title: Sociodemographic Predictors of Breast Reconstruction Procedure Choice: Analysis of the Mastectomy Reconstruction Outcomes Consortium Study Cohort.
abstract: Background. To promote patient-centered care, it is important to understand the impact of sociodemographic factors on procedure choice for women undergoing postmastectomy breast reconstruction. In this context, we analyzed the effects of these variables on the reconstructive method chosen. Methods. Women undergoing postmastectomy breast reconstruction were recruited for the prospective Mastectomy Reconstruction Outcomes Consortium Study. Procedure types were divided into tissue expander-implant/direct-to-implant and abdominally based flap reconstructions. Adjusted odds ratios were calculated from logistic regression. Results. The analysis included 2,203 women with current or previous breast cancer and 202 women undergoing prophylactic mastectomy. Compared with women <40 years old with current or previous breast cancer, those 40 to 59 were significantly more likely to undergo an abdominally based flap. Women working or attending school full-time were more likely to receive an autologous procedure than those working part-time or volunteering. Women undergoing prophylactic mastectomy who were ≥50 years were more likely to undergo an abdominal flap compared to those <40. Conclusions. Our results indicate that sociodemographic factors affect the reconstructive procedure received. As we move forward into a new era of patient-centered care, providing tailored treatment options to reconstruction patients will likely lead to higher satisfaction and better outcomes for those we serve.
authors.affiliation: Section of Plastic Surgery, University of Michigan, Ann Arbor, MI 48109, USA.
authors.forename: Tiffany N S
authors.initials: TN
authors.lastname: Ballard
authors.affiliation: Center for Statistical Consultation and Research, University of Michigan, Ann Arbor, MI 48109, USA.
authors.forename: Yeonil
authors.initials: Y
authors.lastname: Kim
authors.affiliation: Division of Plastic and Reconstructive Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY 10065, USA.
authors.forename: Wess A
authors.initials: WA
authors.lastname: Cohen
authors.affiliation: Section of Plastic Surgery, University of Michigan, Ann Arbor, MI 48109, USA.
authors.forename: Jennifer B
authors.initials: JB
authors.lastname: Hamill
authors.affiliation: Section of Plastic Surgery, University of Michigan, Ann Arbor, MI 48109, USA.
authors.forename: Adeyiza O
authors.initials: AO
authors.lastname: Momoh
authors.affiliation: Division of Plastic and Reconstructive Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY 10065, USA.
authors.forename: Andrea L
authors.initials: AL
authors.lastname: Pusic
authors.affiliation: Center for Statistical Consultation and Research, University of Michigan, Ann Arbor, MI 48109, USA ; Department of Biostatistics, University of Michigan, Ann Arbor, MI 48109, USA.
authors.forename: H Myra
authors.initials: HM
authors.lastname: Kim
authors.affiliation: Section of Plastic Surgery, University of Michigan, Ann Arbor, MI 48109, USA.
authors.forename: Edwin G
authors.initials: EG
authors.lastname: Wilkins