Factors predictive of immediate breast reconstruction following mastectomy for invasive breast cancer in Australia.
Breast
; 22(6): 1220-5, 2013 Dec.
Article
en En
| MEDLINE
| ID: mdl-24128741
ABSTRACT
PURPOSE:
To investigate person, cancer and treatment determinants of immediate breast reconstruction (IBR) in Australia.METHODS:
Bi-variable and multi-variable analyses of the Quality Audit database.RESULTS:
Of 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.CONCLUSIONS:
Variations in access to specialty services and other possible causes of variations in IBR rates need further investigation.Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Neoplasias de la Mama
/
Mamoplastia
/
Neoplasias Primarias Múltiples
Tipo de estudio:
Prognostic_studies
/
Risk_factors_studies
Límite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Middle aged
País/Región como asunto:
Oceania
Idioma:
En
Revista:
Breast
Asunto de la revista:
ENDOCRINOLOGIA
/
NEOPLASIAS
Año:
2013
Tipo del documento:
Article