Amy K. Alderman|Sarah T. Hawley|Nancy K. Janz|Mahasin S. Mujahid|Monica Morrow|Ann S. Hamilton|John J. Graff|Steven J. Katz
Racial and Ethnic Disparities in the Use of Postmastectomy Breast Reconstruction: Results From a Population- Based Study
University of Michigan–Ann Arbor|The Barbara Ann Karmanos Cancer Institute|Wayne State University|University of Michigan–Ann Arbor|The Barbara Ann Karmanos Cancer Institute|Wayne State University|University of Michigan–Ann Arbor|The Barbara Ann Karmanos Cancer Institute|Wayne State University|University of Michigan–Ann Arbor|The Barbara Ann Karmanos Cancer Institute|Wayne State University|University of Michigan–Ann Arbor|The Barbara Ann Karmanos Cancer Institute|Wayne State University|University of Michigan–Ann Arbor|The Barbara Ann Karmanos Cancer Institute|Wayne State University|University of Michigan–Ann Arbor|The Barbara Ann Karmanos Cancer Institute|Wayne State University|University of Michigan–Ann Arbor|The Barbara Ann Karmanos Cancer Institute|Wayne State University
concern minority women limited access breast reconstruction described patterns use experiences clinicians patients satisfaction treatment decisions women different raceethnicitiesa total 3252 patients breast cancer los angeles detroit surveillance epidemiology end results registries surveyed near time diagnosis n 2260 response rate 722 primary outcomes receipt reconstruction access information reconstruction decisional satisfaction primary independent variable raceethnicity white african american aa highly acculturated latina latinahigh less acculturated latina latinalow control variables included sociodemographic clinical factors chi2 multivariate logistic regression used analysesreceipt reconstruction varied significantly patient raceethnicity409 whites 335 aas 412 latinahigh 135 latinalow p 001and persisted controlled demographic clinical factors minority women significantly less likely whites see plastic surgeon initial surgery likely desire information reconstruction 170 whites v 270 aas 300 latinahigh 559 latinalow p 001 decisional satisfaction lowest among minority women without reconstruction p 001minority women particularly less acculturated latinas low receipt breast reconstruction may related limited information procedure less access plastic surgeons greater desire information lower satisfaction surgical decisions among patients motivate greater attention treatment support patients