Dr. Macadam’s research has impacted both the health care system as well as how clinical care is delivered. After conducting a systematic review of acellular dermal matrices, together with Dr. Peter Lennox, they were able to develop a tool to determine the cost effectiveness of the procedure. Though the procedure had shown promise for use in both aesthetic and reconstructive breast surgery there is a significant cost associated with the product that needed to be better projected for decision-making. Clinically, she was part of a randomized clinical trial showing that the use of nitroglycerin appointment after a mastectomy was a simple, safe and effective way to improve skin recovery. This is now part of the standard care.
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