Decline in Racial Disparities in Postmastectomy Breast Reconstruction: A Surveillance, Epidemiology, and End Results Analysis from 1998 to 2014

Sergesketter, Amanda R.; Thomas, Samantha M.; Lane, Whitney O.; Orr, Jonah; Shammas, Ronnie L.; Fayanju, Oluwadamilola M.; Greenup, Rachel A.; Hollenbeck, Scott T.

doi:10.1097/prs.0000000000005611

Cited by 54 publications

(35 citation statements)

References 32 publications

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“…It is well known that obesity, tobacco use, uncontrolled diabetes, older age, and increased cancer stage are associated with a decreased likelihood of receiving BR, 6,8,11 and our analysis was consistent with these findings. Older age is often associated with lower rates of BR due to lower patient interest, higher risks associated with additional surgeries, or higher rates of comorbidities.…”

Section: Discussionsupporting

confidence: 91%

Post-Mastectomy Patients in an Urban Safety-Net Hospital: How Do Safety-Net Hospital Breast Reconstruction Rates Compare to National Breast Reconstruction Rates?

Llaneras

Klapp

Boyd

et al. 2021

The American Surgeon™

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Background Breast reconstruction (BR) has documented psychological benefits following mastectomy. Yet, racial/ethnic minority groups have lower reported rates of BR. We sought to evaluate the rate, type, and outcome of BR in a racially and ethnically diverse population within a safety-net hospital system. Methods All patients who underwent mastectomy between October 2015 and July 2019 at Harbor-UCLA Medical Center were retrospectively examined. Rates and type of BR were analyzed according to patient characteristics (race/ethnicity, age, and body mass index), smoking status, cancer stage, and presence of diabetes mellitus. Breast reconstruction outcomes were also assessed. Results Of the 259 patients that underwent mastectomy, 87 (33.6%) received BR. Immediate BR was performed in 79 (30.5%) patients and delayed BR in 8 (3.1%). Of the 79 patients with immediate BR, 58 (73.4%) received implant-based BR and 21 (26.5%) autologous tissue. The BR failure rate was 10%, all implant-based. Increasing age and smoking negatively impacted BR rates. Black ( P =.331) and Hispanic ( P =.132) ethnicity were not independent predictors of decreased breast reconstruction. Conclusion This study demonstrated that the rate, type, and quality of BR in this integrated safety-net hospital within a diverse population are comparable to national rates. When made available, historically underrepresented minority patients of Black and Hispanic ethnicity utilize BR.

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Section: Discussionsupporting

confidence: 91%

Post-Mastectomy Patients in an Urban Safety-Net Hospital: How Do Safety-Net Hospital Breast Reconstruction Rates Compare to National Breast Reconstruction Rates?

Llaneras

Klapp

Boyd

et al. 2021

The American Surgeon™

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“…Marital status is widely considered to be an independent prognostic factor for many malignancies (17)(18)(19)(20). However, the effect of marital status on adult patients with chordoma has not been fully investigated.…”

Section: Discussionmentioning

confidence: 99%

Influence of marital status on overall survival in adult patients with chordoma: A SEER-based study

Tang¹,

Wang

Lu³

et al. 2020

Preprint

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Background. As a rare primary bone tumour, no studies have reported the relationship between prognosis and marital status in patients with chordoma.Methods. We classified patients with chordoma identified from the Surveillance, Epidemiology, and End Results (SEER) database from 1975 to 2016 into four groups: married, divorced/separated, widowed and single groups. Kaplan-Meier curves with log-rank test and Cox regression were used to analyse the effect of marital status on overall survival (OS). Results.A total of 1,080 patients were included in the study: 700 (64.8%) were married, 88 (8.1%) were divorced/separated, 78 (7.2%) were widowed, and 214 (19.8%) were single. Among the four groups, the 5-year OS (45.2%), 10-year OS (12.5%) and median OS (56.0 months) were the lowest in the widowed group. After including age, sex, primary site, marital status, disease stage, tumor size, histological type, and treatment pattern, multivariate analysis showed that marital status was still an independent risk factor for patients with chordoma, and widowed patients had the lowest OS (hazard ratio [HR]: 1.71; 95% confidence interval [CI]: 1.25-2.33, p<0.001) compared with married patients.Similar results were observed after stratifying the primary site and disease stage. Conclusion.Marital status was an independent prognostic indicator for adult patients with chordoma, and marital status was conducive to patient survival. Compared with married patients, widowed patients have a higher risk of death. colleagues across the United States and those at Information Management Services, Inc., who have been involved with the Surveillance, Epidemiology and End Results (SEER) Program.

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“…Marital status was widely considered to be an independent prognostic factor for many malignancies (17)(18)(19)(20). However, the effect of marital status on adult chordoma patients has not been fully investigated.…”

Section: Discussionmentioning

confidence: 99%

Influence of marital status on overall survival in adult chordoma patients: A SEER-based study

Tang¹,

Wang

Lu³

et al. 2020

Preprint

View full text Add to dashboard Cite

Background. As a rare primary bone tumor, no studies have reported the relationship between prognosis and marital status in patients with chordoma. Methods. We classified chordoma patients identified from the Surveillance, Epidemiology, and End Results (SEER) database from 1975 to 2016 into four groups: married, divorced/separated, widowed and single groups. Kaplan-Meier curves with log-rank test and Cox regression were used to analyse the effect of marital status on overall survival (OS). Results. A total of 1,080 patients were included in the study, 700 (64.8%) were married, 88 (8.1%) were divorced/separated, 78 (7.2%) were widowed and 214 (19.8%) were single. Among the four groups, the 5-year OS (45.2%), 10-year OS (12.5%) and median OS (56.0 months) were the lowest in the widowed group. After including age, sex, primary site, marital status, disease stage, tumor size, histological type, and treatment pattern, multivariate analysis showed that marital status was still an independent risk factor for chordoma patients, widowed patients have the lowest OS (hazard ratio [HR]: 1.71; 95% confidence interval [CI]: 1.25–2.33, p<0.001) compared with married patients. Similar results were observed after stratifying the primary site and disease stage. Conclusion. Marital status was an independent prognostic indicator for adult chordoma patients, and marital status was conducive to patient survival. Compared with married patients, widowed patients have a higher risk of death.

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Decline in Racial Disparities in Postmastectomy Breast Reconstruction: A Surveillance, Epidemiology, and End Results Analysis from 1998 to 2014

Cited by 54 publications

References 32 publications

Post-Mastectomy Patients in an Urban Safety-Net Hospital: How Do Safety-Net Hospital Breast Reconstruction Rates Compare to National Breast Reconstruction Rates?

Post-Mastectomy Patients in an Urban Safety-Net Hospital: How Do Safety-Net Hospital Breast Reconstruction Rates Compare to National Breast Reconstruction Rates?

Influence of marital status on overall survival in adult patients with chordoma: A SEER-based study

Influence of marital status on overall survival in adult chordoma patients: A SEER-based study

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