Trends in mastectomy and reconstruction for breast cancer; a twelve year experience from a tertiary care center

James M. Chang, Heidi E. Kosiorek, Amylou Dueck, William J. Casey, Alanna M. Rebecca, Raman Mahabir, Samir H. Patel, Sameer R. Keole, William W. Wong, Carlos E. Vargas, Michele Y. Halyard, Richard J. Gray, Nabil Wasif, Chee Chee H Stucky, Barbara A Pockaj

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Background Many surgical options exist for breast cancer, including breast conserving therapy (BCT), mastectomy with reconstruction (MAST+RECON) or without reconstruction (MAST). Long-term results regarding oncologic outcomes are few and primarily retrospective studies. Methods A retrospective review of a prospectively collected database of patients undergoing breast surgery for breast cancer from 2002 to 2014 was performed. Patients were separated into 3 time periods for analysis: 2002 to 2005, 2006 to 2009, and 2010 to 2014. Recurrence outcomes were compared at 4 years between MAST+RECON patients. Results Two thousand seventy-six patients were identified: 61.2% underwent BCT, 19.7% had MAST, and 19.1% had MAST+RECON. BCT patients were older and had smaller tumors. MAST+RECON increased in prevalence, whereas BCT decreased. Implant-based reconstruction and conservative mastectomy rates increased over the study period. Four-year local recurrence–free rates were similar in nipple-sparing and skin-sparing mastectomy groups. Conclusions BCT usage has decreased, trending toward immediate, nipple-sparing mastectomy, implant-based reconstruction. Surgeons should be aware of trends to optimally offer patients their surgical options.

Original languageEnglish (US)
Pages (from-to)1201-1210
Number of pages10
JournalAmerican Journal of Surgery
Volume212
Issue number6
DOIs
StatePublished - Dec 1 2016

Fingerprint

Mastectomy
Tertiary Care Centers
Breast Neoplasms
Breast
Nipples
Therapeutics
Retrospective Studies
Demography
Databases
Recurrence
Skin
Neoplasms

Keywords

  • Breast cancer
  • Breast conserving therapy
  • Breast reconstruction
  • Mastectomy

ASJC Scopus subject areas

  • Surgery

Cite this

Trends in mastectomy and reconstruction for breast cancer; a twelve year experience from a tertiary care center. / Chang, James M.; Kosiorek, Heidi E.; Dueck, Amylou; Casey, William J.; Rebecca, Alanna M.; Mahabir, Raman; Patel, Samir H.; Keole, Sameer R.; Wong, William W.; Vargas, Carlos E.; Halyard, Michele Y.; Gray, Richard J.; Wasif, Nabil; Stucky, Chee Chee H; Pockaj, Barbara A.

In: American Journal of Surgery, Vol. 212, No. 6, 01.12.2016, p. 1201-1210.

Research output: Contribution to journalArticle

Chang, JM, Kosiorek, HE, Dueck, A, Casey, WJ, Rebecca, AM, Mahabir, R, Patel, SH, Keole, SR, Wong, WW, Vargas, CE, Halyard, MY, Gray, RJ, Wasif, N, Stucky, CCH & Pockaj, BA 2016, 'Trends in mastectomy and reconstruction for breast cancer; a twelve year experience from a tertiary care center', American Journal of Surgery, vol. 212, no. 6, pp. 1201-1210. https://doi.org/10.1016/j.amjsurg.2016.08.020
Chang, James M. ; Kosiorek, Heidi E. ; Dueck, Amylou ; Casey, William J. ; Rebecca, Alanna M. ; Mahabir, Raman ; Patel, Samir H. ; Keole, Sameer R. ; Wong, William W. ; Vargas, Carlos E. ; Halyard, Michele Y. ; Gray, Richard J. ; Wasif, Nabil ; Stucky, Chee Chee H ; Pockaj, Barbara A. / Trends in mastectomy and reconstruction for breast cancer; a twelve year experience from a tertiary care center. In: American Journal of Surgery. 2016 ; Vol. 212, No. 6. pp. 1201-1210.
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abstract = "Background Many surgical options exist for breast cancer, including breast conserving therapy (BCT), mastectomy with reconstruction (MAST+RECON) or without reconstruction (MAST). Long-term results regarding oncologic outcomes are few and primarily retrospective studies. Methods A retrospective review of a prospectively collected database of patients undergoing breast surgery for breast cancer from 2002 to 2014 was performed. Patients were separated into 3 time periods for analysis: 2002 to 2005, 2006 to 2009, and 2010 to 2014. Recurrence outcomes were compared at 4 years between MAST+RECON patients. Results Two thousand seventy-six patients were identified: 61.2{\%} underwent BCT, 19.7{\%} had MAST, and 19.1{\%} had MAST+RECON. BCT patients were older and had smaller tumors. MAST+RECON increased in prevalence, whereas BCT decreased. Implant-based reconstruction and conservative mastectomy rates increased over the study period. Four-year local recurrence–free rates were similar in nipple-sparing and skin-sparing mastectomy groups. Conclusions BCT usage has decreased, trending toward immediate, nipple-sparing mastectomy, implant-based reconstruction. Surgeons should be aware of trends to optimally offer patients their surgical options.",
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AU - Chang, James M.

AU - Kosiorek, Heidi E.

AU - Dueck, Amylou

AU - Casey, William J.

AU - Rebecca, Alanna M.

AU - Mahabir, Raman

AU - Patel, Samir H.

AU - Keole, Sameer R.

AU - Wong, William W.

AU - Vargas, Carlos E.

AU - Halyard, Michele Y.

AU - Gray, Richard J.

AU - Wasif, Nabil

AU - Stucky, Chee Chee H

AU - Pockaj, Barbara A

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AB - Background Many surgical options exist for breast cancer, including breast conserving therapy (BCT), mastectomy with reconstruction (MAST+RECON) or without reconstruction (MAST). Long-term results regarding oncologic outcomes are few and primarily retrospective studies. Methods A retrospective review of a prospectively collected database of patients undergoing breast surgery for breast cancer from 2002 to 2014 was performed. Patients were separated into 3 time periods for analysis: 2002 to 2005, 2006 to 2009, and 2010 to 2014. Recurrence outcomes were compared at 4 years between MAST+RECON patients. Results Two thousand seventy-six patients were identified: 61.2% underwent BCT, 19.7% had MAST, and 19.1% had MAST+RECON. BCT patients were older and had smaller tumors. MAST+RECON increased in prevalence, whereas BCT decreased. Implant-based reconstruction and conservative mastectomy rates increased over the study period. Four-year local recurrence–free rates were similar in nipple-sparing and skin-sparing mastectomy groups. Conclusions BCT usage has decreased, trending toward immediate, nipple-sparing mastectomy, implant-based reconstruction. Surgeons should be aware of trends to optimally offer patients their surgical options.

KW - Breast cancer

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