , 22 , 24 , 28 , 42 , 44 , 50 , 51 , 64 , 68 , 81 , the Middle East 20 , Asia 37 , 41 , 45 , 71 , 72 , 74 , 82 , 83 , Africa 63 , and South America 54 . The assessed risk of bias of the included studies ranged from 5 to 8 (fair to good) out of a possible 9 stars when assessed using the NOS.…”