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Research Letter
December 26, 2018

Use of Preoperative Mammography During Evaluation for Nononcologic Breast Reduction Surgery

Author Affiliations
  • 1Veterans Affairs Center for Clinical Management Research, Ann Arbor, Michigan
  • 2Section of Plastic Surgery, Department of Surgery, Michigan Medicine, Ann Arbor
  • 3Institute of Healthcare Policy and Innovation, University of Michigan, Ann Arbor
  • 4Department of Orthopaedic Surgery, Northwestern Medicine, Chicago, Illinois
  • 5Center for Big Data Analytics and Statistics, Division of Rheumatology, Allergy and Immunology, Chang-Gung Memorial Hospital, Taoyuan, Taiwan
  • 6Department of Medicine, Michigan Medicine, Ann Arbor
JAMA Surg. Published online December 26, 2018. doi:10.1001/jamasurg.2018.4875

More than 500 000 elective breast operations are performed annually in the United States.1 Through the Choosing Wisely Campaign, the American Society of Plastic Surgeons recommend that women undergoing elective breast surgery should not receive routine preoperative mammography beyond what existing guidelines recommend for all women, considering risk factors and age, unless a specific concern exists.2 In an analysis of the American Board of Plastic Surgery Maintenance of Certification data, 23% of women younger than 40 years underwent mammography before reduction mammoplasty.3 Given that reduction mammoplasty is one of the most common elective breast operations,4 we aimed to assess use of preoperative mammography for patients undergoing evaluation for macromastia and to measure rates of subsequent diagnostic tests and breast disease in women receiving mammography, in particular among women younger than 40 years.

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