Evaluation of Racial Disparities in Postoperative Outcomes Following Breast Reconstruction at a Single Institution in Wisconsin.
| Autor: | Nkana ZH; University of Wisconsin School of Medicine and Public Health, Division of Plastic Surgery, Madison, Wisconsin., Wood KL; University of Wisconsin School of Medicine and Public Health, Division of Plastic Surgery, Madison, Wisconsin., Karczewski AM; University of Wisconsin School of Medicine and Public Health, Division of Plastic Surgery, Madison, Wisconsin., Gunderson KA; University of Wisconsin School of Medicine and Public Health, Division of Plastic Surgery, Madison, Wisconsin., Lyon SM; University of Wisconsin School of Medicine and Public Health, Division of Plastic Surgery, Madison, Wisconsin., Dingle AM; University of Wisconsin School of Medicine and Public Health, Division of Plastic Surgery, Madison, Wisconsin., Poore SO; University of Wisconsin School of Medicine and Public Health, Division of Plastic Surgery, Madison, Wisconsin, poore@surgery.wisc.edu. |
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| Jazyk: | angličtina |
| Zdroj: | WMJ : official publication of the State Medical Society of Wisconsin [WMJ] 2021 Mar; Vol. 120 (S1), pp. S42-S47. |
| Abstrakt: | Introduction: Breast cancer is the most common cancer in women in Wisconsin. Evidence demonstrates that non-White racial minorities in the United States exhibit a higher mortality rate and more advanced or aggressive presentations of the disease than their White counterparts. Postmastectomy breast reconstruction remains essential to the treatment and recovery of these patients; however, racial disparities in the receipt of reconstruction are evident. This study evaluates the presence of racial disparities in postoperative outcomes of breast reconstruction at a single institution in Wisconsin. Methods: An institutional review board-exempt retrospective study of postoperative outcomes was performed using a single institution's National Surgical Quality Improvement Program Registry to identify patients who underwent autologous or prosthesis-based breast reconstruction following mastectomy. Patient demographic, preoperative, operative, and postoperative variables were recorded. Postoperative outcomes in relation to self-reported race were evaluated using univariate analysis and propensity score matching. Results: A total of 1,140 patients were included (1,092 White vs 48 non-White), with fewer non-White patients undergoing reconstruction. Patients of non-White race demonstrated a higher incidence of morbid obesity (4.4% White vs 12.5% non-White, P = 0.010) and bleeding disorders (0.3% White vs 4.2% non-White, P < 0.001). No association between self-reported race and postoperative complication was found. Conclusion: This study did not reveal racial disparities in postoperative outcomes of breast reconstruction at a single institution in Wisconsin; however, non-White patients were less likely to undergo reconstruction. Further research into the underlying causes of unequal access to care, influence of insurance, effect of structural racism, and impact of physician- and patient-associated factors is warranted. (Copyright© Board of Regents of the University of Wisconsin System and The Medical College of Wisconsin, Inc.) |
| Databáze: | MEDLINE |
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