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Supplemental Digital Content 1

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General ADM and "Breast Reconstruction"

Mesh and "Breast Reconstruction"

Synthetic Mesh and "Breast Reconstruction"

Specific Alloderm and "Breast Reconstruction"

Allomax and "Breast Reconstruction"

Braxon and "Breast Reconstruction"

CG CryoDerm and "Breast Reconstruction"

CG Derm and "Breast Reconstruction"

Cortiva and "Breast Reconstruction"

Dermacell and "Breast Reconstruction"

DermaMatrix and "Breast Reconstruction"

Epiflex and "Breast Reconstruction"

FlexHD and "Breast Reconstruction"

Gore DualMesh and "Breast Reconstruction"

hMatrix and "Breast Reconstruction"

Megaderm and "Breast Reconstruction"

Permacol and "Breast Reconstruction"

Protexa and "Breast Reconstruction"

Seragyn BR and "Breast Reconstruction"

SERI and "Breast Reconstruction"

Strattice and "Breast Reconstruction"

Surgimend and "Breast Reconstruction"

Surgimesh and "Breast Reconstruction"

Surgisis and "Breast Reconstruction"

TIGR and "Breast Reconstruction"

TiLoop and "Breast Reconstruction"

Tutomesh and "Breast Reconstruction"

ULTRAPRO and "Breast Reconstruction"

Veritas and "Breast Reconstruction"

Vicryl Mesh and "Breast Reconstruction"

Excluded Undefined product cohorts Non-human studies Non-clinical studies

English-language full-text unavailable Abstracts

>5 years prior

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Search Algorithm Database Search Terms PubMed "Mastectomy"[Mesh] OR "Mastectomy"[tiab] OR "Mastectomies"[tiab] AND "Breast reconstruction"[tiab] OR "Breast reconstructions"[tiab]

Supplemental Digital Appendix 1 Search Queries Used for Study Identification in MEDLINE MEDLINE Search Queries "Education, Medical"[Mesh] OR "Educational Technology"[Mesh] AND

CPT Code Terminology Surgery 15733 Flaps Skin and/or Deep Tissues Procedures Forehead 15769 Other Flaps and Grafts Procedures Lip 15774 Other Flaps and Grafts Procedures Multiple

Supplemental Digital Appendix 1 Questionnaire for General Surgical Trainees Who Use the Intercollegiate Surgical Curriculum Programme ISCP to Complete Workplace-Based Assessments

Supplemental Digital Content 1: Table 1a and 1b Average doses of a EC-MPS and b Cyclosporine levels by treatment groups safety population

Seven groups according to the six-item physical function measure of the Medical Outcomes Study MOS Short-Form General Health Survey23,24 Level Questionnaires 6 Able to perform

RDR: retrograde dissection and re-entry; STAR: subintimal tracking and re-entry; LAST: limited antegrade subintimal tracking; rCART: reverse controlled antegrade and retrograde

Supplemental Digital Content 1 Institutional background acute care in the Netherlands Patients visit the emergency department ED 1 upon referral by their general practitioner, 2