Late re-operations after immediate breast reconstruction: Long-term data are relevant to decision-making

2008 ◽  
Vol 34 (10) ◽  
pp. 1184
Author(s):  
Jennifer Rusby ◽  
D. England ◽  
R. Waters
Keyword(s):  
Decision Making ◽  
Breast Reconstruction ◽  
Immediate Breast Reconstruction ◽  
Term Data

Influencers of Immediate Post-Mastectomy Reconstruction: A National Cancer Database Analysis

2021 ◽  
Author(s):  
Dora Danko ◽  
Yuan Liu ◽  
Feifei Geng ◽  
Theresa W Gillespie
Keyword(s):  
Breast Cancer ◽  
Decision Making ◽  
Breast Reconstruction ◽  
Urban Areas ◽  
Private Insurance ◽  
Immediate Breast Reconstruction ◽  
Third Party ◽  
National Cancer Database ◽  
Immediate Reconstruction ◽  
The Impact

Abstract Background The literature examining decision-making related to treatment and reconstruction for women with breast cancer has established that patient, clinical, and facility factors all play a role. Objectives Using the National Cancer Database (NCDB), determine how patient, clinical, and facility factors influence: 1) the receipt of immediate breast reconstruction; and 2) the type of immediate breast reconstruction received (implant-based, autologous, or a combination). Methods A total of 638,772 female patients with TIS-T3, N0-N1, M0 breast cancers were identified in the NCDB from 2004-2017 who received immediate reconstruction following mastectomy. Univariate and multivariable logistic regression models were conducted to identify characteristics associated with immediate breast reconstruction and type of reconstruction. Results Immediate breast reconstruction was more frequently associated with patients of white race, younger age, with private insurance, with lesser comorbidities, who resided in zip-codes with higher median incomes or higher rate of high-school graduation, in urban areas, with Tis-T2 disease, or with <4 lymph node involvement (all odds ratios (OR) > 1.1). Negative predictors of immediate breast reconstruction were insurance status with Medicaid, Medicare, other government insurance, and none or unknown insurance (all ORs <0.79). Implant-based reconstruction was associated with non-black race, uninsured status, completion of higher education, undifferentiated disease, and stage T0 disease (all ORs >1.10). Conclusions These findings confirm some previous studies on what patient, clinical, and facility factors affect decision making, but also raise new questions that relate to the impact of third-party payor on receipt and type of reconstruction post-mastectomy for breast cancer.

Determinants of short and long term outcomes in patients undergoing immediate breast reconstruction following neoadjuvant chemotherapy

2017 ◽  
Vol 116 (7) ◽  
pp. 797-802 ◽  
Author(s):  
Craig A. Wengler ◽  
Stephanie A. Valente ◽  
Zahraa Al-Hilli ◽  
Neil M. Woody ◽  
Julia H. Muntean ◽  
...  
Keyword(s):  
Neoadjuvant Chemotherapy ◽  
Breast Reconstruction ◽  
Immediate Breast Reconstruction ◽  
Long Term Outcomes ◽  
Short And Long Term

scholarly journals Immediate breast reconstruction after mastectomy: what are the long-term prospects?

2010 ◽  
Vol 92 (3) ◽  
pp. 193-197 ◽  
Author(s):  
Jennifer E Rusby ◽  
Ruth A Waters ◽  
Peter G Nightingale ◽  
David W England
Keyword(s):  
Breast Reconstruction ◽  
Time Course ◽  
Statistical Significance ◽  
Objective Measure ◽  
Immediate Breast Reconstruction ◽  
Immediate Reconstruction ◽  
Late Failure ◽  
Initial Surgery ◽  
The Impact

INTRODUCTION Immediate breast reconstruction after mastectomy has known psychological and financial advantages but it is difficult to compare the outcome of various methods of reconstruction. Re-operation rates are an objective measure of surgical intervention required to attain and maintain acceptable cosmesis. PATIENTS AND METHODS A series of 95 patients (110 immediate reconstructions) was analysed for number of re-operations required within 5 years of initial surgery, magnitude of procedures, ‘survival’ of the reconstruction and effect of radiotherapy. RESULTS Although more intervention was seen in patients with implant-based reconstruction and the time-course over which autologous and implant-based reconstructions fail is different these did not reach statistical significance. Radiotherapy has a significant effect on failure of implant-based reconstruction. CONCLUSIONS Long-term, large studies of immediate reconstruction are required to assess adequately the impact of type of reconstruction on re-operation rates. The National Mastectomy and Breast Reconstruction Audit is ideally placed to provide answers to remaining questions about longevity of immediate breast reconstruction and the effect that late failure has on patient satisfaction.

Surgical Decision-making in Immediate Breast Reconstruction

2010 ◽  
Vol 34 (12) ◽  
pp. 3029-3035 ◽  
Author(s):  
Kylie J. Musgrave ◽  
Melissa Bochner ◽  
James Kollias
Keyword(s):  
Decision Making ◽  
Breast Reconstruction ◽  
Immediate Breast Reconstruction ◽  
Surgical Decision ◽  
Surgical Decision Making

Long-Term Sensibility Following Nonautologous, Immediate Breast Reconstruction

2007 ◽  
Vol 13 (4) ◽  
pp. 346-351 ◽  
Author(s):  
Jakob Lagergren ◽  
Åsa Edsander-Nord ◽  
Marie Wickman ◽  
Per Hansson
Keyword(s):  
Breast Reconstruction ◽  
Immediate Breast Reconstruction
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