Socioeconomic and geographic disparities in immediate reconstruction after mastectomy in the United States
| Autor: | Ayemoethu Ma, Alison Estabrook, Xiangji Ma, Barbara A. Wexelman |
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| Rok vydání: | 2012 |
| Předmět: | |
| Zdroj: | Journal of Clinical Oncology. 30:63-63 |
| ISSN: | 1527-7755 0732-183X |
| Popis: | 63 Background: Disparities are found in breast cancer diagnosis, treatment, and outcomes. We seek to determine if socioeconomic and geographic disparities exist nationally in immediate reconstruction type after mastectomy. Methods: This retrospective study compares socioeconomic and geographic features for 14,986 women who underwent mastectomy in 2008 using the Nationwide Inpatient Sample (NIS), an all-payer stratified statistical sample of all US hospital discharges. Statistical analysis was performed to understand variations between three groups: patients without reconstruction (NR), patients who underwent breast implant/ tissue expander reconstruction (TE), and patients with advanced reconstruction techniques such as free or pedicled flaps (FLAP). Results: The majority of women (63%) had no reconstruction (NR), while 25.3% had TE and 12% underwent FLAP. Compared to patients with NR, women with TE or FLAP were younger (64.9 years vs. 51.3 & 51.1 years, p1 million people). The states with the highest rates of FLAP reconstruction are New Hampshire (52.9%), Kansas (22.6%), New York (20.9%), and New Jersey (20.0%). Conclusions: This is the first national study analyzing patients of all insurance types and regions of the US to show statistically significant disparities in the type of immediate reconstruction after mastectomy based on age, race, insurance type, and geographic location. |
| Databáze: | OpenAIRE |
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