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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Sears ED, Lu Y, Swiatek PR, Chung T, Kerr EA, Chung KC. Use of Preoperative Mammography During Evaluation for Nononcologic Breast Reduction Surgery. JAMA Surg. Published online December 26, 2018. doi:10.1001/jamasurg.2018.4875
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