Use of immediate breast reconstruction and choice for contralateral prophylactic mastectomy

Tanya L. Hoskin, Tina J Hieken, Amy C Degnim, James W Jakub, Steven R. Jacobson, Judy C Boughey

Research output: Contribution to journalArticlepeer-review

27 Scopus citations


Background Rates of contralateral prophylactic mastectomy (CPM) have been increasing nationally. The goal of this study was to evaluate recent trends in rates of CPM and immediate breast reconstruction (IBR). Methods After institutional review board approval, we evaluated all surgical procedures for women with newly diagnosed unilateral stages 0-III breast cancer from January 2009 to December 2014. Patients opting for therapeutic mastectomy were classified as either unilateral mastectomy or bilateral mastectomy, if CPM was performed, and according to whether or not they underwent IBR. Analysis was performed using trend tests for univariate associations and both binary and multinomial logistic regression for multivariate analysis. Results There were 3,195 women who underwent surgery for breast cancer - 51% lumpectomy, 49% therapeutic mastectomy. Of the 1,571 patients undergoing therapeutic mastectomy, 829 (53%) underwent bilateral mastectomy. The rates of therapeutic mastectomy did not change over the study period (P =.92), but the use of IBR among patients undergoing therapeutic mastectomy increased from 37% in 2009 to 68% in 2014 (P

Original languageEnglish (US)
Pages (from-to)1199-1209
Number of pages11
JournalSurgery (United States)
Issue number4
StatePublished - Apr 1 2016

ASJC Scopus subject areas

  • Surgery

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