Cancer News
OncoLink Cancer News - HealthDay


Breast Reconstructions Up in U.S. Breast Cancer Patients

Thursday, February 20, 2014 (Last Updated: 02/21/2014)

THURSDAY, Feb. 20, 2014 (HealthDay News) -- The use of breast reconstruction in breast cancer patients undergoing mastectomy has been increasing in the United States, according to research published online Feb. 18 in the Journal of Clinical Oncology.

Reshma Jagsi, M.D., D.Phil., of the University of Michigan in Ann Arbor, and colleagues analyzed data from 1998 to 2007 for 20,560 women (median age, 51 years) with employment-based health insurance, who underwent mastectomy for breast cancer. The researchers sought to examine trends and variation in the use of breast reconstruction.

The researchers found that use of breast reconstruction in women undergoing mastectomy for breast cancer increased significantly, from 46 percent in 1998 to 63 percent in 2007. The use of implants increased while use of autologous techniques decreased over time. Significantly more women received bilateral mastectomies in 2007 (18 percent) than in 1998 (3 percent). Patients receiving bilateral mastectomies were significantly more likely to undergo reconstruction (odds ratio, 2.3), and patients receiving radiation therapy were less likely to undergo reconstruction (odds ratio, 0.44). Reconstruction rates varied widely according to geographic region and were associated with density of plastic surgeons in each state and income at the county level.

"In this large, observational analysis of breast reconstruction utilization in the United States in a commercially insured sample, we observed a strong trend toward increased use of reconstruction over time, with substantial growth in the use of implant-based techniques and decreasing use of autologous reconstruction," the authors write.

Two authors disclosed financial ties to biomedical companies.

Abstract
Full Text (subscription or payment may be required)
Editorial

Specialties Hematology & Oncology
OBGYN & Women's Health
Cosmetic Surgery
Surgery

Copyright © 2014 HealthDay. All rights reserved.


I Wish You Knew

Screening with Mammography: Looking at the Controversy

View More



Blogs and Web Chats

OncoLink Blogs give our readers a chance to react to and comment on key cancer news topics and provides a forum for OncoLink Experts and readers to share opinions and learn from each other.




OncoLink OncoPilot

Facing a new cancer diagnosis or changing the course of your current treatment? Let our cancer nurses help you through!

Learn More