Trends in immediate breast reconstruction and early complication rates among older women: A big data analysis

Background Although approximately 57% of breast cancer (BC) diagnoses are in older patients (>60 years), only 4.1‐14% receives breast reconstruction (BR). This has been attributed to physician concerns about operative complications. This paper aims to: 1) analyze the 30‐day complication rates in...

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Bibliographic Details
Published in:Journal of surgical oncology 2017-06, Vol.115 (7), p.870-877
Main Authors: Kamali, Parisa, Curiel, Daniel, van Veldhuisen, Charlotte L., Bucknor, Alexandra E.M., Lee, Bernard T., Rakhorst, Hinne A., Lin, Samuel J.
Format: Article
Language:English
Subjects:
Age
Age Factors
Aged
Aged, 80 and over
Breast cancer
Breast Implants
Breast Neoplasms - surgery
Cancer surgery
Carcinoma, Ductal, Breast - surgery
Carcinoma, Intraductal, Noninfiltrating - surgery
complication
Databases, Factual
elderly patients
Female
Humans
immediate breast reconstruction
Mammaplasty - adverse effects
Mastectomy
Middle Aged
NSQIP
Patients
Plastic surgery
Postoperative Complications - epidemiology
Quality control
Retrospective Studies
The American College of Surgeons National Surgery Quality Improvement Program
Transplantation, Autologous
United States - epidemiology
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Summary:Background Although approximately 57% of breast cancer (BC) diagnoses are in older patients (>60 years), only 4.1‐14% receives breast reconstruction (BR). This has been attributed to physician concerns about operative complications. This paper aims to: 1) analyze the 30‐day complication rates in the older patient population undergoing immediate breast reconstruction (IBR); and 2) analyze links between complication type and category of reconstruction. Methods Using the ACS‐NSQIP database (2005‐2014), all women older than 60 years of age diagnosed with BC and DCIS were identified. IBR and complication rates were plotted for all ages. Patients were divided into those with and those without complications. Patient demographics and co‐morbidities were compared. Complications within each type of reconstruction were analyzed. Results Of the 4450 BC and 1104 DCIS patients, 22.3% (BC) and 20.9% (DCIS) had complications. IBR decreased significantly with increased age (P 
ISSN:0022-4790
1096-9098
DOI:10.1002/jso.24595