title: Breast reconstruction after mastectomy at an urban community-based program.
abstract: Reconstruction after mastectomy is an elective procedure. To date many factors have been associated with the choice of operation in these patients including socioeconomic status, insurance, age, comorbidities, and community factors. In an effort to understand the characteristics of  patients who undergo reconstruction at our hospital, we performed a retrospective review of patients who received mastectomy at our institution. A total of 354 patients underwent mastectomy from 2006 to 2010 at our hospital. Data from 332 patients undergoing reconstruction within 1 year of  mastectomy were then analyzed and χ(2) analysis was performed to identify factors significant in the choice of reconstruction. Age younger than 50 years (odds ratio [OR], 3.87), age older than 70 years (OR, 0.09), presence of insurance (OR, 2.89), diabetes (OR, 0.401), hypertension  (OR, 0.379), and Medicare (0.182) were found to be significant factors associated with a choice of reconstruction among our patients. When age was corrected for, insurance status was no longer a significant factor in choice of reconstruction. Over 90 per cent of patients underwent implant  or tissue expanders for reconstruction. This study reflects the reconstruction choices of patients in our community, city-based hospital.
authors.affiliation: Department of Surgery, Saint Agnes Hospital, Baltimore, Maryland, USA.
authors.forename: Anthony
authors.initials: A
authors.lastname: Miller
authors.forename: Gopal
authors.initials: G
authors.lastname: Chandru Kowdley
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D003153:Community Health Services; D005260:Female; D006801:Humans; D007223:Infant; D016462:Mammaplasty / Q000706:statistics & numerical data*; D008408:Mastectomy; D008875:Middle Aged; D012189:Retrospective Studies; D014504:Urban Health; D055815:Young Adult