Navigation Links
Few Women Get Breast Reconstruction After Mastectomy: Study
Date:12/8/2011

By Kathleen Doheny
HealthDay Reporter

THURSDAY, Dec. 8 (HealthDay News) -- Few women undergo breast reconstruction after a mastectomy, despite the known cosmetic and psychological advantages, a new study indicates.

"The immediate reconstruction rates are higher in women with DCIS (ductal carcinoma in situ, an early stage cancer) than with invasive cancer," said Dr. Dawn Hershman, an associate professor of medicine and epidemiology at Columbia University Medical Center, in New York City.

Fewer than one in four women with invasive cancer opts for the immediate reconstruction of their breast, she found. More than one in three with early stage cancer got the procedure.

Hershman and her colleagues evaluated discharge data from a database representing 15 percent of U.S. hospitals. They found 108,992 women with invasive breast cancer who underwent a mastectomy and 14,710 women with early stage cancer who did.

From 2000 to 2010, 23.4 percent of those women with invasive cancers got immediate reconstruction and 36.4 percent of those with early stage cancers did.

Those most likely to get it were women younger than age 50 who had commercial health insurance. For those women, the rate of reconstruction in 2010 was 67.5 percent. Along with older women, Hershman found blacks and rural residents were less likely to get reconstruction.

Insurance was the biggest predictor of whether the women got immediate reconstruction. The procedure is covered by Medicare, Medicaid and private insurance, although there is sometimes a co-pay.

That out-of-pocket charge may be a stumbling block. "The cost of mastectomy has remained stable," Hershman said of the last decade. "But the cost of reconstruction has increased nearly threefold over this decade."

She presented the findings Thursday at the San Antonio Breast Cancer Symposium. The Cancer Therapy & Research Center at The University of Texas Health Science Center at San Antonio, the American Association for Cancer Research and Baylor College of Medicine are joint sponsors of the meeting.

In reconstructing the breast, a surgeon rebuilds the breast's shape, using several techniques such as implants or repositioning a woman's own tissue.

Public policy makers should address the issue, the study authors said, and ensure access to reconstruction for all women who desire it. Hershman acknowledged that some women may bypass the offer for reconstruction, for a variety of reasons, such as financial and personal.

The findings are surprising, said Dr. Stephanie Bernik, chief of surgical oncology at Lenox Hill Hospital, in New York City.

She acknowledged that some women decline the reconstruction. "Some choose not to go forward," she said, with some women citing their desire to avoid more surgery. However, she thinks some women may not be aware of the option or they may not be aware of insurance coverage for it. Some who must pay a co-pay may decline for financial reasons, she said.

Previous research by others has found that women without insurance are often not told about the option. "Women have to be made aware that reconstruction is an option," Bernik said. If there is an issue with finances, she said, women should consider asking their doctor about arranging a payment plan.

Immediate reconstruction is now the standard of care, she said. However, in some cases, a reconstructive surgery may be best delayed after certain cancer treatments.

Because this study was presented at a medical meeting, the data and conclusions should be viewed as preliminary until published in a peer-reviewed journal.

More information

Visit the American Society of Plastic Surgeons to learn more about breast reconstruction.

SOURCES: Dawn Hershman, M.D., associate professor, medicine and epidemiology, Columbia University Medical Center, New York City; Stephanie Bernik, M.D., chief, surgical oncology, Lenox Hill Hospital, New York City; Dec. 8, 2011, presentation, San Antonio Breast Cancer Symposium


'/>"/>
Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Women advised to avoid ZEN bust-enhancing supplements because of possible cancer risk
2. Freshman womens binge drinking tied to sexual assault risk
3. Binge drinking by freshman women tied to sexual assault risk, according to new research
4. Hispanic Women More Likely to Die of Breast Cancer
5. Stress reduction and mindful eating curb weight gain among overweight women
6. Being overweight not such a stigma for African American women
7. Rotating night shift work linked to increased risk of Type 2 diabetes in women
8. Rotating Shift Work May Boost Womens Diabetes Risk
9. Research With Worms May Shed Light on Womens Fertility
10. Advanced age should not deter women from breast reconstruction after cancer
11. LSUHSC research finds many women not receiving recommended breast cancer adjuvant treatment
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Few Women Get Breast Reconstruction After Mastectomy: Study
(Date:6/25/2016)... ... 2016 , ... Conventional wisdom preaches the benefits of moderation, whether it’s a ... the bar too high can result in disappointment, perhaps even self-loathing. However, those who ... , Research from PsychTests.com reveals that behind the tendency to set ...
(Date:6/24/2016)... ... 2016 , ... June 19, 2016 is World Sickle Cell Observance Day. In ... benefits of holistic treatments, Serenity Recovery Center of Marne, Michigan, has issued ... Sickle Cell Disease (SCD) is a disorder of the red blood cells, which can ...
(Date:6/24/2016)... ... ... Global law firm Greenberg Traurig, P.A. announced that 20 Florida attorneys are recognized ... this recognition are considered among the top 2 percent of lawyers practicing within the ... this year’s Legal Elite Hall of Fame: Miami Shareholders Mark D. Bloom, Burt ...
(Date:6/24/2016)... ... 24, 2016 , ... Topical BioMedics, Inc, makers of Topricin and MyPainAway Pain Relief Products, join ... wage raise to $12 an hour by 2020 and then adjusting it yearly to increase ... of the minimum wage, assure the wage floor does not erode again, and make future ...
(Date:6/24/2016)... , ... June 24, 2016 , ... ... is proud to recognize Dr. Barry M. Weintraub as a prominent plastic surgeon ... beautiful women in the world, and the most handsome men, look naturally attractive. ...
Breaking Medicine News(10 mins):
(Date:6/26/2016)... , June 27, 2016 Jazz Pharmaceuticals ... waiting period under the Hart-Scott-Rodino Antitrust Improvements Act of ... acquisition of Celator Pharmaceuticals, Inc. ("Celator"; Nasdaq: ... p.m. (Eastern Daylight Time). As previously announced ... into a definitive merger agreement under which Jazz Pharmaceuticals ...
(Date:6/24/2016)... SOUTH SAN FRANCISCO, Calif. , June 24, ... GBT ), a biopharmaceutical company developing novel ... with significant unmet needs, today announced the closing ... 6,400,000 shares of common stock, at the public ... the shares in the offering were offered by ...
(Date:6/24/2016)... June 24, 2016 Dehaier Medical Systems Ltd. ... which develops, markets and sells medical devices and wearable ... signed a strategic cooperation agreement with Hongyuan Supply Chain ... Chain") on June 20, 2016, to develop Dehaier,s new ... cooperation agreement, Dehaier will leverage Hongyuan Supply Chain,s sales ...
Breaking Medicine Technology: