National trends and predictors of mastectomy with immediate breast reconstruction

This study aimed to evaluate national trends in utilization, resource use, and predictors of immediate breast reconstruction (IR) after mastectomy. The 2005–2014 National Inpatient Sample database was used to identify adult women undergoing mastectomy. IR was defined as any reconstruction during the...

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Bibliographic Details
Published in:The American journal of surgery 2021-10, Vol.222 (4), p.773-779
Main Authors: Mandelbaum, Ava, Nakhla, Morcos, Seo, Young Ji, Dobaria, Vishal, Attai, Deanna J., Baker, Jennifer L., Thompson, Carlie K., DiNome, Maggie L., Benharash, Peyman, Lee, Minna K.
Format: Article
Language:English
Subjects:
Breast
Comorbidity
Immediate reconstruction
Insurance coverage
Mastectomy
Medicare
National inpatient sample
NIS
Patients
Reconstructive surgery
Regression analysis
Regression models
Resource utilization
Socioeconomic factors
Trends
Womens health
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Description
Summary:This study aimed to evaluate national trends in utilization, resource use, and predictors of immediate breast reconstruction (IR) after mastectomy. The 2005–2014 National Inpatient Sample database was used to identify adult women undergoing mastectomy. IR was defined as any reconstruction during the same inpatient stay. Multivariable regression models were utilized to identify factors associated with IR. Of 729,340 patients undergoing mastectomy, 41.3% received IR. Rates of IR increased from 28.2% in 2005 to 58.2% in 2014 (NP-trend
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2021.02.014