Community collaboration to improve access and outcomes in breast cancer reconstruction: protocol for a mixed-methods qualitative research study

IntroductionBreast reconstruction plays an important role for many in restoring form and function of the breast after mastectomy. However, rates of breast reconstruction in the USA vary significantly by race, ethnicity and socioeconomic status. The lower rates of breast reconstruction in non-white w...

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Bibliographic Details
Published in:BMJ open 2022-11, Vol.12 (11), p.e064121-e064121
Main Authors: Mundy, Lily R, Stukes, Bryanna, Njoroge, Moreen, Fish, Laura Jane, Sergesketter, Amanda R, Wang, Sabrina M, Worthy, Valarie, Fayanju, Oluwadamilola M, Greenup, Rachel A, Hollenbeck, Scott T
Format: Article
Language:English
Subjects:
Bias
Breast - surgery
Breast cancer
Breast Neoplasms - surgery
Cancer therapies
Collaboration
Community
Ethnicity
Female
Health care access
Humans
Interviews
Mammaplasty
Mastectomy
Mixed methods research
Patient satisfaction
PLASTIC & RECONSTRUCTIVE SURGERY
Plastic surgery
Protocols & guidelines
PUBLIC HEALTH
Qualitative Research
Race
Socioeconomic factors
Surgical outcomes
Womens health
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Summary:IntroductionBreast reconstruction plays an important role for many in restoring form and function of the breast after mastectomy. However, rates of breast reconstruction in the USA vary significantly by race, ethnicity and socioeconomic status. The lower rates of breast reconstruction in non-white women and in women of lower socioeconomic status may reflect a complex interplay between patient and physician factors and access to care. It remains unknown what community-specific barriers may be impacting receipt of breast reconstruction.Methods and analysisThis is a mixed-methods study combining qualitative patient interview data with quantitative practice patterns to develop an actionable plan to address disparities in breast reconstruction in the local community. The primary aims are to (1) capture barriers to breast reconstruction for patients in the local community, (2) quantitatively evaluate practice patterns at the host institution and (3) identify issues and prioritise interventions for change using community-based engagement.Ethics and disseminationEthics approval was obtained at the investigators’ institution. Results from both the quantitative and qualitative portions of the study will be circulated via peer-review publication. These findings will also serve as pilot data for extramural funding to implement and evaluate these proposed solutions.
ISSN:2044-6055
2044-6055
DOI:10.1136/bmjopen-2022-064121