Navigation Links
Few Women Get Breast Reconstruction After Mastectomy: Study

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:
Related Image:
Few Women Get Breast Reconstruction After Mastectomy: Study
(Date:6/26/2016)... (PRWEB) , ... June 26, 2016 , ... Pixel Film ... Pro X. , "Film editors can give their videos a whole new perspective by ... Austin - CEO of Pixel Film Studios. , ProSlice Levels contains over 30 ...
(Date:6/26/2016)... ... June 26, 2016 , ... Many women are confused ... endometriosis. These women need a treatment plan to not only alleviate symptoms and ... help for preservation of fertility and ultimately achieving a pregnancy. The specialists at ...
(Date:6/25/2016)... ... ... of Bruton Memorial Library on June 21 due to a possible lice infestation, as reported ... head lice: the parasite’s ability to live away from a human host, and to infest ... in the event that lice have simply gotten out of control. , As lice are ...
(Date:6/25/2016)... ... June 25, 2016 , ... As a lifelong Southern Californian, Dr. Omkar ... M.D from the David Geffen School of Medicine at UCLA. He trained in Internal ... complete his fellowship in hematology/oncology at the UCLA-Olive View-Cedars Sinai program where he had ...
(Date:6/25/2016)... ... June 25, 2016 , ... Conventional wisdom preaches the benefits ... terms of the latter, setting the bar too high can result in disappointment, perhaps ... slow progress toward their goal. , Research from reveals that ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... June 24, 2016  Consumers have taken a ... have placed more emphasis on patient outcomes. ... programs in the pharmaceutical industry have evolved beyond ... pharmaceutical companies are focusing on becoming more patient-oriented ... products and services that improve health. ...
(Date:6/24/2016)... FRANCISCO, Calif. , June 24, 2016 /PRNewswire/ ... ), a biopharmaceutical company developing novel therapeutics for ... unmet needs, today announced the closing of its ... of common stock, at the public offering price ... in the offering were offered by GBT. GBT ...
(Date:6/24/2016)... -- Dublin ... the " Global Markets for Spectroscopy Equipment" ... This report focuses on the global market ... its applications in various applications. The report deals with ... main industries: pharmaceutical and biotechnology, food and beverage, and ...
Breaking Medicine Technology: