Recent trends and predictors in immediate breast reconstruction after mastectomy in the United States

Brian C. Reuben, Jotham Manwaring, Leigh A Neumayer

Research output: Contribution to journalArticle

94 Citations (Scopus)

Abstract

Introduction: Immediate breast reconstruction after mastectomy has increased in frequency during the past decade, but the socioeconomic and patient factors have yet to be fully identified. Methods: Data were analyzed from the Nationwide Inpatient Sample from 1999 to 2003 using International Classification of Disease-9 codes to identify patients undergoing immediate breast reconstruction. Regression analyses were used to examine predictive variables for immediate breast reconstruction after mastectomy. Results: Between 1999 and 2003, 469,832 patients underwent mastectomy. Immediate breast reconstruction occurred in 110,878 patients, yielding a 5-year average rate of 23.6% (range of 22.2% to 25.3%). Independent predictors of immediate breast reconstruction after mastectomy include private insurance, hospital in an urban location, teaching hospital, white race, hospital region in the south, age between the 3rd and 6th decades, and low number of comorbidities. Conclusions: Immediate breast reconstruction after mastectomy is still not commonly performed in the United States. Socioeconomic and geographic factors play a significant role in whether patients undergo immediate reconstruction.

Original languageEnglish (US)
Pages (from-to)237-243
Number of pages7
JournalAmerican Journal of Surgery
Volume198
Issue number2
DOIs
StatePublished - Aug 2009
Externally publishedYes

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Mammaplasty
Mastectomy
Private Hospitals
Geography
International Classification of Diseases
Insurance
Teaching Hospitals
Comorbidity
Inpatients
Regression Analysis

Keywords

  • Breast cancer
  • Breast reconstruction
  • Immediate reconstruction
  • Mastectomy

ASJC Scopus subject areas

  • Surgery

Cite this

Recent trends and predictors in immediate breast reconstruction after mastectomy in the United States. / Reuben, Brian C.; Manwaring, Jotham; Neumayer, Leigh A.

In: American Journal of Surgery, Vol. 198, No. 2, 08.2009, p. 237-243.

Research output: Contribution to journalArticle

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