Variations in the utilization of immediate post-mastectomy breast reconstruction

For female breast cancer (BC) patients undergoing mastectomy, post-mastectomy breast reconstruction (PMBR) confers significant psychosocial benefits and improved cosmetic outcomes. The objective of this study is to explore whether the utilization of PMBR varies by race, marital status, and geographi...

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Bibliographic Details
Published in:The American journal of surgery 2019-10, Vol.218 (4), p.712-715
Main Authors: Nayyar, Apoorve, Strassle, Paula D., Reddy, Karishma G., Jameison, Danielle I., Moses, Cara G., Roughton, Michelle C., McGuire, Kandace P., Gallagher, Kristalyn K.
Format: Article
Language:English
Subjects:
Adult
African Americans - statistics & numerical data
Age
Age Factors
Aged
Breast cancer
Breast Neoplasms - ethnology
Breast Neoplasms - surgery
Breast reconstruction
Disparities
Divorce
European Continental Ancestry Group - statistics & numerical data
Female
Geographical distribution
Geographical locations
Humans
Inflammation
Mammaplasty - statistics & numerical data
Marital Status
Mastectomy
Medical diagnosis
Middle Aged
Patient Acceptance of Health Care - ethnology
Patients
Procedures and Techniques Utilization
Race
Regional variations
Tumors
United States
Utilization
White people
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Summary:For female breast cancer (BC) patients undergoing mastectomy, post-mastectomy breast reconstruction (PMBR) confers significant psychosocial benefits and improved cosmetic outcomes. The objective of this study is to explore whether the utilization of PMBR varies by race, marital status, and geographical location of the patient. Women ≥18 years old who underwent mastectomy for breast cancer diagnosed between 2000 and 2014 were eligible. Women with inflammatory BC, Stage IV BC diagnoses, and bilateral BC were excluded. Multivariable logistic regression, adjusting for patient and cancer characteristics, were used to assess the association between of race, marital status, and region on immediate PMBR utilization. 321,206 women were included and 24% underwent immediate PMBR (
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2019.07.025