Factors predictive of immediate breast reconstruction following mastectomy for invasive breast cancer in Australia |
| |
| Authors: | D. Roder H. Zorbas J. Kollias C. Pyke D. Walters I. Campbell C. Taylor F. Webster |
| |
| Affiliation: | 1. Cancer Australia, Sydney, New South Wales, Australia;2. School of Population Health, University of South Australia, Adelaide, Australia;3. Quality Audit Steering Committee, Breast Surgeons of Australia and New Zealand, Sydney, New South Wales, Australia;4. Breast, Endocrine and Surgical Oncology Unit, Royal Adelaide Hospital, Adelaide, Australia;5. University of Adelaide, Adelaide, Australia;6. Waikato Clinical School, University of Auckland, Faculty of Medical and Health Sciences, Hamilton, New Zealand |
| |
| Abstract: | PurposeTo investigate person, cancer and treatment determinants of immediate breast reconstruction (IBR) in Australia.MethodsBi-variable and multi-variable analyses of the Quality Audit database.ResultsOf 12,707 invasive cancers treated by mastectomy circa 1998–2010, 8% had IBR. This proportion increased over time and reduced from 29% in women below 30 years to approximately 1% in those aged 70 years or more. Multiple regression indicated that other IBR predictors included: high socio-economic status; private health insurance; being asymptomatic; a metropolitan rather than inner regional treatment centre; higher surgeon case load; small tumour size; negative nodal status, positive progesterone receptor status; more cancer foci; multiple affected breast quadrants; synchronous bilateral cancer; not having neo-adjuvant chemotherapy, adjuvant radiotherapy or adjuvant hormone therapy; and receiving ovarian ablation.ConclusionsVariations in access to specialty services and other possible causes of variations in IBR rates need further investigation. |
| |
| Keywords: | Invasive breast cancer Breast reconstruction Mastectomy |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
