Trends in immediate breast reconstruction and early complication rates among older women: A big data analysis
Autor: | Charlotte L. van Veldhuisen, Bernard T. Lee, Samuel J. Lin, Alexandra Bucknor, Hinne A. Rakhorst, Parisa Kamali, Daniel Curiel |
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Rok vydání: | 2017 |
Předmět: |
Gerontology
Pediatrics medicine.medical_specialty Databases Factual Demographics Breast Implants Mammaplasty Patient demographics Breast Neoplasms 030230 surgery Transplantation Autologous 03 medical and health sciences Postoperative Complications 0302 clinical medicine Breast cancer Older patients medicine Humans skin and connective tissue diseases Aged Retrospective Studies Aged 80 and over business.industry Carcinoma Ductal Breast Age Factors General Medicine Middle Aged medicine.disease United States Early complication Women's cancers Radboud Institute for Health Sciences [Radboudumc 17] Patient population Carcinoma Intraductal Noninfiltrating Oncology 030220 oncology & carcinogenesis Female Surgery business Complication Breast reconstruction |
Zdroj: | Journal of Surgical Oncology, 115, 7, pp. 870-877 Journal of Surgical Oncology, 115, 870-877 |
ISSN: | 0022-4790 2005-2014 |
Popis: | Item does not contain fulltext BACKGROUND: Although approximately 57% of breast cancer (BC) diagnoses are in older patients (>60 years), only 4.1-14% receives breast reconstruction (BR). This has been attributed to physician concerns about operative complications. This paper aims to: 1) analyze the 30-day complication rates in the older patient population undergoing immediate breast reconstruction (IBR); and 2) analyze links between complication type and category of reconstruction. METHODS: Using the ACS-NSQIP database (2005-2014), all women older than 60 years of age diagnosed with BC and DCIS were identified. IBR and complication rates were plotted for all ages. Patients were divided into those with and those without complications. Patient demographics and co-morbidities were compared. Complications within each type of reconstruction were analyzed. RESULTS: Of the 4450 BC and 1104 DCIS patients, 22.3% (BC) and 20.9% (DCIS) had complications. IBR decreased significantly with increased age (P < 0.00 in both cohorts), while complication rates remained stable across all ages (P = 0.32 in BC, P = 0.69 in DCIS patients). Patients were well matched in terms of demographics. CONCLUSIONS: The rates of breast reconstruction decrease with increasing age. Despite increasing age, associated complication rates in IBR patients remained stable. |
Databáze: | OpenAIRE |
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