Disparities in Reconstruction Rates After Mastectomy: Patterns of Care and Factors Associated With the Use of Breast Reconstruction in Southern California

Kruper L, Holt A, Xu XX, et al (City of Hope Natl Med Ctr, Duarte, CA) Ann Surg Oncol 18:2158-2165, 2011^§

Abstract

Background

Many factors influence whether breast cancer patients undergo reconstruction after mastectomy. We sought to determine the patterns of care and variables associated with the use of breast reconstruction in Southern California.

Materials and Methods

Postmastectomy reconstruction rates were determined from the California Office of Statewide Health Planning and Development (OSHPD) inpatient database from 2003 to 2007. International Classification of Disease-9 codes were used to identify patients undergoing reconstruction after mastectomy. Changes in reconstruction rates were examined by calendar year, age, race, type of insurance, and type of hospital using a chi-square test. Univariate and multivariate odds ratios (OR) with 95% confidence intervals (95% CI) were estimated for relative odds of immediate reconstruction versus mastectomy only.

Results

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