title: Factors predictive of immediate breast reconstruction following mastectomy for invasive breast cancer in Australia.
abstract: OBJECTIVE
  To investigate person, cancer and treatment determinants of immediate breast reconstruction (IBR) in Australia.
  
  
  METHODS
  Bi-variable and multi-variable analyses of the Quality Audit database.
  
  
  RESULTS
  Of 12,707 invasive cancers treated by mastectomy circa 1998-2010, 8% had IBR. This proportion increased over time and reduced from 29% in women below 30 years to approximately 1% in those aged 70 years or more. Multiple regression indicated that other IBR predictors included: high socio-economic status; private health insurance; being asymptomatic; a metropolitan rather than inner regional treatment centre; higher surgeon case load; small tumour size; negative nodal status, positive progesterone receptor status; more cancer foci; multiple affected breast quadrants; synchronous bilateral cancer; not having neo-adjuvant chemotherapy, adjuvant radiotherapy or adjuvant hormone therapy; and receiving ovarian ablation.
  
  
  CONCLUSIONS
  Variations in access to specialty services and other possible causes of variations in IBR rates need further investigation.
authors.affiliation: Cancer Australia, Sydney, New South Wales, Australia; School of Population Health, University of South Australia, Adelaide, Australia. Electronic address: roder@internode.on.net.
authors.forename: D
authors.initials: D
authors.lastname: Roder
authors.forename: H
authors.initials: H
authors.lastname: Zorbas
authors.forename: J
authors.initials: J
authors.lastname: Kollias
authors.forename: C
authors.initials: C
authors.lastname: Pyke
authors.forename: D
authors.initials: D
authors.lastname: Walters
authors.forename: I
authors.initials: I
authors.lastname: Campbell
authors.forename: C
authors.initials: C
authors.lastname: Taylor
authors.forename: F
authors.initials: F
authors.lastname: Webster
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D058070:Asymptomatic Diseases; D001315:Australia; D001943:Breast Neoplasms / Q000473:pathology* / Q000601:surgery* / Q000628:therapy; D005260:Female; D006801:Humans; D007348:Insurance, Health; D016462:Mammaplasty / Q000706:statistics & numerical data*; D008408:Mastectomy; D008875:Middle Aged; D009378:Neoplasms, Multiple Primary / Q000601:surgery*; D011980:Receptors, Progesterone; D012923:Social Class; D013997:Time Factors; D047368:Tumor Burden; D019037:Urban Health Services
chemical_list: D011980:Receptors, Progesterone
keywords: Breast reconstruction; Invasive breast cancer; Mastectomy