Sherise Epstein|Bich Tran|Justin B. Cohen|Samuel J. Lin|Dhruv Singhal|Bernard T. Lee
Racial disparities in postmastectomy breast reconstruction: National trends in utilization from 2005 to 2014
Beth Israel Deaconess Medical Center|Harvard University|Beth Israel Deaconess Medical Center|Harvard University|Beth Israel Deaconess Medical Center|Harvard University|Beth Israel Deaconess Medical Center|Harvard University|Beth Israel Deaconess Medical Center|Harvard University|Beth Israel Deaconess Medical Center|Harvard University
evidence racial disparities receipt postmastectomy breast reconstruction well documented objective study describe trends racial disparities overall reconstructive techniquethe american college surgeons national surgical quality improvement program database used identify women underwent mastectomy andor breast reconstruction 2005 2014 patient demographics recorded cases grouped reconstructive status technique trends assessed cochranarmitage test index disparityover study period 92960 postmastectomy patients identified 77049 white women 10396 black women 4939 asian women 576 native american women 46931 underwent reconstruction 7692 women underwent autologous reconstructions 3913 free flaps 3696 pedicled flaps 2005 2014 receipt breast reconstruction postmastectomy patients rose 332 600 receipt autologous reconstruction patients underwent breast reconstruction fell 304 159 receipt freeflap reconstruction patients underwent autologous reconstruction rose 150 708 trends significant racial subgroups p 001 except native americans p 269 index disparity decreased 514 226 overall receipt breast reconstruction decreased 107 70 tissue expander implantbased reconstruction increased 180 273 autologous reconstruction decreased 667 43 freeflap reconstructionthe use postmastectomy breast reconstruction steadily rising united states racial disparities persist progress made efforts needed reduce racial disparities cancer 201812427742784 2018 american cancer society