Racial Disparities in Immediate Breast Reconstruction after Mastectomy: A Systematic Review and Meta-Analysis.

Autor: Qazi SU; Department of Internal Medicine, Dow University of Health Sciences, Karachi, Pakistan., Aman S; Department of Internal Medicine, King Edward Medical University, Lahore, Pakistan., Wajid MH; Department of Internal Medicine, King Edward Medical University, Lahore, Pakistan., Qayyum Z; Department of Internal Medicine, King Edward Medical University, Lahore, Pakistan., Shahid MB; Department of Internal Medicine, King Edward Medical University, Lahore, Pakistan., Tanvir A; Department of Internal Medicine, King Edward Medical University, Lahore, Pakistan., Javed S; Department of Internal Medicine, King Edward Medical University, Lahore, Pakistan., Saeed M; Department of Internal Medicine, King Edward Medical University, Lahore, Pakistan., Razia E; Department of Internal Medicine, King Edward Medical University, Lahore, Pakistan., Nayyar A; Department of Internal Medicine, King Edward Medical University, Lahore, Pakistan., Rehman OA; Department of Internal Medicine, King Edward Medical University, Lahore, Pakistan., Khosa F; Department of Radiology, Vancouver General Hospital, Vancouver, British Columbia, Canada.
Jazyk: angličtina
Zdroj: Plastic surgery (Oakville, Ont.) [Plast Surg (Oakv)] 2024 May 29, pp. 22925503241255142. Date of Electronic Publication: 2024 May 29.
DOI: 10.1177/22925503241255142
Abstrakt: Background: In the past few decades, there has been a gradual increase in breast reconstruction post mastectomy; however, there exists a conflict about whether race has an influence on reconstruction rates. Methods: We conducted an electronic search from MEDLINE and Cochrane CENTRAL from their inception to September 2022. Primary outcome was disparity in rates of Immediate Breast Reconstruction (IBR) in racial minorities. Odds ratios were pooled using a random-effects model. All statistical analyses were performed on the Review Manager. Quality of included studies was assessed using the Joanna Briggs Institute critical appraisal checklist. Results: Twenty studies ( n  = 1 840 671) were identified. The pooled analysis of all the studies showed that subjects in racial minorities were significantly less likely to receive IBR as compared to White subjects (OR = 0.62, [95% confidence interval: 0.57-0.68; P  < .01, I 2  = 97%]. Subgroup analyses revealed that Asian subjects were the least likely to undergo IBR among different minorities (OR = 0.43). Conclusion: There exists a significant disparity in rates of IBR in different racial minorities as compared to White subjects. Future studies are warranted to assess factors contributing to such disparities in provision of healthcare.
Competing Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
(© 2024 The Author(s).)
Databáze: MEDLINE
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