Navigation Links
Surgeons impact whether a woman gets breast reconstruction, U-M study finds

ANN ARBOR, Mich. When breast cancer surgeons regularly confer with plastic surgeons prior to surgery, their patients are more likely to have reconstruction, according to a new study led by researchers at the University of Michigan Comprehensive Cancer Center.

Where a woman goes for breast cancer treatment can vary widely ranging from small private practices to large hospital settings. That choice can impact the type of care a woman receives when it comes to reconstruction.

"Breast reconstruction is a very complex treatment issue that requires a lot of discussion. Our results suggest that discussion can be quite different depending on where a patient gets initial treatment," says lead study author Steven J. Katz, M.D., M.P.H., professor of internal medicine at the U-M Medical School and of health management and policy at the U-M School of Public Health.

"Patients with similar characteristics or preferences may get a different story from different surgeons and this depends largely on whether a plastic surgeon is on the treatment decision team from the get-go. Plastic surgeons are the ones with the expertise to explain the increasingly complicated procedure options," Katz adds.

Results of the study appear online in the journal Medical Care and will be published in the October issue.

Researchers from the Cancer Surveillance and Outcomes Research Team, a multidisciplinary collaboration among five centers across the country, surveyed breast cancer patients and their surgeons about treatment choices.

They found that use of mastectomy over breast-conserving lumpectomy varied little by surgeon. Primarily, women who were not eligible for lumpectomy or who preferred mastectomy received the more aggressive surgery. This supports previous research by the CanSORT team that shows surgeons generally are consistent in their approach to mastectomy use.

Reconstruction is another story. About one-third of women who undergo mastectomy go on to have breast reconstruction. While there are multiple reasons why a woman might not have reconstruction, this study found that 31 percent of the variation could be attributed solely to how often the patient's surgeon talked to a plastic surgeon prior to initial surgery.

"This is a deeply intimate and important decision that women have to make. It should be made with the right information about reconstruction options in consultation with a plastic surgeon involved up front in the treatment planning," says Katz, co-director of the socio-behavioral program at the U-M Comprehensive Cancer Center.

"Patients should be particularly attentive to engaging their surgeons on the first visit about this important treatment option."


Contact: Nicole Fawcett
University of Michigan Health System

Related medicine news :

1. U.S. Military Surgeons Saving Childrens Lives in Afghanistan
2. Decline in international medical graduates exacerbates shortage of general surgeons
3. International group of neurosurgeons to assemble in Buffalo
4. Dr. Randolph C. Robinson Recently Awarded AAOMS (American Association of Oral & Maxillofacial Surgeons) Humanitarian Award
5. Plastic Surgeons, Breast Surgeons Urge Team Approach to Breast Cancer Care
6. TCT for Surgeons course will highlight hybrid surgical and interventional techniques
7. Surgeons pilot prevention program reduces incidence of postoperative pneumonia
8. Searching for Breast Augmentation Surgeons? Breast Implants USA Revamp Aims to Set Standard for Online Experience for Breast Enlargement Patients
9. New Online Veterinary Video CPD Provides Accessible Learning for Veterinary Surgeons and Nurses
10. Recognizing the Most Brilliant Physicians, The Leading Physicians of the World, will Showcase the Biographies of this Year's Top Orthopedic Surgeons
11. LASIK Surgeons, Plastic Surgeons, Cosmetic Dentists and other Cash Paid Medical Specialists Brought Together for Groundbreaking Webinar Series
Post Your Comments:
(Date:12/1/2015)... ... ... The Multiple System Atrophy Coalition has announced the launch of its MSA Can’t ... today to coincide with Giving Tuesday 2015, a global day of fundraising. , ... be productive, to do simple daily activities like walking to the mailbox and eating ...
(Date:12/1/2015)... ... December 01, 2015 , ... Royal River Natural Foods — a locally-owned, ... post-menopausal women who took the nutritional supplement creatine, along with resistance training for a ... not take creatine. , The report is part of the December 2015 issue of ...
(Date:12/1/2015)... ... 2015 , ... Baptist Medical Center Jacksonville has implanted the ... hospital in the region providing what is known as the world’s smallest pacemaker. ... revealed recently at a medical conference and published in The New England Journal ...
(Date:12/1/2015)... ... December 01, 2015 , ... ... to continue the expansion of the company’s growing product line of food safety ... (Oncorhynchus tshawytscha) and Sockeye (Oncorhynchus nerka) – allow InstantLabs to offer fast, reliable ...
(Date:12/1/2015)... ... December 01, 2015 , ... ... the United States. Podiatrists are well aware that psychology-based patient non-compliance (disobedience of ... often catastrophic contributors to diseases of the diabetic foot. The American Board ...
Breaking Medicine News(10 mins):
(Date:12/1/2015)... 1, 2015  Eyeon Therapeutics has received a ... treatments based on a charged hydrophilic polymer developed ... The product has been shown to be safe ... Mark Mitchnick , MD, CEO states, "This ... additional polymers in conjunction with a therapeutic agent.  ...
(Date:12/1/2015)... 1, 2015  Athletic apparel company Tommie ... to pay $1.35 million to settle Federal Trade ... copper-infused compression clothing would relieve severe and chronic ... diseases. Tommie Copper,s proposed ... and its founder and chairman Thomas Kallish ...
(Date:12/1/2015)... diciembre de 2015  AccuTEC Blades, una ... precisión, develó hoy un nuevo logo corporativo ... El nuevo logo destaca la experiencia de ... de productos con cuchillas donde "el borde ... --> ...
Breaking Medicine Technology: