Surgical outcomes in women ≥70 years undergoing mastectomy with and without reconstruction for breast cancer

• Published in: The American journal of surgery 2017-11, Vol.214 (5), p.904-906
• Main Authors: Mays, Simone, MD, Alabdulkareem, Hanan, MD, Christos, Paul, D.Ph, Simmons, Rache, MD, Moo, Tracy- Ann, MD
• Format: Article
• Language: English
• Subjects: Age Factors; Aged; Breast cancer; Breast Neoplasms - complications; Breast Neoplasms - surgery; Cancer; Cancer surgery; Female; Humans; Mammaplasty; Mastectomy; Medical personnel; Mortality; Older people; Patients; Plastic surgery; Postoperative Complications - epidemiology; Quality control; Statistical tests; Surgery; Surgical complications women >70 years breast cancer reconstruction; Surgical outcomes; Time Factors; Treatment Outcome
• ISSN: 0002-9610; 1879-1883
• DOI: 10.1016/j.amjsurg.2017.03.041

Abstract Background Approximately 4% of women age 70 will develop breast cancer during the next ten years. Reconstruction has become a standard option for young women undergoing mastectomy for breast cancer, however may not be offered to older women due to the presence of co-morbidities. There is limited data on the outcomes of mastectomy with reconstruction in patient's ≥ 70. This study examines comorbidities and 30-day complication rates in patients ≥70 undergoing mastectomy for breast cancer. Methods The American College of Surgeons National Surgery Quality Improvement Program database was used to examine co-morbidities and 30-day complication rates in breast cancer patients undergoing mastectomy from 2007 to 2012. Patients were grouped based on age and procedure. Complication rates were characterized using descriptive statistics and Wilcoxon rank sum-test. Variable frequencies were compared using Chi-square or Fisher's exact test. Results 54,821 patients underwent mastectomy. Among patients ≥70, 11,927 did not have reconstruction, 109 had reconstruction. Among patients