| Utilization of Mastectomy and Reconstruction in the Outpatient Setting. | |
| | |
MedLine Citation:
|
PMID: 22990647 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
BACKGROUND: Reconstruction rates after mastectomy have been reported to range from 25-40 %; however, most studies have focused on patients treated in an inpatient setting. We sought to determine the utilization of outpatient mastectomy and use of breast reconstruction in Southern California. METHODS: Postmastectomy reconstruction rates were determined from the California Office of Statewide Health Planning and Development database from 2006-2009 using CPT codes and similarly from an inpatient database using ICD-9 codes. Reconstruction rates were compared between the inpatient and outpatient setting. For the outpatient setting, univariate and multivariate odds ratios with 95 % confidence intervals were estimated for relative odds of immediate reconstruction versus mastectomy alone. RESULTS: The percentage of patients undergoing outpatient mastectomy ranged from 20.4 to 23.9 % of the total number of all patients undergoing mastectomy. Whereas immediate inpatient reconstruction increased from 29.2 to 41.6 % (overall rate 35.5 %), the proportion of outpatients undergoing reconstruction only increased from 7.7 to 10.3 % (overall rate 9.1 %). Similar to the inpatient setting, in multivariate analysis, age, insurance status, race/ethnicity, and type of hospital were significantly associated with the use of reconstruction in the outpatient setting. CONCLUSIONS: A substantial number of patients undergo outpatient mastectomy with low rates of reconstruction. Although the choice of an outpatient mastectomy may certainly represent a selection bias for those not choosing reconstruction, an increase in the use of outpatient mastectomy may result in decreases in the use of postmastectomy reconstruction. |
| | |
Authors:
|
Laura Kruper; Xin Xin Xu; Katherine Henderson; Leslie Bernstein; Steven L Chen |
Related Documents
:
|
18201357 - Monochromatic excimer light (308 nm) in the treatment of prurigo nodularis. 8736327 - Topical diphencyprone for alopecia areata: evaluation of 48 cases after 30 months' foll... 10691937 - Evaluation of a long-pulse q-switched nd:yag laser for hair removal. 15965427 - Paradoxical hypertrichosis after laser epilation. 10601407 - Epilepsy surgery, visual fields, and driving: a study of the visual field criteria for ... 3315377 - Proximal femoral allografts in revision total hip arthroplasty. |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2012-9-19 |
Journal Detail:
|
Title: Annals of surgical oncology Volume: - ISSN: 1534-4681 ISO Abbreviation: Ann. Surg. Oncol. Publication Date: 2012 Sep |
Date Detail:
|
Created Date: 2012-9-19 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9420840 Medline TA: Ann Surg Oncol Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
Department of Surgical Oncology, City of Hope National Medical Center, Duarte, CA, USA, lkruper@coh.org. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Fates at the Psychiatric Hospital of Klagenfurt during National Socialism.
Next Document: Management of Bowel Obstruction in Patients with Stage IV Cancer: Predictors of Outcome After Surger...