Increase in Rate of Breast Reconstruction for Mastectomy

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In the 5-year period examined, the population rate of breast reconstruction for mastectomy increased for all age groups.
In the 5-year period examined, the population rate of breast reconstruction for mastectomy increased for all age groups.

(HealthDay News) -- From 2009 to 2014 there was an increase in the population rate of breast reconstruction for mastectomy, which was seen for all age groups, according to a report published in an October Statistical Brief of the Agency for Healthcare Research and Quality.

Adela M. Miller, from the Rocky Vista University College of Osteopathic Medicine in Colorado, and colleagues examined trends in breast reconstruction surgery from 2009 to 2014 using data from 22 states.

The researchers found that the population rate of breast reconstruction for mastectomy increased by 62 percent from 2009 to 2014, from 21.7 to 35.1 per 100,000 women aged 18 years or older. There were increases for all age groups, with disproportionate increases for women aged 65 years and older, those with Medicare coverage, and uninsured women. Compared with urban-dwelling women, women living in rural areas had fewer reconstructions in 2014 (29 versus 41 reconstructions per 100 mastectomies). The increase in breast reconstructive surgery was mainly due to a more than 150 percent increase in ambulatory surgeries (while inpatient reconstructions remained stable) and an increase in reconstructions performed at a separate stay or visit after mastectomy, which increased from 61 to 71 percent of reconstructions from 2009 to 2014.

Black women were more likely to receive breast reconstruction surgery as an inpatient procedure and with simultaneous mastectomy compared with white and Hispanic women.

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