Skip to main content
construction release_alert
Scholars@Duke will be undergoing maintenance April 11-15. Some features may be unavailable during this time.
cancel
Journal cover image

National trends and predictors of mastectomy with immediate breast reconstruction.

Publication ,  Journal Article
Mandelbaum, A; Nakhla, M; Seo, YJ; Dobaria, V; Attai, DJ; Baker, JL; Thompson, CK; DiNome, ML; Benharash, P; Lee, MK
Published in: Am J Surg
October 2021

PURPOSE: This study aimed to evaluate national trends in utilization, resource use, and predictors of immediate breast reconstruction (IR) after mastectomy. METHODS: The 2005-2014 National Inpatient Sample database was used to identify adult women undergoing mastectomy. IR was defined as any reconstruction during the same inpatient stay. Multivariable regression models were utilized to identify factors associated with IR. RESULTS: Of 729,340 patients undergoing mastectomy, 41.3% received IR. Rates of IR increased from 28.2% in 2005 to 58.2% in 2014 (NP-trend<0.001). Compared to mastectomy alone, IR was associated with increased length of stay (2.5 vs. 2.1 days, P < 0.001) and hospitalization costs ($17,628 vs. $8,643, P < 0.001), which increased over time (P < 0.001). Predictors of IR included younger age, fewer comorbidities, White race, private insurance, top income quartile, teaching hospital designation, high mastectomy volume, and performance of bilateral mastectomy. CONCLUSION: Mastectomy with IR is increasingly performed with resource utilization rising at a steady pace. Our study points to persistent sociodemographic and hospital level disparities associated with the under-utilization of IR. Efforts are needed to alleviate disparities in IR.

Duke Scholars

Published In

Am J Surg

DOI

EISSN

1879-1883

Publication Date

October 2021

Volume

222

Issue

4

Start / End Page

773 / 779

Location

United States

Related Subject Headings

  • United States
  • Surgery
  • Middle Aged
  • Mastectomy
  • Mammaplasty
  • Length of Stay
  • Humans
  • Hospital Costs
  • Female
  • Breast Neoplasms
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Mandelbaum, A., Nakhla, M., Seo, Y. J., Dobaria, V., Attai, D. J., Baker, J. L., … Lee, M. K. (2021). National trends and predictors of mastectomy with immediate breast reconstruction. Am J Surg, 222(4), 773–779. https://doi.org/10.1016/j.amjsurg.2021.02.014
Mandelbaum, Ava, Morcos Nakhla, Young Ji Seo, Vishal Dobaria, Deanna J. Attai, Jennifer L. Baker, Carlie K. Thompson, Maggie L. DiNome, Peyman Benharash, and Minna K. Lee. “National trends and predictors of mastectomy with immediate breast reconstruction.Am J Surg 222, no. 4 (October 2021): 773–79. https://doi.org/10.1016/j.amjsurg.2021.02.014.
Mandelbaum A, Nakhla M, Seo YJ, Dobaria V, Attai DJ, Baker JL, et al. National trends and predictors of mastectomy with immediate breast reconstruction. Am J Surg. 2021 Oct;222(4):773–9.
Mandelbaum, Ava, et al. “National trends and predictors of mastectomy with immediate breast reconstruction.Am J Surg, vol. 222, no. 4, Oct. 2021, pp. 773–79. Pubmed, doi:10.1016/j.amjsurg.2021.02.014.
Mandelbaum A, Nakhla M, Seo YJ, Dobaria V, Attai DJ, Baker JL, Thompson CK, DiNome ML, Benharash P, Lee MK. National trends and predictors of mastectomy with immediate breast reconstruction. Am J Surg. 2021 Oct;222(4):773–779.
Journal cover image

Published In

Am J Surg

DOI

EISSN

1879-1883

Publication Date

October 2021

Volume

222

Issue

4

Start / End Page

773 / 779

Location

United States

Related Subject Headings

  • United States
  • Surgery
  • Middle Aged
  • Mastectomy
  • Mammaplasty
  • Length of Stay
  • Humans
  • Hospital Costs
  • Female
  • Breast Neoplasms