AI Article Synopsis
- The study examines factors influencing immediate breast reconstruction (IBR) rates in Australia, focusing on person, cancer, and treatment determinants.
- Of 12,707 invasive cancer cases treated with mastectomy from 1998-2010, only 8% underwent IBR, with significant disparities based on age, socio-economic status, and treatment settings.
- The findings suggest the need for further exploration into the variations in access to specialty services and other determinants that affect IBR rates.
Article Abstract
Purpose: To investigate person, cancer and treatment determinants of immediate breast reconstruction (IBR) in Australia.
Methods: Bi-variable and multi-variable analyses of the Quality Audit database.
Results: Of 12,707 invasive cancers treated by mastectomy circa 1998-2010, 8% had IBR. This proportion increased over time and reduced from 29% in women below 30 years to approximately 1% in those aged 70 years or more. Multiple regression indicated that other IBR predictors included: high socio-economic status; private health insurance; being asymptomatic; a metropolitan rather than inner regional treatment centre; higher surgeon case load; small tumour size; negative nodal status, positive progesterone receptor status; more cancer foci; multiple affected breast quadrants; synchronous bilateral cancer; not having neo-adjuvant chemotherapy, adjuvant radiotherapy or adjuvant hormone therapy; and receiving ovarian ablation.
Conclusions: Variations in access to specialty services and other possible causes of variations in IBR rates need further investigation.
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| http://dx.doi.org/10.1016/j.breast.2013.09.011 | DOI Listing |
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