Influence of facility characteristics on access to breast reconstruction: A 12-year national cancer database analysis

Daniel Boczar; David J. Restrepo; Andrea Sisti; Maria T. Huayllani; Aaron C. Spaulding; Emmanuel Gabriel; Sanjay Bagaria; Sarah McLaughlin; Alexander S. Parker; Antonio J. Forte

doi:10.21873/anticanres.13907

Influence of facility characteristics on access to breast reconstruction: A 12-year national cancer database analysis

Daniel Boczar, David J. Restrepo, Andrea Sisti, Maria T. Huayllani, Aaron C. Spaulding, Emmanuel Gabriel, Sanjay Bagaria, Sarah McLaughlin, Alexander S. Parker, Antonio J. Forte

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

Background/Aim: This study aimed to analyze facility characteristics contributing to disparities in breast reconstruction access in the United States. Patients and Methods: Data from January 1, 2004, to December 31, 2015 were extracted from the National Cancer Database on patient, facility and treatment, and tumor characteristics. A total of 858,594 patients met the inclusion criteria of the study, including 553,517 (64.5%) patients who underwent mastectomy only (without breast reconstruction) and 305,077 (35.5%) patients who received breast reconstruction (implants or autologous tissue). Results: Multivariate analysis showed that the odds of reconstruction were higher in Integrated Network Cancer Programs and Academic/Research Programs compared to Community Cancer Programs. Patients treated in the South, Midwest, and West regions had lower odds of reconstruction. Interestingly, patients treated in more than one Commission on Cancer facility had a higher likelihood of reconstruction. Conclusion: Facility characteristics and location impact on access to breast reconstruction.

Original language	English (US)
Pages (from-to)	6881-6885
Number of pages	5
Journal	Anticancer research
Volume	39
Issue number	12
DOIs	https://doi.org/10.21873/anticanres.13907
State	Published - 2019

Keywords

Breast cancer
Disparities
Quality of health care
Surgical treatment

ASJC Scopus subject areas

Oncology
Cancer Research

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10.21873/anticanres.13907

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title = "Influence of facility characteristics on access to breast reconstruction: A 12-year national cancer database analysis",

abstract = "Background/Aim: This study aimed to analyze facility characteristics contributing to disparities in breast reconstruction access in the United States. Patients and Methods: Data from January 1, 2004, to December 31, 2015 were extracted from the National Cancer Database on patient, facility and treatment, and tumor characteristics. A total of 858,594 patients met the inclusion criteria of the study, including 553,517 (64.5%) patients who underwent mastectomy only (without breast reconstruction) and 305,077 (35.5%) patients who received breast reconstruction (implants or autologous tissue). Results: Multivariate analysis showed that the odds of reconstruction were higher in Integrated Network Cancer Programs and Academic/Research Programs compared to Community Cancer Programs. Patients treated in the South, Midwest, and West regions had lower odds of reconstruction. Interestingly, patients treated in more than one Commission on Cancer facility had a higher likelihood of reconstruction. Conclusion: Facility characteristics and location impact on access to breast reconstruction.",

keywords = "Breast cancer, Disparities, Quality of health care, Surgical treatment",

author = "Daniel Boczar and Restrepo, {David J.} and Andrea Sisti and Huayllani, {Maria T.} and Spaulding, {Aaron C.} and Emmanuel Gabriel and Sanjay Bagaria and Sarah McLaughlin and Parker, {Alexander S.} and Forte, {Antonio J.}",

year = "2019",

doi = "10.21873/anticanres.13907",

language = "English (US)",

volume = "39",

pages = "6881--6885",

journal = "Anticancer research",

issn = "0250-7005",

publisher = "International Institute of Anticancer Research",

number = "12",

}

TY - JOUR

T1 - Influence of facility characteristics on access to breast reconstruction

T2 - A 12-year national cancer database analysis

AU - Boczar, Daniel

AU - Restrepo, David J.

AU - Sisti, Andrea

AU - Huayllani, Maria T.

AU - Spaulding, Aaron C.

AU - Gabriel, Emmanuel

AU - Bagaria, Sanjay

AU - McLaughlin, Sarah

AU - Parker, Alexander S.

AU - Forte, Antonio J.

PY - 2019

Y1 - 2019

N2 - Background/Aim: This study aimed to analyze facility characteristics contributing to disparities in breast reconstruction access in the United States. Patients and Methods: Data from January 1, 2004, to December 31, 2015 were extracted from the National Cancer Database on patient, facility and treatment, and tumor characteristics. A total of 858,594 patients met the inclusion criteria of the study, including 553,517 (64.5%) patients who underwent mastectomy only (without breast reconstruction) and 305,077 (35.5%) patients who received breast reconstruction (implants or autologous tissue). Results: Multivariate analysis showed that the odds of reconstruction were higher in Integrated Network Cancer Programs and Academic/Research Programs compared to Community Cancer Programs. Patients treated in the South, Midwest, and West regions had lower odds of reconstruction. Interestingly, patients treated in more than one Commission on Cancer facility had a higher likelihood of reconstruction. Conclusion: Facility characteristics and location impact on access to breast reconstruction.

AB - Background/Aim: This study aimed to analyze facility characteristics contributing to disparities in breast reconstruction access in the United States. Patients and Methods: Data from January 1, 2004, to December 31, 2015 were extracted from the National Cancer Database on patient, facility and treatment, and tumor characteristics. A total of 858,594 patients met the inclusion criteria of the study, including 553,517 (64.5%) patients who underwent mastectomy only (without breast reconstruction) and 305,077 (35.5%) patients who received breast reconstruction (implants or autologous tissue). Results: Multivariate analysis showed that the odds of reconstruction were higher in Integrated Network Cancer Programs and Academic/Research Programs compared to Community Cancer Programs. Patients treated in the South, Midwest, and West regions had lower odds of reconstruction. Interestingly, patients treated in more than one Commission on Cancer facility had a higher likelihood of reconstruction. Conclusion: Facility characteristics and location impact on access to breast reconstruction.

KW - Breast cancer

KW - Disparities

KW - Quality of health care

KW - Surgical treatment

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JO - Anticancer research

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IS - 12

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Influence of facility characteristics on access to breast reconstruction: A 12-year national cancer database analysis

Abstract

Keywords

ASJC Scopus subject areas

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