Post-mastectomy breast reconstruction: reducing the disparity through educational outreach to the underserved

Familusi, Olatomide; Rios-Diaz, Arturo J.; Tilahun, Estifanos; Cunning, Jessica R.; Broach, Robyn B.; Brooks, Ari D.; Guerra, Carmen E.; Butler, Paris D.

doi:10.1007/s00520-020-05589-5

Cited by 18 publications

(17 citation statements)

References 32 publications

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“…Therefore, clinicians often adopt different treatment methods for breast cancer patients according to different molecular subtypes, including surgery, radiotherapy, chemotherapy, targeted therapy, and endocrine therapy, among which surgery to remove the breast and its surrounding tissues is the main treatment method 10 . In the past, it was thought that larger surgical resections would prevent tumor metastasis, but studies in recent years have disproved this erroneous conclusion 14 . More and more scholars believe that the extent of mastectomy should be minimized, and attention should be paid to the mental health of patients with missing breasts after surgery, so it is particularly important to promote breast reconstruction in the population undergoing mastectomy 7,11 …”

Section: Discussionmentioning

confidence: 99%

“…As women's pursuit of physical aesthetics continues to increase, the treatment of breast cancer has gradually transitioned from a single surgical treatment to a multi‐disciplinary comprehensive treatment, including breast surgery, medical oncology, and plastic surgery 7,18 . This phenomenon indicates that clinicians are increasingly concerned about the improvement of patients' psychological health, 14 and believe that the aesthetic requirements of patients' morphology should be taken into account while removing tumors and performing postoperative mammoplasty repair, such as breast reconstruction, which can effectively reduce patients' physical and psychological trauma and facilitate their rapid postoperative recovery 14 . Therefore, breast reconstruction after mastectomy for breast cancer has become a hot topic of academic research in recent years, and the related literature is increasing, but there is a lack of comprehensive analysis and evaluation of the literature in this field.…”

Section: Discussionmentioning

confidence: 99%

“…10 In the past, it was thought that larger surgical resections would prevent tumor metastasis, but studies in recent years have disproved this erroneous conclusion. 14 More and more scholars believe that the extent of mastectomy should be minimized, and attention should be paid to the mental health of patients with missing breasts after surgery, so it is particularly important to promote breast reconstruction in the population undergoing mastectomy. 7,11 Breast reconstruction includes one-stage reconstruction (immediate breast reconstruction) and two-stage reconstruction (delayed breast reconstruction).…”

Section: Discussionmentioning

confidence: 99%

“…7,18 This phenomenon indicates that clinicians are increasingly concerned about the improvement of patients' psychological health, 14 and believe that the aesthetic requirements of patients' morphology should be taken into account while removing tumors and performing postoperative mammoplasty repair, such as breast reconstruction, which can effectively reduce patients' physical and psychological trauma and facilitate their rapid postoperative recovery. 14 Therefore, breast reconstruction after mastectomy for breast cancer has become a hot topic of academic research in recent years, and the related literature is increasing, but there is a lack of comprehensive analysis and evaluation of the literature in this field. In summary, it is essential that we perform a bibliometric analysis of the existing literature in this field.…”

Section: Discussionmentioning

confidence: 99%

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Bibliometric analysis of global research on breast reconstruction after mastectomy for breast cancer from 2011 to 2021

Zhang

Gao

Ying

et al. 2023

J of Cosmetic Dermatology

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Background Breast cancer is the most common malignant tumor in the world, and most patients require a mastectomy. Women who have undergone mastectomy often suffer from breast loss that seriously affects their daily life, and breast reconstruction is not only beneficial to patient's quick recovery after surgery, but also their mental health. So, in recent years, more and more female breast cancer patients are receiving breast reconstruction surgery. We aim to map hot trends in breast reconstruction after mastectomy for breast cancer and provide directions for future research. Methods We screened all literature (2011–2021) on breast reconstruction after mastectomy for breast cancer from The Web of Science Core Collection (WoSCC) and analyzed research trends in this field using Vosviewer and CiteSpace. Results Based on the search results, a total of 3404 articles related to breast reconstruction after mastectomy for breast cancer were screened. The US (n = 1371) is the country with the highest number of articles, followed by Italy (n = 282) and the UK (n = 277). Harvard University (n = 183) was the institution with the highest number of publications, followed by the University of Texas (n = 141) and Memorial Sloan Kettering Cancer Center (n = 136). Plastic and Reconstructive Surgery is the most published journal in the field. Pusic AL is the most published author in the field, while Matros E is the most cited author on average. Cluster analysis showed that breast reconstruction after mastectomy for breast cancer is a hot topic of research by scholars, and more and more experts recommend breast reconstruction for breast cancer patients. Conclusions This study comprehensively summarizes and analyzes global research trends in breast reconstruction after mastectomy for breast cancer. In the past 10 years, there has been a significant increase in relevant high‐quality publications in this field, and the field of breast reconstruction after mastectomy for breast cancer has a promising future.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Bibliometric analysis of global research on breast reconstruction after mastectomy for breast cancer from 2011 to 2021

Zhang

Gao

Ying

et al. 2023

J of Cosmetic Dermatology

View full text Add to dashboard Cite

show abstract

“…A recent study has shown the effectiveness of increased community awareness and educational outreach to underserved population in decreasing the disparity. 26 Since most of the minorities are historically from underserved areas, this would be an interesting and effective strategy to eliminate the disparity. Also, the value of awareness and continuous reminding about this issue, such as our current study, cannot be overstated.…”

Section: Discussionmentioning

confidence: 99%

Racial Disparity in Immediate Breast Reconstruction; a Gap That is not Closing

et al. 2021

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Background: Immediate breast reconstruction (IBR) is offered as part of the standard-of-care to females undergoing mastectomy. Racial disparity in IBR has been previously reported with a longstanding call for its elimination, though unknown if this goal is achieved. The aim of this study was to examine the current association between race and IBR and to investigate whether racial disparity is diminishing. Methods: Data was extracted from the National Cancer Database (NCDB) from 2004 to 2016. All variables in the database were controlled so that the comparison would be made solely between Black and White females. We also analyzed the trend in racial disparity to see if there has been a change from 2004 to 2016 after several calls for healthcare equality. Results: After propensity score matching, 69,084 White females were compared to 69,084 Black females. There was a statistically significant difference between the rate of IBR and race (23,386 [33.9%] in White females vs 20,850 [30.2%] in Black females, P-value < .001). Despite a twofold increase in the rate of IBR in both White and Black females, a persistent gap of about 4% was observed over the study period, which translates to more than 2,500 Black females not receiving IBR. Conclusions: Using the NCDB database, a racial disparity was identified for IBR between White and Black females from 2004 and 2016. Unfortunately, the gap between the groups remained constant over this 13-year period.

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