S. Tuinder
Maastricht University Medical Centre
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Publication
Featured researches published by S. Tuinder.
British Journal of Surgery | 2018
Vera L. Negenborn; Rieky E G Dikmans; Mark-Bram Bouman; Hay A. H. Winters; Jos W. R. Twisk; P. Q. Ruhé; Marc A.M. Mureau; Jan-Maerten Smit; S. Tuinder; Juliette Hommes; Yassir Eltahir; Nicole Posch; J. M. van Steveninck-Barends; Marleen Meesters-Caberg; R.R.W.J. van der Hulst; Marco J.P.F. Ritt; Margriet G. Mullender
In the multicentre randomized trial BRIOS (Breast Reconstruction In One Stage), direct‐to‐implant (DTI) breast reconstruction with an acellular dermal matrix (ADM) was associated with a markedly higher postoperative complication rate compared with two‐stage tissue expander/implant breast reconstruction. This study aimed to identify factors that contribute to the occurrence of complications after DTI ADM‐assisted breast reconstruction.
Journal of Plastic Reconstructive and Aesthetic Surgery | 2016
J. Beugels; Bjorn Winkens; Adri C. Voogd; E.M. Heuts; S. Tuinder; R.R.W.J. van der Hulst; A.A. Piatkowski
Interestingly, when we performed ‘per patient’ analyses, major complications occurred significantly more often in bilateral DIEP flap breast reconstructions and the true relative risk of major complications is somewhere between 1.15 and 3.23 (with 95% confidence). Similarly, total flap loss occurred in 6.7% of bilateral reconstructions compared to 2.8% in the unilateral group; note that the confidence interval for the relative risk of total flap loss spans from 1 (meaning the groups are the same) to 6 (meaning that bilateral reconstruction is 6 times as risky as unilateral reconstructions). The true relative risk of total flap loss in the population (as this is an estimate from a sample) is plausibly somewhere between 1 and 6 but the reason there is no statistically significant difference in this comparison is likely due to lack of power. To detect a 4% proportional difference in total flap loss, a power calculation (aZ 0.05, b Z 0.80) suggests that a sample size of approximately 932 would be required. We appreciate that recruitment of such a large sample of women seeking breast reconstruction is extremely difficult and equally don’t intend to devalue the findings of this otherwise excellent work. We think it is useful to show how changing the unit of analysis from ‘per patient’ to ‘per flap’ underestimates the risks of adverse outcomes for women undergoing bilateral DIEP flap breast reconstruction. Therefore, although this studywas performed and reported to a high standard, we are concerned that the conclusion “bilateral DIEP flap breast reconstructions can be performedwith the same percentage of complications” is not supported by their data or the established literature and so may mislead some readers.
Plastic and Reconstructive Surgery | 2008
S. Tuinder; R.R.W.J. van der Hulst; Arno Lataster; W.D. Boeckx
Journal of Plastic Reconstructive and Aesthetic Surgery | 2014
S. Tuinder; T. Baetens; M.W. de Haan; A.A. Piatkowski de Grzymala; A.D. Booi; R.R.W.J. van der Hulst; A. Lataster
Journal of Plastic Reconstructive and Aesthetic Surgery | 2016
J. Beugels; L.T. Hoekstra; S. Tuinder; E.M. Heuts; R.R.W.J. van der Hulst; A.A. Piatkowski
European Journal of Plastic Surgery | 2012
A. E. K. Deliaert; E. Van den Kerckhove; S. Tuinder; S. M. J. S. Noordzij; T. S. Dormaar; R.R.W.J. van der Hulst
Undersea & Hyperbaric Medicine | 2012
J.F. Mermans; S. Tuinder; M.F. von Meyenfeldt; R.R.W.J. van der Hulst
Internal Medicine Review | 2017
Jan-Willem Groen; S. Tuinder; Vera L. Negenborn; René R. W. J. van der Hulst
Perforator Flaps for Breast Reconstruction | 2016
S. Tuinder; Arno Lataster; René R. W. J. van der Hulst; Joshua L. Levine; Julie V. Vasile; Constance M. Chen; Robert J. Allen
Journal of Clinical Oncology | 2011
T.R. Lopez Penha; E.M. Heuts; S. Tuinder; R.R.W.J. van der Hulst; M.F. von Meyenfeldt