Geographical disparity in breast reconstruction following mastectomy has reduced over time

P Dasgupta; Philippa H Youl; C Pyke; J F Aitken; P D Baade

doi:10.1111/ans.13710

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Geographical disparity in breast reconstruction following mastectomy has reduced over time

Journal article

Peer reviewed

Geographical disparity in breast reconstruction following mastectomy has reduced over time

P Dasgupta, Philippa H Youl, C Pyke, J F Aitken and P D Baade

ANZ Journal of Surgery, Vol.87(11), pp.E183-E187

2017

DOI: https://doi.org/10.1111/ans.13710

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Abstract

breast cancer

healthcare disparities

mastectomy

reconstructive surgical procedure

trends

Background: Breast reconstruction (BR) following mastectomy for breast cancer has been shown to improve quality of life and body image; however, there is significant geographic variation in BR rates. We explored factors associated with BR following mastectomy. Methods: This is a population-based data linkage study consisting of cancer registry records linked to hospital inpatient episodes for 4104 women aged 20years and over-diagnosed with a first primary invasive localized stage breast cancer between 1997 and 2012 in Queensland, Australia, who underwent a mastectomy. Multivariate logistic regression was used to model predictors of BR. Results: Overall, 481 women (11.7%) underwent reconstruction. Proportions increased over time and were higher for younger women. Younger age, more recent diagnosis, living in high or very high accessibility areas or less disadvantaged areas, smaller tumours and attending a private or high-volume hospital independently increased the odds of reconstruction. The geographical disparity reduced significantly over time. Conclusion: Geographical barriers to accessing BR have reduced; however, continued monitoring and further research to inform strategies to further reduce subgroup disparities remain a priority. © 2016 Royal Australasian College of Surgeons.

Details

Title: Geographical disparity in breast reconstruction following mastectomy has reduced over time
Authors: P Dasgupta (Author) - Cancer Council Australia
Philippa H Youl (Author) - Queensland University of Technology
C Pyke (Author) - Mater Medical Centre
J F Aitken (Author) - Queensland University of Technology
P D Baade (Author) - Queensland University of Technology
Publication details: ANZ Journal of Surgery, Vol.87(11), pp.E183-E187
Publisher: Wiley-Blackwell Publishing Asia
Date published: 2017
DOI: 10.1111/ans.13710
ISSN: 1445-1433
Organisation Unit: University of the Sunshine Coast, Queensland; School of Health and Sport Sciences - Legacy
Language: English
Record Identifier: 99450803802621
Output Type: Journal article

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Collaboration types: Domestic collaboration
Web Of Science research areas: Surgery

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